PA and Lateral chest  
 

The PA and lateral chest radiographs are one of the most common imaging tests you will encounter as a clinician. Time spent reviewing how these images are obtained and why certain structures appear as they do will not only help you understand chest films, but will also help you understand radiographs in general. Two views are obtained at 90 degrees from each other in order to gain an appreciation of dimensionality.

 
  PA view sss [Remove labels]  
Lateral view sss [Remove labels]
 
  Identify the following:      
 

1. trachea

2. heart shadow

3. right heart border (PA view)

 

4. aortic knob (aortic arch on lateral view)

5. descending thoracic aorta

6. right pulmonary artery (PA view)

 

7. left pulmonary artery (PA view)

8. right costophrenic angle

9. intersection of rib 4 (anterior part) with rib 7 (posterior part) (PA view)