RAD 130 Abdomen Q (copy)
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65 Terms
what exam is the patient in position for
AP Supine abdomen or KUB
Transverse axis for this exam is at
level of iliac crest/ centered on the midsagittal plane
What are the clinical indications based on this specific image
Bowel obstruction; neoplasms; ascites; calcifications
What is the recommended field size for this position demonstrated
14 × 17 (Portrait or lengthwise)
What two body habitus' require two images placed portrait or landscape for the abdomen?
Hyposthenic/ Hypersthenic
What landmark indicates the most inferior portion of the abdomen
Pubis Symphysis
what exam is shown in this image?
AP supine abdomen / KUB
What organ must be seen on the superior portion of this image to be considered acceptable?
Inferior portion of the liver
What exam is this patient in position for?
Left lateral decubitus abdomen
What is the minimum time a patient should be on their side for the following exam?
5 minutes
Which lateral decub abdomen best visualizes free intraperitoneal air in the area of the liver in the upper abdomen?
Left lateral decub
Where should the central ray be centered for the following exam?
2 inches above iliac crest/ centered on the MSP
Is the CR horizontal, vertical, or perpendicular?
Horizontal
What is the purpose of the Decub pad in this exam?
To raise the “down” side and prevent clipping of the anatomy
what anatomy should be included in a lateral decub abdomen
both iliac wings symmetrical, bilateral diaphragm if centered correctly
SID for abdomen images
40”
What is wrong with this image?
The image is obscured by motion artifact
this patient is in position for what exam
AP erect abd
Location of transverse axis for this exam
2” above iliac crest
What is the primary clinical indication for this exam?
Demonstrate free air under the diaphragm
Where should the central ray be centered for this exam?
2 inches above iliac crest/ centered on the MSP
Where should the top of the IR be for this exam?
Approx. at the level of the axilla
How long should the patient be in this position for prior to making the exposure?
Minimum of 5 minutes
is this image acceptable?
No, the image doesn’t show the superior structures. Ex: Diaphragm
what tool is used for decubitus abdomen images?
a decub pad
where does the CR enter for a lateral decubitus abdomen?
2 inches above iliac crest
what side of the patient is closest to the IR in this image?
right
what are the breathing instructions for dorsal decubitus abdomen?
Exposure made at the end of expiration
What are the arrows pointing to?
left and right psoas muscles
A
pubic symphysis
B
left iliac crest
An abdominal series includes an AP supine abd, AP erect and?
PA chest
What tool is needed for all abdominal images
grid
a
Left kidney
b
abdominal aorta
c
right psoas muscle
d
liver
1
Left kidney
2
abdominal aorta
3
right psoas muscle
4
liver
5
liver
6
spleen
7
abdominal aorta
Identify this projection
right dorsal decubitus abdomen
What specific clinical indication does this exam look for?
Aneurysms, calcification, hernias
The patient is in position for which exam
Right lateral abdomen
Where should the CR be centered at for this exam?
Level of iliac crest or 2 inches above if diaphragm is needed
The patient is in position for which exam
AP left lateral decubitus chest
if there is possible fluid in the left pleural cavity, how should the patient be positioned for chest decub?
left side down for possible fluid to settle
E
Right kidney
5
Right kidney
Clinical indication for a lateral abdomen
abnormal soft tissue masses, umbilical hernia, prevertebral region for possible aneurysms, or calcifications
Which side of the patient is closest to the IR?
Right
Which position best demonstrates small amounts of free air?
PA chest
What is the benefit of performing this position over an AP?
Less radiation to gonads
What is the name of region 1?
Right Hypochondriac
What is the name of region 2?
Epigastric
What is the name of region 3?
Left Hypochondriac
What is the name of region 4?
Right Lateral (Lumbar)
What is the name of region 5?
Umbilical
What is the name of region 6?
Left Lateral (Lumbar)
What is the name of region 7?
Right inguinal (iliac)
What is the name of region 8?
Pubic (hypogastric)
What is the name of region 9?
Left inguinal (iliac)