Columbus Radiology X-Ray Protocols

Vocabulary flashcards covering X-ray positioning protocols across anatomical regions from Columbus Radiology notes.

Chest Decubitus

1 view AP, Position the side of interest down for pleural effusion and up for pneumothorax.

Chest

1 view PA, 2 view PA/ Lateral, Portable AP, Trauma AP

Ribs

AP, Both Obliques (of affected side), *Lower ribs - if not included in obliques

Sternum

RAO, Lateral

Acute Abdomen Series

PA chest, Upright abdomen (centered at the level of the diaphragms to look for free air), and KUB.

IVP

AP abdomen scout, AP abdomen @ 30 sec, AP abdomen @ 6 min, and AP abdomen @ 10 min (call radiologist to review after 10 minute film and decide on further imaging or post void).

KUB

AP

Abdominal Stent

AP Abdomen, RPO, LPO, Left Lateral

Pelvis

AP

Sacroiliac Joints

AP (30 degree cephalad axial), RPO (25 degree oblique), and LPO (25 degree oblique).

AC Joints Protocol Views

AP w/o weights and AP with weights.

Clavicle

AP and AP (15 degree cephalad axial view).

Elbow

AP / Lateral / Oblique (external)

Forearm

AP, Lateral

Facial Bones

PA, Waters (37 degree), Waters (45 degree), and Lateral (Affected side).

Hand

PA, Oblique, Lateral

Finger

PA hand for PA finger, Oblique- affected finger, Lateral

Internal Auditory Canals

PA skull, AP (30 degree cephalad axial), Stenvers left and right, Submentovertex, and AP Townes (30 degree).

Mandible

AP Townes (30 degree), PA, Both Obliques

Sinuses

PA Caldwell (15 degree axial), Waters (37 degree axial), and Lateral.

Nasal Bones

PA, Waters (Modified - 55 degree OML), and Both Laterals.

Skull

PA Caldwell (15 degree axial), Waters (37 degree), Lateral (True)

Skull Craniosynostosis

AP/PA (15 degree axial), Lateral

Bone Age

PA hand (left hand only).

Zygomatic Arches

Waters (37 degree), Waters (45 degree), and Submentovertex SMV.

Bone Survey

AP and lateral Skull, AP and lateral C-spine, AP and lateral T-spine, AP and Lateral Lumbar spine, AP bi-lateral Humerus, AP bi-lateral Femurs, AP Pelvis, AP Ribs upper, and AP Ribs lower.

Scoliosis Survey

AP of the entire spine (upright).

MRI

PA Caldwell skull, AP chest, AP abdomen

EMRit (Orbits for Foreign Body)

Waters (37 degree Axial), and Lateral

Humerus

AP, Lateral

Scapula

AP, Lateral “Y” view

Shoulder

AP with internal rotation, Oblique (True AP Grashey view with external rotation), and Scapular Y view.

Sternoclavicular Joints

PA, RAO, and LAO.

Wrist

PA, Oblique (Mortise view), Lateral

Ankle

AP, Oblique (Mortise view), and Lateral.

Calcaneus

AP (30 degree axial down shot) and Lateral coned down

Femur

AP, Lateral

Foot

AP, Oblique, Lateral

Hip

AP, Lateral (frog leg)

Knee

AP, Lateral

Tibia/ Fibula

AP, Lateral

Cervical Spine

AP/PA, Lateral (*Swimmers view if T1 not visualized on lat), RAO/RPO, LAO/LPO, and Odontoid.

Soft Tissue Neck

AP/PA, Lateral

Thoracic Spine

AP, Lateral *Swimmers view if T1 not visualized on lat

Lumbar Spine

AP, Lateral, L5-S1 (coned), Obliques (for lumbar complete)

Lumbar Flexion/ Extension

Flexion lateral, Extension lateral

Sacrum/Coccyx

AP (15 degree cephalad), AP (10 degree caudal coccyx), and Lateral

Shunt Series

Skull AP/LAT, C-spine AP/LAT, Chest AP/LAT, and Abdomen AP/LAT.

Leg Length Protocol Step 1

Perform standing on scoliosis machine and include all of bilateral lower extremities together (iliac crests through all of tibia).

Leg Length Protocol Step 2 and Step 3 Alternatives

Step 2: CT Scanogram of entire bilateral lower extremities (iliac crests through all of tibia). Step 3: Two separate images of entire length of bilateral femurs adjacent to a ruler and separate image of entire bilateral tibias next to ruler.

Pediatric Skeletal For Suspected Abuse Appendicular Skeleton

Humeri (AP), Forearms (AP), Hands (PA), Femurs (AP), Lower legs (AP), Feet (AP)

Pediatric Skeletal For Suspected Abuse Axial Skeleton

Thorax (AP, Lateral, right, and left obliques), to include sternum, ribs, thoracic and upper lumbar spine

Abdomen, to include the pelvis (AP)

Lumbosacral spine (Lateral)

Skull (frontal and lateral), to include cervical spine (if not completely visualized on lateral skull)

Code Violet

Violent patient: Trained Providers Respond

Lockdown Alert

Building Lockdown Due to an External Hazard, Remain in Building

Utility Alert (Name of Affected Utility)

Loss of Utility System: Water, Electric, Information Technology, etc.

Code Brown

Missing Patient: Description Provided, Check All Areas

In Case of Fire

R:

A:

C:

E:

Chemical Safety

Safety Data Sheets for all chemicals are one source under Workplace Tools

ALL Containers must be labeled

In case of spill: Isolate the area and call your emergency number

Associate Safety Hotline

(614) 566-SAFE or See Workplace Tools

Emergency Numbers

Hospital: Dial 1-2-3 (from in-house phones)

Outpatient centers or office buildings Dial 9-1-1

Code Red

Fire Emergency

Code Black

Bomb Threat or Suspicious Package Threat

Code Yellow

Disaster: Mass Casualty Event

Tornado

Announced as a Tornado Watch or Tornado Warning

Code Gray

Severe Weather, Flood or Blizzard

Evacuation Alert

Evacuation of all part or Part of the Facility

Code Adam

Infant Abduction/ Child Abduction if Age and Description Provided

Code Orange

Chemical Spill or Leak

Imminent Threat (Location)

Active Aggressor: Person with a weapon, Stay Away From the Location. Run-Hide-Fight.

Code Blue

Cardiac or Respiratory Arrest

Code Pink

Cardiac or Respiratory Arrest for Infant (Neonatal = 0-28 Days)

Code Assit

ill or injured Person: Medical Response Required

1 right through the ED doors by the ED X-Ray Room (considered the ER one), 1 directly between the CT X-Ray rooms, 1 by the fluoroscopy room in the hallway

Where are the Crash Carts located?

Right outside the patients room

Where are the precaution carts located?

Built into the walls, on the crash carts, and they are stored in certain rooms

Where is the oxygen located?