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 PAPosition/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.