Air Contrast (Double) BE
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Decubitus R/L
Positioning
Radiograph
Anatomy
Errors
Technique
Trauma
IMAGE RECEPTOR
Patient position
Begin prone; multiple rotations to coat then air-distend.
Part position
Barium first, then drained; air insufflated for double contrast.
Central ray
Iliac crest; PA axial sigmoid 30–40° caudal to ASIS.
IR placement
35x43 cm.
Tech pearls
Double contrast is superior for polyp detection.
Right lat decub: air rises to ascending colon.
PA Axial Sigmoid
Lateral rectum
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