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Soft tissue neck X-ray positioning

How to position for both soft tissue neck X-ray views: where the patient goes, where to centre, which receptor and distance to use, and what a good image looks like.

By the ScanFlo Editorial Team · Updated

In this section · X-ray positioning

X-ray positioning/Soft tissue neck

The routine soft tissue neck views are Neck soft tissue lateral. Neck soft tissue AP comes in when you need to answer a particular question, or when the patient can't manage a routine view. Each guide walks you through the set-up step by step, with a short video, exposure settings for different patient sizes and what a good image should show.

A radiographer is still checking these guides.

Routine views

Extra views

All views in this region

  • Neck soft tissue lateral
  • Neck soft tissue AP

Quick reference

Where to centre, how far and which receptor, for every soft tissue neck view at a glance. Open a guide for the full set-up.

ProjectionCentre onSIDReceptorBreathing
Neck soft tissue lateralthe thyroid cartilage150 cm24×30 portrait, gridBreathe in and hold
Neck soft tissue APthe thyroid cartilage110 cm24×30 portrait, gridBreathe in and hold

Mistakes that lead to repeats

  • Shoulders over the lower neck on the neck soft tissue lateral: pull the shoulders down.
  • Airway burnt out on the neck soft tissue AP: use a soft-tissue technique.

Common questions

Which soft tissue neck views are routine?
Usually Neck soft tissue lateral.
What distance (SID) do soft tissue neck X-rays use?
Anywhere from 110 to 150 cm, depending on the view. Each guide gives the exact figure.
Do soft tissue neck X-rays need a grid?
Yes, every view here is taken with a grid.

Try it in ScanFlo: the ScanFlo XR X-ray Room, coming soon, lets you set up every soft tissue neck projection in a 3D room and score your positioning. See ScanFlo XR →

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