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The appropriate position for a patient during a hysterosalpingogram is lithotomy position. This position involves the patient lying on their back with their legs raised and supported in stirrups. It allows for optimal access to the pelvic region, facilitating the introduction of the contrast media through the cervix into the uterus and fallopian tubes, which is essential for the examination.

The lithotomy position is particularly important because it provides better visualization of the reproductive structures and stability for the procedure, ensuring that the radiologist or technician can effectively perform the imaging.

Other positions, such as prone or supine, do not provide the necessary access for the procedure to be performed safely and effectively. Similarly, while recumbent refers to lying back, it does not specify the leg positioning that is crucial in a hysterosalpingogram. Hence, lithotomy is the most appropriate choice for this specific imaging technique.