AP image from an UGI exam (above) shows a redundant second portion of the duodenum to the right of the spine. AP image from later in the exam (below) shows the duodenal-jejunal junction to project over the middle of the spine and to be much lower in pos… Read on blog or Reader Pediatric Imaging Read on blog or Reader Teenager with chronic vomiting Pediatric Imaging April 1 AP image from an UGI exam (above) shows a redundant second portion of the duodenum to the right of the spine. AP image from later in the exam (below) shows the duodenal-jejunal junction to project over the middle of the spine and to be much lower in position than the duodenal bulb. The diagnosis was malrotation without midgut vovulus.

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