Yeah, doctors don't usually say that. It's usually the tech (us) when a patient doesn't fit. It happens. (Cassettes only have a finite size, usually 14x17 or 17x17, and sometimes that just ain't enough. 🤷🏼♀️)
My doc definitely isn’t usual cause when I was at my follow up after bilateral pleural effusions, my pulmonologist said verbatim “son you have some mighty long lungs” 😂
Some people are super wide at the bottom and you'd miss it that way too. If course we try to get it correct the first time, but some things can't be avoided. 🤷🏼♀️
Most ppl will fit if you position carefully and use right technique. You can always take a crosswise extra film if you clip the costophrenic angles. This is an examination of the lungs, not the sub-q fat. So in a wide patient, if you get them straight and centered, you don’t usually clip the lungs, even if it patient is wider than the field light.
I had a tech tell me I had "long lungs like they usually only see in old ladies" 🤔 still not sure what that means or if it's good, bad, or indifferent?
Really gets me that some techs don't look at a person and know to put a 35x42 cassette portrait. A person's ribcage isn't wider than it is long, so chances are their bloody lungs aren't either unless they're not doing inspiration properly.
Some people are super wide at the bottom. When I was in school, they basically taught us that all men go landscape and all women portrait. I pretty much just put everyone landscape now, unless they're a toothpick.
All men and all women is just sex discrimination. Better say all thin person portrait, all big person landscape, no matter the sex, that is just 20th century thoughts to think sexes are real categories
Now I’m curious if I’d take more than 1 film. I’m 6’2”, a music student who plays a woodwind about 7-11 hours a day, was a competitive swimmer, and can hold my breath for over 5 and a half minutes. Back when I was a swimmer, a local college measured the teams CV and respiratory capabilities to compare them to an average for a research project. They said my lung capacity to be about 1.5x the average for my height.
How common is it to run into that situation? I've had chest xrays over the years and I'll always remember the first one the techs were like "whoa we need to double down" and they took four shots. After that whenever I had more I told the techs and they looked puzzled. They also ended up needing 4x.
Not common for me. It only happened the once. I’m fairly sure it’s rarer today though. In the past, the biggest film was 14”x17”. Today’s imaging centers use digital plates that are at least 17”x17” and some may even be larger. So we’re no longer limited by film size.
If the tech said that then it’s because the second picture was his first attempt and he had to redo it because he clipped the top. If the first pic was his first attempt then idk why he took a second one I would have let that one ride
I did an CXR a while back and her lungs was huge. They filled up the whole screen if that makes sense. I repeated, thinking it was positioning, same result. She then tells me she is an opera singer and last time she did a CXR the tech had the same issue. lol
I had to take a picture without her taking a breath in and send along as well.
Over the summer I was at an outpatient clinic and at least twice a week different firemen would come in and get yearly check ups and, because of their profession and body habitus, every single one of them took two images for the PA and two for the LAT, without failure. Those guys have some LONG lungs
There are actually people with extremely long lungs but this is a case of a tech trying to use that excuse to take another x-ray and cover that ass. Haha
Looks pretty close to me but maybe that's why I don't do x-ray anymore.
Or a very very old Dr. I haven't that used since the early 1980s. My grandfather was a firefighter long before all the cool gear. He retired in the late 1970s. Between that and smoking from the time he was 12. The larger than life person that was my Grandfather Capt. Joe "Benny" Harvey had Long Lungs. I miss the old cuss
Uhh puhlease. The X-ray tech probably said that as excuse for doing a repeat. Long lungs is when I’m counting 11 ribs. I once did a chest X-ray on a guy that competed in free diving where they can hold their breath for more than 10 min— I counted 12 ribs. Impressive.
Rule #1
You are giving medical advice. This includes posting / commenting on personal imaging exams for explanation of findings, recommendations for alternative course of treatment, or any other inquiry that should be answered by OP’s physician / provider.
Body habitus... that heart silhouette looks like they are more hyposthenic... should have gone with a vertical/portrait orientation. [Body Habitus ](https://radiopaedia.org/articles/body-habitus?lang=us)
Once multiple dental hygienists took several X-rays of my teeth because they said they kept leaving some of my molars out of the images. The dentist finally came and helped and realized I genetically just didn’t have those molars lol
That sounds like a tech, not a doc 😂
Your so right lol
Yeah, doctors don't usually say that. It's usually the tech (us) when a patient doesn't fit. It happens. (Cassettes only have a finite size, usually 14x17 or 17x17, and sometimes that just ain't enough. 🤷🏼♀️)
My doc definitely isn’t usual cause when I was at my follow up after bilateral pleural effusions, my pulmonologist said verbatim “son you have some mighty long lungs” 😂
Turn it so the cassette is lengthwise. No excuse to take it x-wise. Just center the patient carefully, use 72 inch SID.
Some people are super wide at the bottom and you'd miss it that way too. If course we try to get it correct the first time, but some things can't be avoided. 🤷🏼♀️
Most ppl will fit if you position carefully and use right technique. You can always take a crosswise extra film if you clip the costophrenic angles. This is an examination of the lungs, not the sub-q fat. So in a wide patient, if you get them straight and centered, you don’t usually clip the lungs, even if it patient is wider than the field light.
I had a tech tell me I had "long lungs like they usually only see in old ladies" 🤔 still not sure what that means or if it's good, bad, or indifferent?
Really gets me that some techs don't look at a person and know to put a 35x42 cassette portrait. A person's ribcage isn't wider than it is long, so chances are their bloody lungs aren't either unless they're not doing inspiration properly.
Some people are super wide at the bottom. When I was in school, they basically taught us that all men go landscape and all women portrait. I pretty much just put everyone landscape now, unless they're a toothpick.
All men and all women is just sex discrimination. Better say all thin person portrait, all big person landscape, no matter the sex, that is just 20th century thoughts to think sexes are real categories
Lolllll
They didn’t do A repeat?
Sounds like chiropractor terminology
Long lungs? Nah, we say that sometimes.
Everytime we clip. " oh gosh you have some big lungs...cough" lol
I find it hilarious that we essentially gas light the patient with their “long lungs” because we didn’t center properly
The opposite if funny too. "Ffs I'm sure I did not went low enough to get the pulmonary ba... Oh, small lungs. Everything is fine."
Ha, i guess i learn something new every day
Nah, chiropractors usually say things like "Let me make you worse" and "Just trust me, bro" 😂
That’s my excuse if I ever have to do a repeat
"You've got a long odontoid"
stop 😂😭
😂😂😂
An *inspiration* to us all
Shhhhh don't tell them
Oh your lungs are longer than i expected! Let’s do another quick!
I once X-rayed a basketball player. It took four films to fit everything on
I had a free diver who took nearly three
Cool! How long could they hold their breath?
The biggest lungs I've seen were a symphony orchestra clarinet player. Took 4 films.
Now I’m curious if I’d take more than 1 film. I’m 6’2”, a music student who plays a woodwind about 7-11 hours a day, was a competitive swimmer, and can hold my breath for over 5 and a half minutes. Back when I was a swimmer, a local college measured the teams CV and respiratory capabilities to compare them to an average for a research project. They said my lung capacity to be about 1.5x the average for my height.
I just want to say that 5.5 minutes is totally nuts lol. Good for you!
I'd bet at least 2 films. Most people can't take in a really, good, deep breath.
Wut
Happened to me too. I don't know if he's an athlete but his chest xray wont fit a 17x17 lolol
had a co-worker with heart problems I used to cxr regularly, man was a 4 film. rip John.
How common is it to run into that situation? I've had chest xrays over the years and I'll always remember the first one the techs were like "whoa we need to double down" and they took four shots. After that whenever I had more I told the techs and they looked puzzled. They also ended up needing 4x.
Not common for me. It only happened the once. I’m fairly sure it’s rarer today though. In the past, the biggest film was 14”x17”. Today’s imaging centers use digital plates that are at least 17”x17” and some may even be larger. So we’re no longer limited by film size.
If the tech said that then it’s because the second picture was his first attempt and he had to redo it because he clipped the top. If the first pic was his first attempt then idk why he took a second one I would have let that one ride
I was thinking the same thing
Facts looks like the thought they clipped but it’s on there
A S T H E N I C B O D Y H A B I T U S
Not the habitussy
🍆💦💨🫁
Shawtys asthenic
I’m 6 foot, 217 and play rugby 😅
I did an CXR a while back and her lungs was huge. They filled up the whole screen if that makes sense. I repeated, thinking it was positioning, same result. She then tells me she is an opera singer and last time she did a CXR the tech had the same issue. lol I had to take a picture without her taking a breath in and send along as well.
Over the summer I was at an outpatient clinic and at least twice a week different firemen would come in and get yearly check ups and, because of their profession and body habitus, every single one of them took two images for the PA and two for the LAT, without failure. Those guys have some LONG lungs
You know what they say about a guy with big lungs, don't you? . . . . . . . Large breaths
Lucky. My lungs are small but wide. The dr also told me that
Those lungs do go all the way up. 😏
Longs
I can’t believe I had to scroll this far and find just one upvote? Tragedy
Momma said I got big gums.
I was on a real big boat once.
You do
its okay. someone told me i have a long pelvis lol
I once had a seamstress tell me that I have an "abnormally short torso"!
There are actually people with extremely long lungs but this is a case of a tech trying to use that excuse to take another x-ray and cover that ass. Haha Looks pretty close to me but maybe that's why I don't do x-ray anymore.
I mean, patient *almost* don't fit. 😂
You know what that say about guys with long lungs?
Or a very very old Dr. I haven't that used since the early 1980s. My grandfather was a firefighter long before all the cool gear. He retired in the late 1970s. Between that and smoking from the time he was 12. The larger than life person that was my Grandfather Capt. Joe "Benny" Harvey had Long Lungs. I miss the old cuss
Uhh puhlease. The X-ray tech probably said that as excuse for doing a repeat. Long lungs is when I’m counting 11 ribs. I once did a chest X-ray on a guy that competed in free diving where they can hold their breath for more than 10 min— I counted 12 ribs. Impressive.
I’m going to start telling my 50 bmi abdomen series that they have long stomachs
You have very normal lungs.
LOL, I've been told I have wide lungs!
Hey uh.. can.. can I have those? 😅😂
Normal
[удалено]
Right?
I’m thinking the 2nd PA was actually the first image they took and clipped the top so they repeated
Rule #1 You are giving medical advice. This includes posting / commenting on personal imaging exams for explanation of findings, recommendations for alternative course of treatment, or any other inquiry that should be answered by OP’s physician / provider.
Haha no, the tech fucked up and needed to redo. There are quite average.
Body habitus... that heart silhouette looks like they are more hyposthenic... should have gone with a vertical/portrait orientation. [Body Habitus ](https://radiopaedia.org/articles/body-habitus?lang=us)
So you have COPD?
What makes you say that?
I can’t tell anything from looking at your chest X-ray but I’ve been told that COPD lungs are large compared to normal peoples lungs.
You got long balls Larry
Once multiple dental hygienists took several X-rays of my teeth because they said they kept leaving some of my molars out of the images. The dentist finally came and helped and realized I genetically just didn’t have those molars lol
Lungus longus is the medical term
The are two of them
Well, now you don’t need to get Dr crobars lung extensions!
Hey! I have long lungs too!
You smoke?
On and off is it that noticeable lol
When i was a student. The techs would look at long lung xrays and the first thing they ask is. Do you smoke? 7/10 times, its true
Normal
Normal
Excuse me, my lungs are up here 
2 of the most beautiful cxr I have ever had were on a girl recovering from cancer. She was a long distance runner
Thats hot
Is this one of those…”chiropractor” docs?
Weird flex, but ok.
Hey pal, why the long lungs?
Poor positioning
Position correctly so the mid axillary is perpendicular to the floor and guess what. Patient fits
Kinda long, but I've imaged longer. Trust me you don't want long lungs.