Overview
The PA upright chest radiograph is a standard view for evaluating the lungs and heart. The patient stands facing the detector with shoulders rolled forward. This view minimizes cardiac magnification and improves visualization of pulmonary markings.
Technique
Instruct the patient to take a deep inspiration and hold breath during exposure. Ensure the scapulae are out of the lung fields and the chin is elevated. Use appropriate exposure factors for body habitus.
Clinical Indications
PA upright chest is used for routine chest evaluation and screening. It assesses cardiopulmonary disease and follow up of known conditions. It is preferred when the patient can stand and cooperate.
Image Assessment
Evaluate lung fields heart size and mediastinal contours on the PA view. Check for symmetry and presence of lines tubes or devices. Compare with prior studies for interval change.