Image

Analysis of
the
Abdomen
 • Abdomen: AP projection (supine and upright)
• Abdomen: AP projection (left lateral decubitus
position)
• Neonate and infant abdomen: AP projection
Outline (supine)
• Child abdomen: AP projection (supine and
upright)
• Neonate and infant abdomen: AP projection (left
lateral decubitus position)
• Child abdomen: AP projection (left lateral
decubitus position)
AP Projection
(Supine and Upright)

Abdomen
Abdomen: AP Projection
(Supine)
Proper patient positioning for supine AP abdomen
Supine AP abdomen projection with accurate positioning projection
Abdomen: AP Projection
(Upright)
Proper patient positioning for upright AP abdomen
Upright AP abdomen projection with accurate positioning projection
AP Supine Abdomen
Analysis Practice
•Analysis
• The symphysis pubis is not included on the
projection.
• The CR was centered superiorly.
•Correction
• Because this is a male patient, center the CR 1
inch (2.5 cm) inferior to the iliac crest.
AP Upright Abdomen
Analysis Practice (1 of 2)
•Analysis
• The domes of the diaphragm are not included
on the projection.
• The CR was centered too inferiorly.
•Correction
• Center the CR and IR approximately 2 inches
(5 cm) superiorly.
AP Upright Abdomen
Analysis Practice (2 of 2)
•Analysis
• The diaphragm is at the level of the eleventh
thoracic vertebra.
• The projection was taken on inspiration.
•Correction
• Take the exposure after full expiration.
AP Projection
(Left Lateral Decubitus Position)

Abdomen
Abdomen: AP Projection
(Left Lateral Decubitus Position)
AP (left lateral decubitus) abdomen with accurate Proper patient positioning for AP (left lateral decubitus)
positioning. abdomen projection.
AP (Left Lateral Decubitus)
Abdomen Analysis Practice
•Analysis
• The distance from the left pedicles to the spinous processes is
greater than the distance from the right pedicles to the
spinous processes.
• The right iliac wing is narrower than the left iliac wing.
• The right side of the patient was positioned farther from
the IR than the left side.
• There are snap artifacts in areas of interest.
•Correction
• Rotate the right side of the patient toward the IR until the
midcoronal plane is aligned parallel with the IR. Place a pillow
between the knees to help the patient hold accurate
positioning. Remove the snap artifacts.
AP Projection
(Supine)

Neonate and Infant Abdomen

Neonate and Infant Abdomen:
AP Projection (Supine)
Proper patient positioning for AP neonate and infant
Neonatal AP abdomen projection with accurate positioning abdomen projection
Neonate and Infant:
AP Abdominal Analysis (1 of
2)
•Analysis
• The diaphragm is not included on the projection, and
anatomic artifacts (positioning attendant’s fingers,
diaper, and lines down the middle of the vertebral
column) are demonstrated in the exposure field.
•Correction
• Move the CR and IR 1 inch (2.5 cm) superiorly, and
move the attendant’s hands and diaper inferiorly
outside of the collimated field and discover what is
causing the lines that are superimposing the
vertebral column to see if it can be removed.
Neonate and Infant:
AP Abdominal Analysis (2 of
2)
•Analysis
• The right posterior ribs are longer than the left and
the right iliac wing is wider than the left.
• The patient was rotated toward the right side.
•Correction
• Rotate the left side of the patient toward the IR until
the midcoronal plane is aligned parallel with the IR.
AP Projection

Child Abdomen
Child Abdomen: AP Projection
(Supine)
Child supine AP abdomen projection with Proper positioning for a child supine AP
accurate positioning abdomen projection
Child Abdomen: AP Projection
(Upright)
Child upright AP abdomen projection with accurate Proper positioning for a child upright AP abdomen
positioning projection
Child Upright AP
Abdominal
Analysis Practice
•Analysis
• The diaphragm is not included on this
projection. The CR and
IR are positioned too inferiorly.
•Correction
• Move the CR and IR 2 inches (5 cm) superiorly.
AP Projection
(Left Lateral Decubitus Position)

Neonate and Infant Abdomen

 Neonate and Infant Abdomen: AP Projection
(Left Lateral Decubitus Position)

Proper patient positioning for AP (left lateral

Neonatal AP (left lateral decubitus) abdomen decubitus) neonate and infant abdomen
projection with accurate positioning projection
Neonate and Infant AP (Left
Lateral Decubitus)
Abdominal Analysis Practice
•Analysis
• The left side posterior ribs are longer than
the right side.
• The right iliac wing is narrower than the left.
• The patient was rotated toward the left
side.
•Correction
• Rotate the right side of the patient toward
the IR until the midcoronal plane is aligned
parallel with the IR.
AP Projection
(Left Lateral Decubitus Position)

Child Abdomen
Child Abdomen: AP Projection
(Left Lateral Decubitus Position)
Child AP (left lateral decubitus) abdomen Proper positioning for a child AP (left lateral
projection with accurate positioning decubitus) abdomen projection
Child AP (Left
Lateral Decubitus)
Abdomen Analysis
Practice
•Analysis
• The right side posterior ribs
are longer than the left side.
• The right iliac wing is wider
than the left.
• The patient was rotated
toward the right side.
•Correction
• Rotate the left side of the
patient toward the IR until the
midcoronal plane is aligned
parallel with the IR.