Nasal Bones
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Parietoacanthial Waters

UPRIGHT BUCKY
Patient position
Semi-prone for laterals; PA Waters as standard.
Part position
Lateral: head true lateral, MSP parallel to IR. IPL perpendicular.
Central ray
Lateral: ½ in distal to nasion. Waters: standard.
IR placement
Small DR field, often divided.

Tech pearls

  • Soft tissue technique (low kVp) preserves cartilage detail.
  • Always do BOTH laterals for comparison.