PROJECTION

What projection?
This is a radiograph of a ___________ (AP/PA/Lateral/Oblique/etc,etc) projection of the _____________.

Why?
I say so because:
1. ______________________________________
2. ______________________________________

POSITIONING

Indicate patient’s positioning and show the proof.

The positioning for this projection is ____________________ ( correct/ incorrect).
This is because:
1. ____________________________________________
2. ____________________________________________

Give suggestion on how to improve patient’s positioning

To improve this, _______________ (rotate/tilt/etc, etc,etc) the ______ of the patient ______________
__________________________________________.

ALIGNMENT

Mention the alignment between the x-ray tube, patient/ structure and cassette. Is it ok or not? Give reasons.
There are 3 components for alignment:
1. x-ray tube and cassette
2. patient/ structure and cassette
3. x-ray tube and patient/ structure

The alignment between xrt and cassette _____________ (is correct/is incorrect/ cannot be determine) because ____________.
(Evaluation is done by comparing the distance between the edges of collimation to the edges of film)
The alignment between pt and cassette _____________ (is correct/ is incorrect/ cannot be determine) because ___________.
(Evaluation is done by comparing the distance between the edges of film to the central structure)
The alignment between xrt and pt. _____________ (is correct/ is incorrect/ cannot be determine) because ____________.
( Evaluation is done by comparing the distance between the edges of collimation to the central structure)

The centering point for this radiograph is ________________.

The standard centering point for this projection is ____________.

COLLIMATION /RADIATION PROTECTION

Collimation should be done to all four borders of the film and should include:
At the superior border, structure(s) that should be included are/is ____________________.
At both lateral borders, structure(s) that should be included are/is ____________________.
At the inferior border, structure(s) that should be included are/is _____________________.

There is ______ (evidence/no evidence) of radiation protection apparatus seen on the radiograph.
EXPOSURE FACTORS

Comment on how kVp affects the radiographic contrast (State structures used for reference)

The kVp used is _______ (adequate/ inadequate/ too much) for penetration and radiographic contrast.

This is because the (bony cortical outline of) the THIN structure which is the __________________ ,_________ (can/cannot) be
seen. And the (bony cortical outline of) the THICK structure which is the __________________ , _________ (can/ cannot) be
seen.

Comment on the identified structures’ details demonstrated related to mAs(State structures used for reference)

The mAs used is ________(adequate/ inadequate/ too much) for detail and density.
This is because the (bony trabecular pattern of ) the THIN structure which is the ______________, _______ (can/cannot) be
seen. And the (bony trabecular pattern of ) the THICK structure which is the ______________, _______ (can/ cannot) be seen.

Give suggestion to improve the image quality.

The kVp must be _______ (increased/decreased) by 15 %.

The mAs must be _______ (increased/decreased) by __________ %.

MARKERS

Is there any anatomical marker shown? Is it appropriately placed?

There is ____ (evidence/ no evidence) of an anatomical marker shown in the radiograph, ________ (correctly/incorrectly) placed
on the _______ (left/right/superior/inferior) side of the body and placed _________ (appropriately/inappropriately), __________
(superimposing/not superimposing) any region of interest.

AESTHETIC
The film size used is _______X______ cm which is __________ (sufficient/insufficient) to demonstrate all structures of interest.
There is _____ (evidence/no evidence) of artifact on the radiograph ( which is ___________.)

NAME

Is there any system of patient’s identification? Is it legible? Is the identification and placing correct?

The patient’s name and ID (or IC or (R/N)), date of examination, place of examination; are _______ (clearly visualized/ not
clearly visualized/ not visualized) on the radiograph at the ________ (appropriate/inappropriate) area, and __________
(superimposed/not superimposed) with structures of interest.

DIAGNOSTIC ACCEPTABILITY/ CONCLUSION

The radiograph is ________ (acceptable/unacceptable),

because ________________________ .