"The bilateral PA view is merely a single film that includes both hands, side by side. Although convenient, research in 2023 showed that the distortion due to divergent rays when imaging bilaterally can impact diagnosis and x-raying the hands individually is preferred at a minimal dose increase 1."
"SID"
"The projection should appear to mimic that of a PA hand"
"Always include the wrist joint on your PA radiograph, patients may have referred pain from pathology other than the hand."
"orientation "
"There is neither overlap of the midshafts of the metacarpals nor is there overlap of the phalange bases."