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how long should the patient be on their side for best visualization
min 5, 10-20 optimal
why left
to see intraperitoneal air because the liver will be there to prevent missing with the gastric bubble
CR
5 cm above the iliac crests
What is the positioning difficulty
rotation
breathing
end of expiration

left lateral decubitus
when we say left lateral decubitus what side should be up?
right

left lateral decubitus ABD
how do we know there is no rotation
symmetric iliac crests
outer ribs are the same to the spine — unless scoliosis
when do we do left lateral decubitus
too sick or to confirm free air