II. Approach: Check Written Information

  1. Patient Name
  2. Exam Date and Time
  3. Technician Notations (e.g. Expiration film)

III. Approach: Patient Position

  1. Supine
  2. Semiupright
  3. Erect

IV. Approach: Patient Alignment

  1. Rotation
  2. Lordosis or kyphosis

V. Approach: Penetration

  1. Over-penetration: Dark films
    1. Consider using "bright-light" to see details
  2. Under-penetration: White films

VI. Approach: Systematic Review

  1. Prowl the film
    1. View film from different angles and distances
  2. Establish strong, even illumination
    1. Turn off surrounding light panels
    2. Dim room lights

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