​The exam is over or under penetrated.

​The entire abdomen/pelvis is not covered on the exam.

​The region of interest is not covered on the exam.

​The exam is limited by overlying structures or soft tissues, body habitus, patient positioning, artifact, or motion.

​There is an NG/OG tube in place. 

​The tip or side port of the NG/OG tube is above the GE junction, or beyond the pyloris, or is otherwise malpositioned.

​There is a FT in place. 

​The tip of the FT is not at the expected location of the ligament of Trietz or is otherwise malpositioned. 

​There is a gastrostomy, GJ, or J tube in place. 

​The G tube, GJ tube, or J tube is in an abnormal position.

​There is/are nephrostomy tubes, ureteral catheters, or a Foley catheter in place. 

​The nephrostomy, ureteral tubes, or Foley catheter is/are in an abnormal location. 

​There are surgical drains or other post-surgical changes. 

​There is an unexpected radiopaque foreign body or incidental non-surgical foreign body in the abdomen or pelvis.

​The stomach is distended with gas or fluid. 

​There is dilatation with gas or fluid of multiple or diffuse loops of small bowel greater than 3 cm.

​There is dilatation with gas or fluid of a few focal loops of small bowel greater than 3 cm. 

​A segment of colon is distended or dilated with decompression of the more distal colon. 

​The cecum is dilated measuring over 9-10 cm. 

​There is dilatation of the ascending, transverse, descending, and/or sigmoid colon measuring over 6 cm. 

​Both the small and large bowel are filled with air and/or fluid and may or may not be distended. 

​There is displacement of loops of small or large bowel. 

​There is a paucity of gas in the abdomen. 

​There are centralized loops of small bowel with distention of the abdomen and pelvis.

​There is thickening of the wall of the stomach.

​There is thickening of the SB wall or valvulae conniventes 3 mm or greater.

​There is thickening or thumbprinting of the wall of the colon. 

​The colon is filled with feces. 

​There is narrowing or stricture involving the stomach or bowel. 

​There is air, bowel, or abnormal soft tissue overlying the lower chest, abdominal wall, inguinal region, or pelvis (ex. hernia).

​There is hepatomegaly or a prominent right lobe (Riedel's lobe) of the liver.

​There are abnormal gas patterns or calcifications associated with the liver. 

​There is splenomegaly.

​There are splenic associated calcifications. 

​There is an abnormality of the size or contour of the right and/or left kidney. 

​There are renal associated calcifications. 

​There is a right or left ureteral calcification/stone anywhere from the renal pelvis to the UVJ. 

​There is renal or ureteral associated air. 

​The urinary bladder is distended. 

There is air in the urinary bladder wall or in the lumen. 

​There are calcifications associated with the bladder. 

​There is a soft tissue mass in the abdomen or pelvis. 

​The right or left psoas muscle is obscured.

​The right or left properitoneal stripe is obscured. 

​The paracolic gutters are abnormal.

​There is free air beneath the diaphragm. 

​There is air on both sides of the bowel wall (Rigler's sign). 

​There is scattered extraluminal air or an abnormal focal collection of air in the abdomen or pelvis. 

​There is air in the retroperitoneum. 

​There is air in the wall of the stomach. 

​There is air in the wall of the small or large bowel. 

​There is portal venous or other intravascular gas. 

​There is pneumobilia. 

​There is air in the expected region of the gallbladder. 

​There is calcification in the expected region of the gallbladder. 

​There are calcifications in the pancreas. 

​There are calcified phleboliths in the pelvis. 

​There are pelvic calcifications which could involve the uterus or adnexa. 

​There is calcification of the prostate gland, vas deferens, or seminal vesicles. 

​There are dystrophic or additional intra-abdominal soft tissue calcifications. 

​The abdominal aorta, iliac arteries, or pelvic branches are calcified. 

​The abdominal aorta diameter exceeds 3 cm or cannot be measured. 

​There is aneurysmal dilatation of the common iliac arteries and/or branches. 

​There is a lytic, blastic, or destructive lesion of the spine, pelvis, femurs, or ribs. 

​There is an acute or chronic fracture of the spine, pelvis, femurs, or ribs. 

​There is abnormality of the discs, SI or hip joints, or pubic symphysis or other incidental abnormality of the pelvis. 

​There are dystrophic calcifications in the extra-abdominal soft tissues. 

​There is air or a foreign body in the extra- abdominal soft tissues of the abdomen, pelvis, or perineum. 

​There is abnormality of the lung bases and/or diaphragm.

​There is an upright abdomen or left lateral decubitus included.

​The upright abdomen does not include the diaphragm and lung bases.

​There is free air beneath the diaphragm or above the liver or right colon.

​There are more than 3 air/fluid levels or “string of pearls (beads) sign” involving the small bowel.

​There are air/fluid levels in the colon.

​There are abnormalities in the lung bases that may require further investigation (describe).