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Abdominal (lateral view)

Dr Vikas Shah ◉ and Dr Matt A. Morgan ◉ et al.

The lateral view abdominal radiograph is a useful problem-solving view that can complement frontal views of the abdomen, often utilized in the context of foreign bodies or to better visualize lines such as a shunt. It is different from the lateral decubitus view of the abdomen and looks more like a lateral lumbar spine view.

On this page:

Article:

Patient position
Technical factors
Image technical evaluation
Practical points
Related articles
References

Images:

Cases and figures

Patient position

the patient may be either erect or recumbent, with her or his side against the detector
legs may be flexed for balance
arms raised
lower bound of the field of view should contain the inferior pubic ramus
the X-ray is taken in full inspiration

Technical factors

supine lateral projection
centring point
- the midcoronal plane at the level of the iliac crest
collimation
- anterior-posterior to the skin margins
- superior to the diaphragm
- inferior to the level inferior pubic rami
orientation
- portrait
detector size
- 35 cm x 43 cm
exposure
- 70-80 kVp
- 30-120 mAs; AEC should be used if available
SID
- 100 cm
grid
- yes

Image technical evaluation

the projection can be confirmed lateral via the lateral appearance of the vertebral bodies
skin border is not burnt out (a filter may be required to address this)
no blurring of the bowel gas due to respiratory motion

Practical points

the lateral abdomen can be useful to visualize rectal gas and differentiate colonic ileus from a distal colonic obstruction however it does not offer much information about bowel gas from the frontal view
this projection can be done erect or supine, often used to localize foreign bodies or as part of a shunt series when there is a high degree of winding of the line

References

Radiographic views

pediatric radiography
radiographic positioning and terminology
systematic radiographic technical evaluation
chest radiography
pediatric chest radiography
abdominal radiography
pediatric abdominal radiography
- neonate supine view
upper limb radiography
lower limb radiography
- pelvic girdle radiography
- thigh and leg radiography
- ankle and foot radiography
skull radiography
paranasal sinus and facial bone radiography
- facial bones
  - lateral
  - Waters view
- Caldwell view (angled skull PA view)
- nasal bones
- zygomatic arches
- orbits
  - parieto-orbital view
  - Waters view
- paranasal sinuses
- temporal bones
  - axiolateral oblique view
  - AP axial view
  - Stenvers view
  - modified Stenvers view
  - temporal bones submentovertex (SMV) view
dental radiography
- orthopantomography (OPG)
- mandible
- temporomandibular joints
spine radiography

Article information

rID: 38093

System: Gastrointestinal

Tag: radiograph, abdominal radiograph

Synonyms or Alternate Spellings:

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Cases and figures

Figure 1: lateral abdomen collimated to rectumFigure 1: lateral abdomen collimated to rectum

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