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Oblique x ray of cervical spine3/29/2024 The patient may breathe normally when the exposure is being taken. The long axis of the spine is horizontal. Position of part The patient is positioned with knees bent to stabilize the body. The left lateral position is preferred because placing the heart closer to the IR minimizes overlap. Position of patient Lying on the left or right side (lateral recumbent position). Purpose and Structures Shown A basic view of the thoracic spine. Ribs, shoulders, diaphragm, and lungs are visible. The vertebral column is aligned to the middle of the image. The patient is asked to stop breathing when the exposure is taken. Position of part The gonads are shielded. The head should rest directly on the table or on a thin support to avoid exaggerating the thoracic kyphosis. The arms are placed by the side of the body and the shoulders are flat on the table. Two radiographs may be necessary for the upper and lower thoracic regions. Purpose and Structures Shown A basic view of the thoracic spine showing all 12 thoracic vertebral bodies, intervertebral disc spaces, transverse processes, and costovertebral joints. The lateral projection shows the left and right hemidiaphragm, vertebral bodies, intervertebral disc spaces, and posterior ribs. In addition to the thoracic vertebral bodies, spinous processes, and transverse processes, a good quality thoracic spine AP projection shows the left ventricle, gastric bubble, right/left hemidiaphragm, posterior ribs, and right/left clavicle.
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