Quinnipiac University Diagnostic Imaging

RS 211 Radiographic Positioning Laboratory

Lab Two Abdomen Positioning
OBJECTIVE: Identify and perform proper positioning for Abdominal radiography including
the following views: KUB, Erect KUB, Prone, Decubitus. A brief introduction to Shoulder
radiography positioning (AP with rotation) and anatomy.
KUB, ERECT KUB, Decubitus
AP Projection/ Supine/ KUB routine view

PT placed AP supine on table

Arms by side
Central Ray(CR) at MSP and Crest
40 SID
Can be performed in the Prone position
Shield!!

Erect KUB

PA against the bucky

Patients feet shoulder with apart for balance
Patient should remain standing for minimum of 5mins
CR MSP and 2 superior to crest

Left Lateral Decubitus

Alternate to erect when looking for air/fluid
Patient lies on left side
Same centering as KUB
Correct marker used
Shield
*can be performed in Dorsal decubitus position

ABDOMEN QUESTIONS: Be thorough in your answers

1. What are the appropriate breathing instructions for abdominal radiography?
Most abdominal radiographs are exposed on expiration, with the diaphragm in a superior
position for better visualization of abdominal structures. The patient is instructed to take
in a deep breath, let it all out and hold it. Dont breathe.
2. What is the difference in performing a 2 way vs. 3 way abdominal series? Be specific
A 3 way abdominal series is positioned as AP supine, AP erect, PA chest. A 2 way
abdominal series is positioned as AP supine, AP erect or left lateral decubitus, which must
include diaphragm. If the patient is too ill to stand then you should do a 2 way abdomen
which is an AP supine abdomen and left lateral decubitus.
3. Why is it necessary to perform a left lateral decubitus vs a right lateral decubitus?
The left lateral decubitus view is preferred over the right lateral decubitus for acute
abdominal series because free intraperitoneal gas will be contrasted against the mass of
the liver.
4. What pathologies will be demonstrated on the dorsal decubitus?
Dorsal decubitus demonstrates abnormal masses, accumulations of gas, air-fluid levels,
aneurysms (widening of the wall of an artery, vein, or the heart). Calcification of the aorta
or other vessels or umbilical hermia.
5. How would you perform a KUB on a Hypersthenic patient?
A broad hypersthenic patient may require two 35 by 43 cm (14x17) images placed
crosswise, one centered lower to include the symphysis pubis and the second for the
upper abdomen, with a minimum of 3 to 5 cm overlap.
6. What is the benefit of performing erect abdomens PA?
The gonadal dose is reduced by at least half.
7. List the nine regions of the abdomen. Next to each region, list a piece of anatomy in that
region.

8. Why is it necessary to include the diaphragm on decubitus and erect films.

Free Air in the abdomen will be seen under the diaphragms so it is necessary to include
the diaphragm on decubitus and erect films.