One radiograph of an upper GI series needs repeating.The technologist is unsure which projection and/or position is seen on this radiograph.The fundus is filled with barium, and the pylorus and duodenal bulb are profiled and air filled.The patient was recumbent for all projections.Which projection and/or position needs to be repeated?

Question

Quizplus · Accepted Answer

The LPO position places the stomach in a more oblique position and can help better visualize the pylorus and duodenal bulb. Since these structures are filled with air and can be seen on the radiograph, it indicates that the LPO position was used. The fundus being filled with barium suggests that a PA projection was used, since the patient was recumbent. The RAO and right lateral positions would not profile the pylorus and duodenal bulb as well as the LPO position. Therefore, the LPO position needs to be repeated.

One Radiograph of an Upper GI Series Needs Repeating