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A patient comes to the radiology department with a clinical history of ascites. The patient is unable to stand or sit erect. Which of the following projections will best demonstrate this condition?

a. Left lateral decubitus
b. Dorsal decubitus
c. AP supine
d. AP supine chest

User Mweiss
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Final answer:

The best projection to demonstrate ascites in a patient who cannot stand or sit is the left lateral decubitus position, enabling visualization of fluid layers in the abdomen.

Step-by-step explanation:

The projection that would best demonstrate ascites in a patient who is unable to stand or sit erect is the left lateral decubitus. This position involves the patient lying on their left side, which allows free fluid in the abdomen to layer out and become visible as a meniscus on the lower side of the abdomen, distinguishing it from the air-filled gastric chamber which will be positioned on the upper side. It is a valuable position for detecting and confirming the presence of ascites, especially when the patient is unable to assume upright positions that are typically preferred for abdominal imaging.

A body that is lying down is either prone or supine; prone describes a face-down orientation while supine describes a face-up orientation. These terms are relevant when describing the position of the body during radiographic examinations or surgical procedures. In the dorsal decubitus position, the patient is lying on their back which would not be as effective as the left lateral decubitus in demonstrating ascites when the patient is unable to be upright.

User Bigblind
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