Esophagram / Swallow Study
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AP / PA

IMAGE RECEPTOR
Patient position
Upright initially; horizontal for full evaluation.
Part position
RAO 35–40° projects esophagus between spine and heart.
Central ray
Perpendicular to T5/T6.
IR placement
II + spot films.

Tech pearls

  • Thin barium for motility; thick for strictures.
  • Modified barium swallow (MBS) with SLP for aspiration eval.
Lateral