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LMRT Skull Projections

AB
1. PA Skull (Caldwell)CR: 15° caudad, exiting at nasion Position: OML perpendicular to IR Best seen: Frontal bone, frontal sinuses, superior orbital margins Petrous ridges: Lower 1/3 of orbits
PA Skull (0°)CR: Perpendicular, exiting at nasion Position: OML perpendicular Best seen: Frontal bone, petrous ridges filling orbits
AP Axial (Towne)CR: 30° caudad to OML (or 37° to IOML), entering 2.5" above glabella Position: OML/IOML perpendicular Best seen: Occipital bone, dorsum sellae within foramen magnum
Lateral SkullCR: 2" superior to EAM Position: IPL perpendicular, IOML parallel to floor Best seen: Entire cranium, sella turcica, cranial walls superimposed
SMV (Submentovertex)CR: Perpendicular to IOML, entering midway between gonions Position: IOML parallel to IR Best seen: Base of skull, sphenoid sinus, foramen ovale/spinosum
Waters (Parietoacanthial)CR: Perpendicular, exiting at acanthion Position: MML perpendicular, OML at 37° angle to IR Best seen: Facial bones, orbits, maxillary sinuses Petrous ridges: Below maxillary sinuses
Reverse WatersCR: Perpendicular, entering acanthion Position: MML as perpendicular as patient allows (trauma supine) Best seen: Facial bones/orbits (when patient cannot do standard Waters)
SMV for Zygomatic ArchesCR: Perpendicular to IOML, entering 1.5" below mandibular symphysis Best seen: Bilateral zygomatic arches
Oblique Inferosuperior (Tangential) Zygomatic ArchCR: Perpendicular to IOML, entering zygomatic arch of interest Best seen: Single zygomatic arch (especially useful for depressed fractures)
Haas (Reverse Towne)CR: 25° cephalad, entering 1.5" below external occipital protuberance, exiting 1.5" above nasion Best seen: Occipital bone, dorsum sellae within foramen magnum (alternative to Towne)


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