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  • 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.