Overview
AP rib radiographs evaluate suspected rib fractures and chest wall pathology. Images are obtained with the patient upright and centered to the area of interest. Multiple projections may be required to visualize the entire rib arc.
Technique
Obtain separate views for upper and lower ribs as needed with appropriate collimation. Use oblique projections to profile ribs and reduce overlap with the spine. Provide pain control and positioning aids for patient comfort.
Clinical Indications
Rib series are indicated for trauma chest pain and suspected fractures. They help detect displaced fractures and associated complications such as pneumothorax. CT is more sensitive for occult fractures when radiographs are inconclusive.
Image Assessment
Evaluate cortical continuity and callus formation on follow up studies. Assess for adjacent lung injury and pleural air or fluid. Document fracture location and displacement for clinical management.