What positioning do you guys use for a Swimmers view of the cervical?

This view has been my Achilles heel. I do it as explained in the handbook but either the humerus is in the way or the body is too thick and comes out underexposed. Now that I think about it. Maybe it’s better lying down on the table instead of doing it upright. How do you guys get it to look good?

I’m only asking because I’ve tried several ways to no avail. Right shoulder as low as possible, left arm up. Left arm up and forward. Both shoulders as relaxed and low as possible. Xray shot at exhalation. I can’t get it. This is for patients with thick shoulders. Short necks. The ones where you only get up to C5 or barely C6 but C7 completely hidden. Sometimes the radiologists want to see T1 as well which makes it harder.

submitted by /u/xTechnologic
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source https://www.reddit.com/r/Radiology/comments/gsuxsa/what_positioning_do_you_guys_use_for_a_swimmers/