This document discusses the use of abdominal x-rays in pediatrics. It notes that radiation exposure from medical imaging increases cancer risk in children. Common views used in abdominal x-rays are described along with how to interpret bowel gas patterns, signs of obstruction, pneumoperitoneum, constipation and foreign bodies. Examples of clinical cases are provided to demonstrate different pathologies seen on abdominal x-rays such as bowel obstruction, hernias, perforation and hypertrophic pyloric stenosis. The importance of accurate imaging for diagnosis is emphasized.