Placing the x-ray source close means that the center of the target (the chest in your case) is closer to it, and therefore receives more radiation than the edges. This leads to a worse image quality and also slightly higher radiation dose.
Instead, they use a piece of metal with a hole in it to block off any radiation going the sides, producing a very narrow beam of radiation. By changing the shape and size of the hole, they can even shape the beam so it only hits what it’s supposed to hit.
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