What it is (overview)

An XR Abdomen 2 views (Genitourinary) is a type of abdominal X-ray that takes two different images (views) of your abdomen to evaluate the genitourinary system—especially the kidneys, ureters (tubes that carry urine), and bladder. The two views are commonly taken in different positions (for example, lying down and standing) so the radiologist can see gas or fluid levels and better identify certain problems.

This is a form of diagnostic imaging that uses a small amount of radiation to create pictures of internal structures. It does not “measure” a blood level or chemical marker; instead, it looks for visible changes such as:

• Stones or calcifications: Many (but not all) kidney stones can be seen on X-ray, especially calcium-based stones.

• Signs of blockage: Patterns of gas, stool, or distention may suggest an obstruction that can affect the urinary tract or nearby bowel.

• Abnormal organ outlines or foreign objects: In some cases, X-ray can show the position of certain medical devices (like ureteral stents) or other unexpected findings.

What the results mean: A “normal” result means no obvious abnormal calcifications, obstruction patterns, or acute findings were seen on these views. An “abnormal” result may show a possible kidney stone, abnormal calcification, or indirect signs that suggest urinary tract obstruction or other abdominal problems. Because some stones (such as uric acid stones) may not be visible on plain X-ray, your clinician may recommend additional imaging (often ultrasound or CT) depending on symptoms and risk factors.

When & why it's usually done

Clinicians may order an XR Abdomen 2 views (Genitourinary) when symptoms suggest a problem involving the urinary tract or nearby abdominal structures. It is commonly used as an initial, quick imaging test or as a follow-up study to monitor known conditions.

This test is often considered for:

• Suspected kidney stones: Flank pain, sudden severe abdominal pain, pain radiating toward the groin, nausea/vomiting, or a history of stones.

• Blood in the urine (hematuria): When a stone is suspected as a possible cause (note: hematuria has many causes and may require additional evaluation).

• Possible urinary tract obstruction: Reduced urine output, severe pain, or concern for blockage (for example, a stone in the ureter).

• Bladder issues: Certain types of bladder stones or calcifications may be visible, especially when paired with symptoms like pain, urinary frequency, or difficulty urinating.

• Follow-up and monitoring: Tracking the size/location of known radiopaque stones, checking placement of urinary devices (such as ureteral stents), or assessing changes over time.

• Evaluation of nonspecific abdominal pain: Sometimes used as part of the work-up for abdominal pain to look for bowel gas patterns, constipation, or other findings that can mimic genitourinary symptoms.

Because X-rays do not show soft tissues as well as CT or ultrasound, your provider may choose a different test if they need more detail (for example, to evaluate kidney swelling/hydronephrosis, infection complications, or stones not visible on X-ray).

Common diseases related to it

• Kidney stones (renal calculi) and ureteral stones
• Bladder stones
• Urinary tract obstruction (such as obstruction from a stone)
• Hydronephrosis (may be suggested indirectly; often confirmed by ultrasound/CT)
• Constipation/fecal loading (can contribute to abdominal pain and urinary symptoms)
• Abdominal or pelvic calcifications that can mimic stones (phleboliths, calcified lymph nodes)
• Foreign body or device assessment (e.g., ureteral stent position, postoperative clips)

Health goals where it may help

• Identifying the cause of abdominal pain when a kidney stone or urinary obstruction is suspected
• Detecting or monitoring kidney stones (especially stones visible on X-ray) to support treatment decisions
• Evaluating urinary tract and bladder issues such as suspected bladder stones or calcifications
• Checking for complications of suspected blockage and determining if further imaging is needed
• Follow-up after treatment (e.g., monitoring stone movement/passage or verifying device placement)
• Supporting overall health diagnosis through targeted medical imaging when urinary symptoms are present