![]() ![]() The table is oriented in a vertical orientation and the x-ray beam enters from the anterior abdomen. Upright: Figure 5.9 Upright Positioning for Abdomen x-ray. There will be no discernible air-fluid levels in the intestine on this view. The patient lies on their back and the x-ray beam enters anteriorly. Supine: Figure 5.8 Supine Positioning for Abdomen x-ray. Abdomen X-ray Image Acquisition Positioning: If something unusual is detected a description of the abnormality will be more accurate if a description of the zone it occupies is provided. It is best to perform a census of at least the four quadrants of the abdomen to assess for abnormalities. The abdomen can be subdivided into four quadrants or nine regions ( see above). Quadrants or Regions: Figure 5.7 Abdomen Quadrants/Regions The lateral abdominal walls should be included. The bones of the spine should be discernibleĮnsure the whole abdomen is visible from the hemidiaphragms to pubic symphysis (may need multiple views to accomplish this). The spinous processes of the vertebrae should be equidistant between the pedicles Repetitive viewing of images will help establish a baseline of normality and normal variation that will represent an internal yard stick for the detection of variation from normal. ![]() ![]() With time, and repetition, the process will become subconscious. Consistency and thoroughness are good general strategies. There is no correct way to analyze the images. An approach to reviewing an abdominal x-ray (AXR) will create a foundation that will facilitate the detection of abnormalities. ![]()
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