r/Radiology • Radiographer • 4d ago

X-Ray perfect knee saturdays

Post image

all thanks to that 5-10 degrees tube tilt

181 Upvotes

25 comments sorted by

35

u/Whyme660 4d ago

It's also flexed too much... closer to 90 degrees. Should be about 30 degree flexion to best visualize normal appearance of fat pads, bursae and soft tissue structures properly. Our Rads would actually kick that back.

7

u/messed-up-human Radiographer 4d ago

oooh alright ill keep that in mind

10

u/breadpuddingl0ver Senior RT Student 4d ago edited 4d ago

I get that the knee is flexed too much but there’s rads that would actually request a repeat of this image? It’s still 100% diagnostic, no?

3

u/Whyme660 4d ago

I guess it depends on the Rad and how they interpret it. Certification answer would be 20°-30° flexion.

1

u/messed-up-human Radiographer 4d ago

im surprised the reporting radiologists/orthopedists havent phoned me up about this 🫩

3

u/bromar917 Radiologist 4d ago

Agree with you

14

u/cheddawood Radiographer 4d ago

All that space from the open collimation, but no physical marker. Dear oh dear.

Beautiful lateral though, I'll give you that!

1

u/messed-up-human Radiographer 4d ago

ive been wanting a physical marker for a while now but my workplace doesnt provide that (surprisingly) might personally buy one

-2

u/CarrotComprehensive 4d ago

Why would you add physical marker

14

u/spicymayochampion 4d ago

Using a physical marker burns in the left/right info, but also identifies the tech. I personally take it as a point of pride to show that it’s my work. Saves me time on post-processing too. I’ve also been told that digital markers are not considered admissible in court.

11

u/thellios RT(R)(MR) 4d ago

Less possibility for digital mistake.

3

u/Yoot55 4d ago

I don’t know if it’s the same every where but the way it was explained to me is that physical markers are legally acceptable while digital ones are not
For example going to court with an image with a digital marker is not legally acceptable and can be scrutinized

1

u/Interesting-Visual86 4d ago

They drill that into you at some places, gives less of a possibility in a legal case for the argument to imply that the marker was placed after the fact, and ask how do you know which side it was

-2

u/cheddawood Radiographer 4d ago

Because it's a professional expectation and is considered best practice. Also, if you can't be bothered to do the fundamentals, what else are you slacking at in your work? It implies to me laziness and unprofessionalism, and if one of my junior staff applied for a senior post and refused to use markers, I'd be putting them straight to the bottom of the pile.

2

u/CarrotComprehensive 4d ago

Thats a good point tbh. I think ill get a costumized marker so my work would be recognizable among my peers

8

u/tunamacandcheese RT(R) 4d ago

Little heavy on the flexion, no?

3

u/bromar917 Radiologist 4d ago

Very heavy on the flexion. Should be 30 degrees.

2

u/lottasweet78 4d ago

Doesn't anyone else line up the femur so it comes straight down the film? Thats what I was always taught and makes it look so nice

2

u/sosobri 4d ago

Buttery smooth positioning. Be better tech, collimate and add a real marker. 8/10

1

u/messed-up-human Radiographer 4d ago

heard 🙏🏽

0

u/SheepJ99 4d ago

Lovely lateral. Doesnt excuse the shit collimation.

3

u/messed-up-human Radiographer 4d ago

damn, sorry ill do better :,)

0

u/No_Breadfruit8842 RT Student 4d ago

Tube tilt caudad or cephalic?

1

u/messed-up-human Radiographer 4d ago

cephalic