632 Final- Routine Projections and Alternate Views (all body regions)

What is the routine series of the shoulder?

AP ER, AP IR, Scapular Y

Which shoulder view is needed to see pathology in the subacromial space?

Supraspinatus outlet/Neer's view

What is the xray series for acute shoulder trauma?

AP ER, AP IR, axillary

Which shoulder view is best to see GHJ dislocation?

Scapular Y

What is the routine series of the scapula?

AP scapula, scapula lateral

What is the routine series of the AC joint?

Upright AP w/wo weights

What is the impingement/RTC series for the shoulder?

AP ER, AP IR, supraspinatus outlet/Neer's

What is the routine series of the elbow?

AP and lateral

Which view of the elbow has the forearm pronated and best visualizes coronoid process fractures?

AP internal oblique

Which view of the elbow has the forearm supinated and visualizes the radial head, HU, and HR joints free of superimposition?

AP external oblique

What is the routine series of the wrist?

PA, lateral, oblique

In which wrist view is the pisiform superimposed over the triquetrum?

PA

In which wrist view are the hamate, triquetrum, and trapezium best visualized?

oblique

In which wrist view are all metacarpals superimposed?

lateral

Which wrist view best identifies scaphoid fractures?

Ulnar deviation

Which wrist view best identifies scapholunate dislocations via abnormal spacing between the carpals?

Clenched fist

Which wrist view best visualizes hook of hamate fractures?

carpal tunnel view

What is the routine series of the hand?

PA, lateral, oblique

What is the routine series of the cervical spine?

AP, lateral (sometimes open mouth)

Which cervical view best identifies joint margins and spaces?

lateral

Which cervical view is used to assess the Dens and upper cervical instability/fx?

AP open mouth

In which cervical view are the mandible and upper cervical spine superimposed?

AP

Which cervical view is used to visualize the CT junction in individuals where it is obscured on a normal lateral view?

Swimmer's lateral

Which cervical view is used in the ER to evaluate trauma to the cervical spine?

Cross table lateral

Which cervical view is used to assess the neural foramina?

bilateral oblique

Which cervical view is considered a stress view and used to evaluate for instability?

flexion/extension lateral

Which cervical view is used for suspected facet fractures but has massive doses of radiation?

articular pillar

What is included in the 2 view series of the cervical spine?

AP and lateral

When is a 2 view series of the cervical spine indicated?

nonradicular pain C3-C7 in origin

What is included in a 3 view series of the cervical spine?

AP, lateral, open mouth

When is a 3 view series of the cervical spine indicated?

nonradicular pain with concern for C1-C2 instability or fx

What is included in the 5 view series of the cervical spine?

AP, lateral, open mouth, bil oblique

When is a 5 view series of the cervical spine indicated?

for radicular pain, very commonly ordered

When would a cervical flex/ext stress view be added to xray orders?

after spondy or upper cervical instability is found on a previous series

What is the routine series of the lumbar spine?

AP, lateral

Which lumbar view best visualizes spondylolisthesis and has the pedicles superimposed?

lateral

Which lumbar view best visualizes spondylolysis and facet joints?

Oblique

Which lumbar view is used to visualize the lumbosacral junction free of superimposition?

cone down L5-S1

What is the routine series of the SI joint?

AP axial, oblique

What is the routine series of the thoracic spine?

AP, lateral

What is the routine series of the sternum?

poster oblique, lateral

What is the routine series of the ribs?

PA, AP, AO, PO

What is the routine series of the chest?

PA, lateral

What is the normal cardiac: thoracic ratio?

1:2

A silhouette sign on CXR indicates

pneumonia

What view is required to see IV foramina in the cervical spine?

oblique 45

What view is required to see IV foramina in the thoracic spine?

lateral

What view is required to see IV foramina in the lumbar spine?

lateral

What view is required to see facets in the cervical spine?

lateral

What view is required to see facets in the thoracic spine?

oblique 70

What view is required to see facets in the lumbar spine?

oblique 45

What is the routine series of the hip?

AP femur, AP pelvis, lateral frog leg

What is the routine series of the knee?

AP, lateral

Which view of the knee is used to profile the intercondylar eminence and femoral condyles?

tunnel/notch

What projection is considered first line imaging for a suspected ACL tear?

tunnel/notch

What knee projection should be ordered for a suspected osteochondritis dissecans lesion or bony loose body?

tunnel/notch

Which view of the knee is a tangential view of the patellofemoral joint?

sunrise/merchant

Which view of the knee should be ordered for any anterior knee pain?

sunrise/merchant

What is the standard series of the ankle?

AP, AP oblique (mortise), lateral

What is the standard series of the foot?

AP, lateral, oblique

Which view of the ankle is best for viewing the talar dome for signs of OCD?

mortise/oblique

Which view of the ankle is best for viewing the distal tibfib joint for high ankle sprains?

mortise/oblique

Which view of the ankle is best for viewing fractures and instability?

mortise/oblique

Which view of the ankle is best for viewing proximal tarsal articulations?

lateral

Which view of the ankle is best for viewing achilles pathologies?

lateral

Which view of the foot shows the metatarsals free of superimposition?

oblique

Which view of the foot best shows the sesamoids, calcaneus, navicular, and the base of the 5th met?

lateral

Lisfranc fracture dislocations are best seen in which view of the foot?

AP