mAs: 5.2

kVp: 80

EI : 262

DI: -4.2 (low)

Changes to be made: CR directed 1-2 inches toward the effected side and 5-6 inches blow the Juglar notch. CR is directed to the level of T10-T12.  9th to 12th ribs visualized. No rotation or motion present. Collimation could have been brought in more vertically and mAs increased. Marker present and free from the anatomy of interest. 

mAs: 3.8

kVp: 80

EI : 331

DI: -3.2 (low)

Changes to be made: CR directed 3-4 inches below jugular notch. First through tenth posterior ribs visualized. No motion or rotation but slightly tilted to the left. mAs could have been increased as soft tissues and lung markings do not need to be seen.  Marker present and free of anatomy of interest. 

mAs: 13.3

kVp: 85

EI : 1027

DI: 1.6 (good)

Changes to be made: Patient is in the 45 degree oblique postion. CR directed to the level of T7 with the effected side up. CR is directed midway between the xiphoid process and the iliac crest. Axillary portion of the ribs appear elongated. No motion present. Marker present but in the anatomy. CR directed to the level of T7 for upper ribs. Posterior ribs 1 through 10 visable. Exposure factors acceptable. 

mAs: 7.51

kVp: 80

EI : 381

DI: -2.6

Changes to be made: Ninth to the twelvth ribs vizualized. Collimation could have been brought in more to lower dose as the upper ribs do not need to have as much visualization. No rotation and no motion present. Marker is present and not in the anatomy. Exposure could have been increased as the soft tissues and long markings do not need to be visualized. 

mAs: 4

kVp: 80

EI :322

DI: -3.3 (low)

Changes to be made: 10th posterior rib is slightly cut off on the anterior aspect. CR is placed 3-4 inches below the juglar notch and 1-2 inches laterally toward the area of interest. CR directed to the level of T7. No motion or rotation present. Marker present and free from imposing anatomy. Exposure factors could have been increased to visualize less of the soft tissue and lung markings as its not needed. 

mAs: 32

kVp: 76

EI : 124

DI: 2.4

Changes to be made: Patient rotated 15-20 degrees in the RAO positon. CR directed to the center of the sternum, midway between the juglar notch and xiphoid process. Entire sternum visualized. Superimposed over the heart. Possibly slightly under rotated. Collimation could have been brought in more to visualize less of the T-spine. Marker present. 

mAs: 32

kVp: 76

EI : 200

DI: 4

Changes to be made: CR to the center of the sternum. 72 inch SID used. Entire sternum is visualized. No rotation present. Marker present and clear of anatomy. Collimation could have been brought in more vertically. Exposure could have been increased to visualize the bones better.