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Normal Abdominal Radiograph (KUB) Report Template

Normal KUB / acute abdominal series report template with structured bowel gas, osseous and soft-tissue sections, plus wording for an obstruction series.

EXAMINATION: Abdominal radiograph, supine view.

CLINICAL HISTORY: [indication]

COMPARISON: None available.

TECHNIQUE: Single supine view of the abdomen.

FINDINGS:
Bowel gas pattern: Nonobstructive. No dilated small or large bowel loops.
No pneumoperitoneum on this supine view.
Calcifications: No radiopaque urinary calculus along the expected course of
the kidneys, ureters or bladder.
Bones: No acute osseous abnormality.
Soft tissues: Unremarkable. No organomegaly by contour.

IMPRESSION:
1. Nonobstructive bowel gas pattern.

Dictation notes

Frequently asked questions

What should a normal KUB report describe?

A normal abdominal radiograph report describes the bowel gas pattern (nonobstructive, no dilated small or large bowel loops), the absence of pneumoperitoneum within the limits of the view obtained, calcifications — specifically no radiopaque calculus along the expected course of the kidneys, ureters or bladder — plus bones and soft tissues. The impression for a normal study is typically 'Nonobstructive bowel gas pattern.'

Can free air be excluded on a supine abdominal radiograph?

No. Pneumoperitoneum is reliably excluded only on upright or decubitus views, where free gas rises against the diaphragm or non-dependent flank. On a supine-only study the report should qualify the statement — for example 'no pneumoperitoneum on this supine view' — rather than claiming free air is absent. If perforation is the clinical question, an upright or left lateral decubitus view, or CT, is needed.

How is an obstruction series reported differently from a single KUB?

An obstruction series includes multiple views, typically supine and upright or decubitus, and the report should name each view obtained and state whether air-fluid levels are present. Reporting the views individually documents that the study can actually address obstruction and free air, which a single supine image cannot fully do. Bowel caliber, gas distribution and the rectal gas pattern complete the assessment.

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This is a reference implementation of a published guideline, for use by qualified clinicians. It does not account for patient-specific factors and is not a substitute for clinical judgment or a formal radiology consultation. Templates are generic scaffolds for licensed radiologists; verify wording against your own practice standards. See our full disclaimer.