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.

[@kaushikn2038]

That’s if tech wants to listen. 😂

[@tskeldin29123]

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

[@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

[@ThoracicRadiology]

Great tip thank you

[@BasitKhan-jr5rx]

Nice demonstration

[@pb5640]

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.

[@j.f.leslie1418]

Radiation risk is far, far overblown. Our risk basis comes from nuclear bomb and accident victims. X-rays and gamma rays are entirely different, and our estimates for long term risk have not been born out in long term data.

[@mianmenu]

Thats why lung ultrasound is the best

[@ThoracicRadiology]

Yes it can be really good for a lot of common diseases.

[@FlukePanAtShoesAgger]

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

[@thevoiceharmonic]

The way to solve that problem is to always angle more than you have been doing routinely. For conscious cooperative patients, get them to roll their shoulders forward

[@snj6927]

How did you know that it is indeed a suboptimal image and not pulmonary edema

[@mb-np9zs]

Good jobs

[@Solterie1]

Lmao repeat Xrays definitely wouldn't fly here.

[@ThoracicRadiology]

Haha why, where do you practice?

[@farazalam3325]

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