2 Patient PreparationAsk if patient has any metal objects in clothing ( zippers, buttons, snaps, etc.)Any jewelry that might obscure the certain areas of interest. ( navel rings)Present patient with a gown to change into.
3 EsophagusOne view RAO14 x 17 LengthwiseAverage technique
4 Positioning Patient prone on the table Rotate with the right anterior portion against table.Place right arm down beside patientLeft arm flexed at elbow by patient’s head to hold cupFlex left knee for supportShield patient at waist.
5 CR is perpendicular to T5-T6 About 3 inches below jugular notch SID 40 Collimate about 6 inches wide.Place marker in light fieldSuspend breathing
6 Film critique Esophagus should fall between spine and heart. Esophagus should be filled with bariumAdequate rotation
7 UGI 3 views AP, 14 x 17 LPO, 11 x 14 Right Lateral 11 x 14 Page 480 4-7
8 AP Positioning Patient is supine on the table. Align stomach to midline of table.Ensure body is not rotated.Arms at sidePlace shield over waist
9 Mid-way between lower rib margin and Xiphoid tip SID 40 CR perpendicular to L1Mid-way between lower rib margin and Xiphoid tipSID 40Collimate to cassette and place marker in light fieldExpiration
10 Different centering positions for all positions Sthenic patient is at L1Hypersthenic is 1 inch above L1Asthenic is 2 inches below L1 and nearer to mid-line
11 Film Critique Entire stomach and duodenum Diaphragm and lower lung fieldsFundus is filled with barium
12 Positioning of patient for LPO Patient supine on tableRotate degrees from supine depends on size of patient.Flee knee for supportExtend left arm from body and raise right arm across chest to hold to side of tablePlace bottom of cassette or Light at the top of the crestShield patient at waist.
13 Rotation for LPO UGI Sthenic 45 degrees Hypersthenic 60 degrees Asthenic 30 degrees
14 CR midway between xiphoid tip and lower rib margin mid-way between the midline and left lateral side.SID 40Collimate to cassette and place marker in light fieldExpiration
15 Seen on Film Stomach and duodenum The duodenal bulb Barium filled fundus
16 Positioning for Right lateral Roll patient up on right sideShoulders and hips in true lateral positioningFlex knees and position arms up out of wayMidline is 1 to 1 ½ posterior to midline of tablePlace shield over waist
17 bottom of light at top of crest SID 40 Collimate to cassette CR L1 and 1-1 ½ inches anteriorlybottom of light at top of crestSID 40Collimate to cassetteExpiration
18 Film CritiqueEntire stomachRetrogastric spaceNo rotation