- One lateral image is taken with the patient standing and one in lateral recumbency
- VD view: patient is held erect
- Plication of duodenum
- Pyloric foreign material
- Gastric distention (moderate)
- Gastric outflow obstruction with linear foreign body in duodenum
- Surgery is indicated
Candidates got most of the points for this case if they discussed pyloric outflow obstruction/pyloric foreign material, and recommended either surgery or endoscopy. If they mentioned duodenal plication or linear foreign body, they received full credit.