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For an externally rotated AP oblique knee projection, the
1) leg is externally rotated until an imaginary line connecting the femoral epicondyles is at a 45-degree angle with the IR.
2) leg is internally rotated until an imaginary line connecting the femoral epicondyles is at a 45-degree angle with the IR.
3) central ray is aligned parallel with the tibia plateau.
4) central ray is centered at a level 0.75 inch (2 cm) distal to the medial femoral epicondyles.
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