Abdominal and GI imaging mnemonic

Plain film signs of pneumoperitoneum

The mnemonic

Free air: Rigler and Football

What each word stands for

  • Free airGas under the diaphragm on erect chest film
  • RiglerGas on both sides of the bowel wall
  • FootballLarge gas collection outlining the abdomen on supine film

Why it matters clinically

Perforation of a hollow viscus is a surgical emergency.

Where it stops being reliable

Small leaks can be missed; CT is more sensitive.

Teaching aid, still awaiting independent review. Confirm facts in a standard source.

More mnemonics

Common questions

What is the Abdominal and GI imaging mnemonic?

Free air: Rigler and Football. It helps you recall: Plain film signs of pneumoperitoneum.

What does "Free air" stand for?

Gas under the diaphragm on erect chest film

What does "Rigler" stand for?

Gas on both sides of the bowel wall

What does "Football" stand for?

Large gas collection outlining the abdomen on supine film

What are all the parts of the Free air: Rigler and Football mnemonic?

Free air: Gas under the diaphragm on erect chest film; Rigler: Gas on both sides of the bowel wall; Football: Large gas collection outlining the abdomen on supine film.

Which topic does this mnemonic belong to?

It belongs to Abdominal and GI imaging in Radiology.

Where does this mnemonic stop being reliable?

Small leaks can be missed; CT is more sensitive.

How is this useful clinically?

Perforation of a hollow viscus is a surgical emergency.

How do I make this mnemonic stick?

Say it aloud, write it from memory tomorrow, then again in a week. Then test yourself on a Radiology question about Abdominal and GI imaging.

Is this a standard mnemonic?

It is a teaching aid written or adapted by our team. Some resemble ones students share informally. Check any fact that matters in a standard source.