Image 1:

Question:
- Name the labelled structures.
 - What causes non-visualization or poor outline of “D”?
 
Answers:
The labelled structures
- A: right 12th rib
 - B: fecal material/air in the ascending colon
 - C: right psoas outline
 - D: right properitoneal fat pad
 - E: right sacro-iliac joint
 - F: Air in transverse colon
 - G: Left renal shadow
 - H: Left pedicle of third lumbar vertebra
 - I: Left sacral foramina
 - J: Left obturator internus
 
Properitoneal fat pad
- is absent in 18% of normal radiographs
 - poor outline with adjacent oedema or presence of ascites
 

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