Anteroposterior View of the Abdomen With Patient Standing

How do we know the patientis standing?

Look for the location of the gas bubble in the stomach

L1

Air bubble in fundusof stomach

Liver outline

T12

Vertebrae

Gas!

air in stomach

air in transverse colon

Vertebral column

Esophagus

Stomach

Diaphragm

Phrenic Ampulla(only seen radiologically)

A lateral view of the upper GI tract following a barium swallow

This image demonstratesnormal anatomy ofthe esophagus

greater curvature

lesser curvature fundus

pylorus

pyloric antrum

duodenal cap

duodenum

rugae

peristalsis in action!

gallbladder

duodenum

gas bubble in stomach fundus jejunum

rugae

greater curvature body

A barium enema

ascending colon

descending colon

transverse colon

sigmoid colon

rectum

splenic flexure

hepatic flexurehaustra

The bowel is distended with air, and a small volume of barium is used to coat the mucosa

How has the patientbeen positioned?

celiac trunk

catheter

splenic artery

left gastro-omental artery

left gastric a.

gastroduodenal a.

hepatic a.

right gastric a.

superior mesenteric a.

catheter

middle colic a.right colic a.

ileocolic a. arteries to jejunum

arteries to ileum

catheter

inferior mesenteric a.

left colic a.

superior rectal a.

sigmoid arteries

renal pelvis

lead shield

gallbladder

Water-soluble contrast material is injected directly into the liver via a fine needle introduced through the skin

contrast in fundus ofgallbladder

Water-soluble contrast was injected into the biliary system via a tube left in place following removal of the gallbladder (cholecystectomy)

common bile duct

duodenum

pancreatic duct

common hepatic duct

right hepatic duct

left hepatic duct

How many lumbar vertebrae are there?

1

2

3

4

5

What are the main regional characteristics of these vertebrae?

No ribs

Large bodies

Stout transverse processes

12th rib 12th thoracicvertebra

spine of L5

transverse process of L2 pedicles

of L3

superior articularprocess of L2

body of L1

inferior articularprocess of L4

lumbosacral joint

lumbosacral joint

sacrum

pedicleof L2

body of L2

superior articular process of L5

inferior articular process of L4