36C25618R0078-033.docx

ATTACHMENT D27 - HOUMA

SOUTHEAST LOUISIANA VETERANS HEALTH CARE SYSTEM

RADIOLOGY SERVICE

General Diagnostic Exam Protocol List

EXTREMITIES

FOOT – AP, LATERAL, OBLIQUE

TOES – AP, LATERAL OBLIQUE

ANKLE – AP, LATERAL, OBLIQUE

HEEL – AP (TANGENTIAL), LATERAL

TIBIA – AP, LATERAL

KNEE – AP, LATERAL

FEMUR – AP, LATERAL

HIP – AP, FROGLEG LATERAL

AP, CROSS-TABLE LATERAL FOR INJURY

PELVIS – AP

FINGER – AP, LATERAL, OBLIQUE

HAND – AP, LATERAL, OBLIQUE

WRIST – AP, LAT, OBLIQUE

(FOR POSSIBOE NAVICULAR FRACTURE – USE ULNAR DEVIATION VIEW)

FOREARM – AP, LATERAL

ELBOW – AP, LATERAL, OBLIQUE

HUMERUS – AP, LATERAL

SHOULDER –ROUTINE, AP INTERNAL AND EXTERNAL ROTATION

INJURY, AP, TRANSCAPULAR LATERAL

CLAVICLE – AP, AP 15° TILT

AC JOINTS – AP BOTH SHOULDERS (WITH & WITHOUT WEIGHTS)

SCAPULA – AP, LATERAL

SPINES:

CERVICAL – AP, LATERAL, BOTH OBLIQUES, ODONTOID. USE SWIMMER;S VIEW FOR VIEWING C7 ** CLEAR NECK WITH LATERAL VIEW WITH RADIOLOGIST OR PROVIDER BEFORE MOVING PATIENT.

DORSAL – AP, LATERAL

LUMBAR SPINE – AP, BOTH OBLIQUES, LATERAL SPOT LATERAL, AP PELVIS

SACRUM – AP, 15°TILT CEPHALAD , LATERAL

COCCYX – AP, 15° TILT CAUDAL, LATERAL

SACRO-ILIAC JOINT – AP 30° TILT CEPHALAD, BOTH OBLIQUES OF JOINTS

HEAD:

SKULL – AP, TOWNES, BOTH LATERALS

FACIAL BONES – PA, WATER’S, LATERAL, ZYGOMATIC ARCHES

MANDIBLE – PA, BOTH OBLIQUES

SINUSES – PA, WATER’S, LATERAL , SUBMENTOVERTEX

MASTOID – LAW’S, STENVERS, TOWNES (FOR PETROUS PYRAMIDS)

TMJ’S – TOWNES, LATERAL BOTH SIDES (OPEN AND CLOSED MOUTH)

NASAL BONE – WATER’S BOTH LATERALS

ORBITS – WATER’S, PA, TANGENTIAL

CHEST:

CHEST – EPA, LT. LATERAL

RIBS – UPPER AND LOWER OF AFFECTED SIDE, AP AND OBLIQUES

STERNUM – OBLIQUES, LATERAL