Esophagram / Swallow Study

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Lateral

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.

AP / PA RAO 35–40°