Radiology reports immediately after CBCT exams, prior to surgery, minimize the liability that may present to the implant clinician. Formal radiology reports may be obtained from many sources, preferably from an appropriately qualified, board-certified maxillofacial radiologist. Unfortunately, the geographic distribution of maxillofacial radiologists is not uniform within states or regions within a state, and a careful search will be required. Several, but not all, states require that the report be made by a maxillofacial radiologist licensed in the state, and it is therefore crucial to check with your local dental board or dental practice act to determine if in-state licensure is required. The implant clinician must be able to recognize and evaluate variations from normal and refer for appropriate medical consultation any significant incidental finding that may be contained in the radiology report.Radiology-inserted jejunal access under image guidance can be obtained by direct puncture of the jejunum or by access of the jejunum through a gastrostomy site. Because of small bowel anatomy distortion following small bowel resection and the likelihood of significant adhesions in SBS patients, the technique most often recommended is a transgastric jejunal tube placement. Jejunal access through a gastrostomy site involves the same gastric access procedure to perform radiologic gastrostomy tube insertion. However, the tube passed into the stomach is guided down into the small bowel resulting in a J-tube tip location