Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
{
Abdomen X-Ray
NORMAL
DR. ANUBHAV
Dr. D.Y. PATIL MEDICAL COLLEGE & HOSPITAL PUNE
Abdominal X-Ray Views
 The two most commonly requested films are:
• Anteroposterior (AP) supine
• Anteroposterior (AP) er...
If a supine-position - place support under the knee to relieve the strain
on the patient.
For upright-position radiograph,...
A. Abdominal landmark - iliac crest level of the mid-
abdomen (L4-L5).
B. For the supine position, the cassette or image r...
• Imaging technique
• Film or IR size: 14 x 17 inches (35 x 43
cm) lengthwise
• Moving or stationary grid
• 65-80 kVp rang...
 Name, Date
 Position of film and view
 Adequate area covered or not?
 Bowel Preparation
 Pre-Peritoneal fat lines
 ...
Anatomy on Abdominal X-Ray
Liver
Hepatic flexure Splenic flexure
SpleenTransverse colon
Stomach Shadow
valvulae conniventes
Kidney Ureter Bladder
Kidney
Transverse
process of
lumbar
vertebrae
(landmark for
Ureter)
Bladder
Psoas shadow
Psoas muscle
Bones on Abdominal X-Ray
L1
L2
L3
L4
L5
Ribs
Sacrum
Pelvic bone
Femur
T12
Ischial Spine
• useful for certain defined pathology such as abnormal ‘gases,
masses, bones and stones’.
• undifferentiated abdominal pa...
Gracias
Upcoming SlideShare
Loading in …5
×

X Ray Normal Abdomen

39,698 views

Published on

Radiology

  • Attract Abundance Into Your Life - New musical "Angel tone" calls in your angels to help you manifest abundance and miracles into your life... starting in just minutes per day. Go here to listen now. ★★★ http://ishbv.com/manifmagic/pdf
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here

X Ray Normal Abdomen

  1. 1. { Abdomen X-Ray NORMAL DR. ANUBHAV Dr. D.Y. PATIL MEDICAL COLLEGE & HOSPITAL PUNE
  2. 2. Abdominal X-Ray Views  The two most commonly requested films are: • Anteroposterior (AP) supine • Anteroposterior (AP) erect, or horizontal beam view.  Other views include • Lateral decubitus—horizontal beam view with the patient rolled onto one side. A useful alternative to the erect AP view if patient is unable to sit or stand • KUB (kidneys, ureters, bladder)—follow-up passage of renal tract calculi.
  3. 3. If a supine-position - place support under the knee to relieve the strain on the patient. For upright-position radiograph, the patient’s back should be against the grid device, legs slightly spread, with body weight distributed equally on both feet. In both positions, the midsagittal plane of the body should be centered to the midline of the grid device. Position of the patient
  4. 4. A. Abdominal landmark - iliac crest level of the mid- abdomen (L4-L5). B. For the supine position, the cassette or image receptor (IR) is centered to the iliac crest and the lower abdomen is generally included on the lower margin of the cassette. C. For the upright position, the cassette is centered (5 cm) above the level of the iliac crest, or high enough to include the diaphragm. D. Maximal relaxation of the abdominal musculature is important in reducing film artifact caused by motion. Relaxation of the abdominal musculature is facilitated by supporting and slightly flexing the patient’s knees. E. Ask the patient to take a deep breath, exhale completely, and then hold the position while not inhaling. This moves the diaphragm to a superior position that results in better visualization of the abdominal viscera. Position of abdomen
  5. 5. • Imaging technique • Film or IR size: 14 x 17 inches (35 x 43 cm) lengthwise • Moving or stationary grid • 65-80 kVp range • mAs 30 Imaging
  6. 6.  Name, Date  Position of film and view  Adequate area covered or not?  Bowel Preparation  Pre-Peritoneal fat lines  Visualized organs are normal in size  Visualized bones and joints are normal  Visualized shadows are normal  Any Radio opacity  Any Artifacts  Any Calcification Things to look for:
  7. 7. Anatomy on Abdominal X-Ray Liver Hepatic flexure Splenic flexure SpleenTransverse colon Stomach Shadow valvulae conniventes
  8. 8. Kidney Ureter Bladder Kidney Transverse process of lumbar vertebrae (landmark for Ureter) Bladder Psoas shadow
  9. 9. Psoas muscle
  10. 10. Bones on Abdominal X-Ray L1 L2 L3 L4 L5 Ribs Sacrum Pelvic bone Femur T12 Ischial Spine
  11. 11. • useful for certain defined pathology such as abnormal ‘gases, masses, bones and stones’. • undifferentiated abdominal pain with a provisional diagnosis of: • Toxic megacolon in acute IBD • Bowel obstruction (50% sensitive for acute obstruction) • Bowel ischaemia • Perforation of a viscus with abdominal free air • KUB for renal tract calculi: 80–90% sensitivity if radiolucent stone >3 mm diameter. • Foreign body • Radio-opaque medical related abdominal ingestions • Radio-dense Tablets • Iron tablets • Potassium Chloride (KCL Tablets) • Metals • Mercury • Iatrogenic • Barium Indications for Abdominal X-ray
  12. 12. Gracias

×