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AP to include domes of the diaphragm and below the symphysis pubis
Routine abdomen
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determines presence of air fluid levels within the bowel
Erect
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best view to demonstrate free intraperitoneal air
left Lat decub can also be used
Upright chest
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Organomegaly
the liver, spleen, kidney, and bladder
evaluated for size, position, shape
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may result displacement of normal anatomic structures – the mass effect
Abnormal Masses
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the entire bony skeleton should be evaluated for destructive lesions, fractures, osteoporosis, and degenerative changes.
Osseous Structures
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small rounded calcifications located in the vessels of the pelvic floor near the urinary bladder
phleboliths
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upper right quadrant
gallstone
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mid-abdomen (epigastric)
pancreas – chronic pancreatitis
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mid – abdomen, bilateral spine
renal calculi
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right lower quadrant
appendicolith
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air trapped in the peritoneum, not in the colon
Pneumoperitoneum
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double wall sign
football sign
erect chest
alternative view: left lateral decub abdomen
Pneumoperitoneum
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