Summation vs fracture on canine thorax

Quick question from last night’s ER read: 28 kg Lab, right lateral and VD on portable DR (70 kVp, 5 mAs) showed two sharp lucent lines over ribs 5–6 that screamed nondisplaced fractures, but they vanished on the left lateral. I’m leaning summation/skin fold — no cortical step, margins too smooth — but when you can’t sedate for obliques, what quick positioning or acquisition tweaks do you rely on to confirm before putting “fracture” in the report?

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I’ve seen similar cases where positioning can make a big difference; consider using a raised forelimb technique to help visualize if you can’t get obliques. It’s worked for me in tight spaces; have you tried adjusting the angle a bit to see if those lines reappear?

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I get that rush! We’ve had great luck using online pre-check-in forms, which lets clients fill out everything while they’re waiting. It’s saved us a ton of time in the morning.

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