IntroductionOne of the difficulties with abdominal plain film image interpretation is that a normal appearance of the bowel can show considerable variability. This can be attributed to congenital diferences, variable amounts of bowel gas, surgical and other interventions and differences associated with activity levels of the patient. Elderly and disabled patients who are sedentary, tend to show similar bowel patterns on plain film as discussed below.Pattern Recognition Patients who are sedentarywill often show
•gas-filled bowel
•large bowel septa are thin, smooth and sharply marginated.
This looks nothing like obstruction and erect films are frequently taken and reveal no information.