The Revision Guide for Student Nurses (Part I)

Film Faults - Key Notes

FILM FAULT
POSSIBLE CAUSES SOLUTIONS
Abrasions
Mishandling of film during manual development. Handle film carefully; with clean, dry hands & holding at the edges only.
Dirty rollers on automatic processor. Clean the rollers.
Black film
Film has been exposed to normal light. Ensure that cassette is properly closed; check for cracks.
Black splash marks
Developer splashes causing local prolonged development. Exercise caution during manual development; do not agitate too vigorously & ensure that the work bench is clean & dry.
Brown/yellow stains (dichroic fog)
Insufficient rinsing during manual development. Rinse manually developed films for at least 15 minutes in constantly circulating clean water.
Exhausted fixer. Replenish fixer.
Contrast too high (soot & whitewash)
Underexposure. Increase KV.
Overdevelopment. Reduce developing time/temperature.
Contrast too low (flat film)
Fog from scattered radiation. Use a grid or collimate beam to a smaller area.
Overexposure. Reduce KV.
Underdevelopment. Increase developing time/temperature or replenish as necessary.
Crimp marks
Film creased during development. Handle film carefully and by the edges only; use the correct size hangers during manual development.
Definition poor
Inappropriate exposure settings. Adjust settings as necessary.
Movement blur. Stabilise patient & equipment.
Object-film distance too great. Reduce object-film distance.
Poor screen film contact. Use a new cassette.
Density too high
Overdevelopment Check temperature, concentration & development time & reduce levels as necessary.
Overexposure Reduce KV.
Density too low
Underdevelopment Increase temperature or concentration of the developer or increase development time.
Underexposure Increase KV.
Fogging
Scattered radiation Use a grid; collimate beam to a smaller area; store films away from radiography area.
Safelight problems Check that the correct filter is in use, that a bulb of 25W is used and that the light is not too close to the work bench.
Grease marks
Handling film with dirty fingers. Always ensure that hands are clean & dry; handle film by the edges only.
Lightning flashes
Static marks. Remove film slowly from the storage box when reloading cassette.
Movement blur
Cassette movement. Tape cassette to the table.
Instability of the tube head. Stabilise tube head.
Patient movement. Restrain patient (ideally under GA).
Patches of light & dark
Uneven development. Ensure that developer is regularly replenished and at the correct temperature.
Streaking
Dirty rinsing water. Use clean, constantly circulating water for rinsing.
Dirty hangers. Always use clean hangers.
Insufficient rinsing. Rinse for at least 15 minutes.
Watermarks from drying. X-rays must be hung flat in a warm, clean, dustfree and dry environment.
Transparent film
Unexposed film has been developed. Ensure that the x-ray machine is working; keep unused cassettes away from those in use.
Unsharpness (blurred margins of edges of structures)
Fog from scatter. Use grid; collimate beam to smaller area.
Movement blur. Stabilise equipment/patient.
Object-film distance too great. Reduce object-film distance.
Poor screen-film contact. Check cassette pressure pad.
White specks
Dirt on the intensifying screens. Clean intensifying screens regularly.
White splash marks
Fixer splashes. Agitate manually developed films with care & ensure that work bench is clean & dry.