Abdomen
AP (Supine) (KUB)
IR Size: 14x17 (LW S-M pt., 2 CW overlapping for Lg pt.)
SID: 40""
Page #'s: 2:91,220

Positioning:
  • pt supine:
  • sponge under: knees (to reduce lordosis)
  • (Similar to AP upright except pt position & CR entrance)

CR Entrance & Angle:
  • _|_ to MSP @ level of iliac crests (include pubic symphysis)
  •

Collimation:
  •

Best to Determine:
  • Shows-Liver, Spleen, Kidneys, Intra-abdominal calcifications & Tumor masses)

Eval Criteria:
  • No rotation-spinous processes centered-symmetric ala of the ilia
  • Soft tissue grays showing psoas muscles, lower border of liver, kidneys, Lumbar transverse processes
  • Pubic symphysis to upper abdomen (include kidneys)

AP (Upright)
IR Size: 14x17 (LW S-M pt., 2 CW overlapping for Lg pt.)
SID: 40""
Page #'s: 2:93,222

Positioning:
  • pt upright:
  • (Allow enough time for: air to rise)
  • (Similar to AP supine except pt position & CR entrance)

CR Entrance & Angle:
  • _|_ to MSP @ 2"" above iliac crests (include diaphragm)
  •

Collimation:
  •

Best to Determine:
  • Shows-Liver, Spleen, Kidneys, Intra-abdominal calcifications & Tumor masses)

Eval Criteria:
  • No rotation-spinous processes centered-symmetric ala of the ilia
  • Soft tissue grays showing psoas muscles, lower border of liver, kidneys, Lumbar transverse processes
  • Pubic symphysis to upper abdomen (include kidneys)
  • No motion of diaphragm
  • Mark image as Upright

Lat decubitus
IR Size: 14x17 (bucky or grid holder)
SID: 40""
Page #'s: 2:93,224

Positioning:
  • Left Lateral decubitus when: free air is expected
  • Arms: above level of diaphragm
  • flex: knees for stability
  • pt must lay on side for: several minutes (5) for air to rise

CR Entrance & Angle:
  • _|_ and horizontal to level of iliac crests or 2"" above crests including diaphragm if free air is suspected
  •

Collimation:
  •

Best to Determine:
  • Air / fluid levels when pt is unable to stand

Eval Criteria:
  • No rotation of pt
  • Both sides of abdomen
  • No motion of diaphragm
  • Side up free air, down fluid
  • Mark image with side up and decub or up arrow…

Lateral
IR Size: 14x17
SID: 40""
Page #'s: 2:95,226

Positioning:
  • R or L lateral recumbent:
  • Hands: under head
  • flex: knees for stability

CR Entrance & Angle:
  • _|_ MCP @ iliac crests or 2"" above crests to include diaphragm
  •

Collimation:
  •

Best to Determine:
  • Shows prevertebral space demonstrating abnormal aorta intraabdominal calcifications or tumor masses

Eval Criteria:
  • Abdomen w/ moderate grays
  • NR by SI ilia & open intervertebral foramina