Position/Projection | StructureShown| Central Ray
and film used
+ AP (recto sigmoid area) + AP Viewofthe + 57 An Entire colon filed + Atthelevelofthe Ly or
* Flimsagerjem with contrast media atthe levelofthe iliac
should be crest
demonstrated
including the splenic
flere and the
rectum.
+ APDouble Contrast. + An Entire colon filed wit + At the level of the L4 or
+ Flim: 14xt7em positive and negative at the level ofthe iliac
lengthwise contrast media should be crest
demonstrated incudng
the splenic Reaure and
the rectum,
RAO Position (optional) + Entire colon should be + At the level ofthe L4 or
+ Film: 14x 7em included at the level ofthe iliac
lengthwise + Right colic (heat) crest
flexure should be less
‘Superimposed or open
when compared to the
PA.
+ LAO Position (optional) + Entire colon should be + At the level ofthe L4 or
+ Fim: 14x17em included at the level of the iliac
lengthwize + Left colic (eplenie) flexure rest
‘should be less
‘Superimposed or open
\when compared to the
PAPosition/Projection and film
re
Right Lateral
Decubitus
Fim: 14x17om
lengthwise
Left Lateral
Decubitus
Film: 14x17om
lengthwise
Ventral Decubitus.
Film: 10x12cm
lengthwise
PA Axial position
(Angle Prone)
Film: 10x12cm or
1ixi4cm crosswise
‘Supine position
Film: 44xi7em
lengthwise
After care
pees
+ Best demonstrate
the ‘up’, medial
side of the
ascending colon
and the lateral side
of the descending
colon, when the
colon is inflated
with air,
+ Best demonstrate
the ‘up’, medial
side of the
descending colon
and the lateral side
of the ascending
colon, when the
colon is inflated
wath air
+ Across table view
of the recto
sigmoid area
+ Demonstrate the
air-fluid level of
the recto sigmoid
atea
+ Rectosigmoid
area must be less
‘superimposition
than in the PA
projection
because of the
angulation of the
CR
+ A postevacuation
radiograph view of
the colon is taken
after the procedure is
done
ait inadequate
satisfactory
delineation of the
mucus the patient
may be given hot
beverage
(tea/coffee) to
stimulate evacuation
Central Ray
* At the level of the L4
oral the level of the
iliac crest
+ At the level of the L4
or at the level of the
iliac crest
+ 5-7 cm above the
level of the pubic
symphysis in the
midaxillary plane
+ Center it the
midline of the body
with an angulation
of 30-40? caudad at
approximate level
of the anterior
superior iliac
spines,
+ At the level of the L4 or
at the level of the iliac
crest
+ Patient is advised to drink plenty of water, or laxative is taken to
remove excess barium sulfate.