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Bladder too big

No plan provides

appropriate coverage

Shape change due to bladder

overfilled

Shape change due to rectal

filling (flatus/faeces)

Remove patient from couch, void bladder, repeat

drinking protocol but review

i) volume of fluid drank and or

ii) reducing time to image acquisition (<30mins),

iii) ensure appropriate clinical assessment is made

and that patient is not developing toxicity

necessitating intervention and preventing from

appropriate voiding

Significant shape change