Suboptimal Studies

As the radiologist, we are the ultimate judge of image quality. It is up to you to have a discussion with the technologist if a study is not adequate.

[thevoiceharmonic]

Good call. If the patient is conscious and cooperative, they can roll their shoulders forward. That brings the scapula off the lung fields but also prevents the patient leaning back as they take a big breath in. I have had radiologists call me to ask if my AP is in fact PA in a mobile

[tskeldin]

Most of the time the ER docs have already ordered a ct chest anyway. But yeah RTs should be doing it right the first time

[FlukePanAtShoesAgger]

when i take CXR portable with semi-upright position it alway appear a little lordotic 😢

[pb]

like Drs Mike Malin and Matt Dawson always say, “don’t punish your patient with radiation” learn point of care ultrasound. A 15 second POC_US exam by a skilled ED physician or Paramedic could’ve answered that question.

[Solterie]

Lmao repeat Xrays definitely wouldn't fly here.

[Dr.farazalam]

Sir 🙁 was just forced to report an expiratory AP film, with CP angles cut and more lines on the film than actual lung fields... Repeat Xray is not an option