Ventrodorsal thoracic radiograph (step-by-step)

1. Select exposure settings on the x-ray machine, and place the grid on the plate (where the depth is over 10cm).

2. Position sedated patient in dorsal recumbency (spine to the plate with legs in the air and hindlimbs frog-legged). The patient may be placed in a positioning trough.

Figure 1 — Dog restrained in positioning trough in dorsal recumbency to allow ventrodorsal radiographs to be taken
Figure 1 — Dog restrained in positioning trough in dorsal recumbency to allow ventrodorsal radiographs to be taken

3. If no positioning trough is used, place foam wedges on either side of the patient's chest to minimise rotation.

Figure 2 — Foam wedges added to either side of the patient
Figure 2 — Foam wedges added to either side of the patient

4. Place sandbags over the forelimbs and hindlimbs to hold the patient in the desired position.

Figure 3 — Sandbags added to hold patient's limbs
Figure 3 — Sandbags added to hold patient's limbs

5. Centre the primary beam over the mid-thorax.

6. Collimate the primary beam cranially to the thoracic inlet, caudally to the last rib, and laterally to include both skin edges.

Figure 4
Figure 4

7. Place the right/left marker within the beam's collimation on the corresponding side.

8. Take the radiograph.

Lateral thoracic radiograph (step-by-step guide)Dorsoventral thoracic radiograph (step-by-step guide)