Is ascites detectable on abdominal X ray

Is ascites detectable on abdominal X ray? 

Abdominal radiographs are insensitive for identification of ascites and should never be used as a diagnostic test for that indication. However, there are several findings that suggest the presence of ascites on supine radiography, such as centrally located, air-filled loops of bowel and lack of visualization of the abdominal contents, to include the liver, spleen, psoas, and urinary bladder outlines. There may also be a hazy density overlying the majority of the abdomen. For cases of suspected ascites, ultrasound is the most appropriate modality as it is not only sensitive for the detection of ascites but also can assist with guiding the site chosen for paracentesis.

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