• If the patient's condition allows, perform the views with the patient erect, standing or seated, facing the bucky
• Centre the midsaggital plane of the patient to the midline of the IR
• Bring the patient's chest so that it is touching the bucky
• Have the patient relax their shoulders and rolled forward to touch the bucky
• Adjust the height of the bucky so that the upper border of the IR is 5cm above the shoulders
• Raise the chin and rest on or above the bucky
• Clear the scapulae off the lung fields and ribs by getting the patient to either

A. "Hug" the bucky by bringing the forearms behind the bucky (some buckys have purpose built handles for the patients to hold)
OR
B. Place the back of their hands against their lower hips

• PACEMAN

• No rotation as evidenced by
  
  • the medial ends of the clavicles equidistant from the spine
  • the clavicles are in the same horizontal plane
• The lungs fields are clear of the scapulae

• The 10th anterior ribs will be visualised above the diaphragm on full inspiration. Note that fewer than the first 10 ribs will be seen if the patient is experiencing much pain and so therefore is less likely to take a deep breath. Less than 10 ribs are also seen when the patient is supine.

• Anterior ribs, lungs fields, apices, costophrenic angles, heart
  

• Centre: T7 Thoracic vertebra
  
• Shutter A: Open to show the first rib superiorly and the diaphragm inferiorly
• Shutter B: Open to show the lung fields and ribs laterally
  

• There should be adequate exposure so that the ribs and thoracic vertebrae are seen faintly through the heart
• There is minimal patient motion demonstrated by sharp, clear cortical margins and bony trabucular markings of the ribs being demonstrated.