Exams
Fluoro / OR

Barium Swallow

4 default · 0 custom

Quick technique

kVp
100–125
mAs
Auto / pulsed fluoro
SID
Tableside fluoro / 40 in overhead
Grid
Yes
Detector
Tableside II / flat panel.
Breath
Suspend after swallow.

Views

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Placeholder
Patient position
Erect initially; recumbent obliques as needed.
Part position
Patient drinks thick then thin barium under fluoroscopy; spot films at the esophagus.
Central ray
Perpendicular to mid-esophagus (T5–T6) on spot films.
IR placement
Tableside II / flat panel.

TechniqueDefault

kVp
100–125
mAs
Auto / pulsed fluoro
SID
Tableside fluoro / 40 in overhead
Grid
Yes
Breath
Suspend after swallow.
Detector
Tableside II / flat panel.

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Anatomy coverage

Pharynx through GE junction.

Tech pearls

  • Use thick barium first to coat — then thin for motility.
  • RAO best demonstrates esophagus off the spine.

Image evaluation

  • Barium column outlines esophagus
  • Mucosal pattern visible on thin barium
  • No motion / good contrast

Common mistakes

  • Patient drinks before fluoro is started
  • Failing to image gastroesophageal junction
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Anatomy overview

PharynxCervical/thoracic esophagusGastroesophageal junction

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