CT ORDERING GUIDE Table of Contents
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1 CT ORDERING GUIDE Table of Contents HEAD Angiogram Head W Contrast IMG Head WO Contrast* IMG181 3 Head W Contrast IMG182 3 Head W WO Contrast IMG183 3 Maxillofacial WO Contrast IMG Maxillofacial W Contrast IMG Orbit Sella Post Fossa IAC WO Contrast* IMG184 4 Orbit Sella Post Fossa IAC W Contrast IMG Sinus WO Contrast* IMG Sinus W Contrast IMG Sinus Mapping WO Contrast IMG NECK Angiogram Neck W Contrast IMG Soft Tissue Neck WO Contrast IMG191 6 Soft Tissue Neck W Contrast* IMG192 6 CHEST Angiogram Chest W Contrast IMG Angiogram Pulmonary* IMG Chest WO Contrast IMG200 7 Chest W Contrast* IMG202 7 Chest W WO Contrast IMG203 7 ABDOMEN Abdomen WO Contrast IMG785 8 Abdomen W Contrast* IMG237 8 Abdomen W WO Contrast IMG238 8 ABDOMEN / PELVIS Abdomen Pelvis WO Contrast IMG784 9 Abdomen Pelvis W Contrast* IMG794 9 Abdomen Pelvis W WO Contrast IMG783 9 Renal Stone WO Contrast* IMG PELVIS Pelvis WO Contrast IMG Pelvis W Contrast* IMG CONTINUED ON NEXT PAGE
2 SPINE Cervical Spine WO Contrast* IMG Cervical Spine W Contrast IMG Lumbar Spine WO Contrast* IMG Lumbar Spine W Contrast IMG Thoracic Spine WO Contrast* IMG Thoracic Spine W Contrast IMG COMBINATIONS Chest Abdomen Pelvis WO Contrast IMG Chest Abdomen Pelvis W Contrast* IMG Soft Tissue Neck Chest Abdomen Pelvis W IMG Soft Tissue Neck Chest W Contrast* IMG
3 HEAD IMAGING IMG181 CT HEAD WO CONTRAST IMG182 CT HEAD W CONTRAST IMG183 CT HEAD W WO CONTRAST IMG2013 CT ANGIOGRAM HEAD W CONTRAST IMG181 IMG182 IMG183 Head injury Almost never Tumor Headache When a non-contrasted study Suspected CA CVA / TIA has already been performed Evaluation for METS Suspected CVA Abscess/Infection Seizures Chronic SDH (MRI better) Dizzy Altered Mental Status Altered Level of consciousness Syncope IMG2013 Fatigue and malaise Circle of Willis (Aneurysm) General weakness Occasionally, indications for contrast are discovered during routine noncontrast exams. In such cases, every effort will be made to perform the appropriate study according to the radiologist. 3
4 HEAD IMAGING IMG2375 CT MAXILLOFACIAL WO CONTRAST IMG2373 CT MAXILLOFACIAL W CONTRAST IMG184 CT ORBIT SELLA POST FOSSA IAC WO CONTRAST IMG1239 CT ORBIT SELLA POST FOSSA IAC W CONTRAST Maxillofacial IMG2375 Traumatic Injury Suspected fracture IMG2373 Abscess or Infection Cellulitis Orbits Sella Post Fossa IAC IMG184 Acute mastoiditis Otosclerosis/otospongiosis IMG1239 Chronic mastoiditis w/cns symptoms Neurosensory hearing loss Middle ear mass Acoustic neuroma (MRI) Direct coronal images or coronal reformats will be done automatically. Mandible included or scanned separately by request. Maxillofacial Orbits These are ultra highresolution studies. 4
5 HEAD IMAGING IMG2403 CT SINUS WO CONTRAST IMG1246 CT SINUS W CONTRAST IMG8670 CT SINUS MAPPING WO CONTRAST IMG2403 IMG1246 IMG8670 Sinus disease Abscess Stealth sinus for Infection Fungal Infection surgical planning 5
6 NECK IMAGING IMG2016 CT ANGIOGRAM NECK W CONTRAST IMG191 CT SOFT TISSUE NECK WO CONTRAST IMG192 CT SOFT TISSUE NECK W CONTRAST IMG2016 IMG191 IMG192 Carotid angiogram only when contrast Mass / swelling Is Contraindicated Infection Cellulitis Lymphadenopathy Carotid Angiogram and Circle of Willis. Studies can be performed simultaneously. 6
7 CHEST IMAGING IMG2365 CT ANGIOGRAM CHEST W CONTRAST IMG3683 CT ANGIOGRAM PULMONARY IMG200 CT CHEST WO CONTRAST IMG202 CT CHEST W CONTRAST IMG203 CT CHEST W WO CONTRAST IMG2365 IMG200 IMG202 Aortic Dissection/Aneurysm High-resolution chest (HRC) Cancer / mass for interstitial lung disease Suspected CA Bronchiectasis Other lung disease IMG3683 Follow up pulmonary nodule Lymphadenopathy Pulmonary Embolism Follow up pleural / pericardial effusion Infection IV contrast contraindications (iodine allergy CrCl <30.) IMG203 Only if ordering a high resolution study for interstitial lung disease in conjunction with routine chest with contrast. 7
8 ABDOMEN IMAGING IMG785 CT ABDOMEN WO CONTRAST IMG237 CT ABDOMEN W CONTRAST IMG238 CT ABDOMEN W WO CONTRAST IMG785 IMG237 IMG238 Elevated labs Stent evaluation Adrenal mass Allergy to iodine Pyelonephritis Liver mass RUQ / LUQ pain only. Pancreatic mass F/U mass Kidney mass All routine Abd/Pel exams include oral contrast. The with or without contrast refers to the IV contrast portion of the study. Oral contrast can be omitted on request. 8
9 ABDOMEN / PELVIS IMAGING IMG784 CT ABDOMEN PELVIS WO CONTRAST IMG794 CT ABDOMEN PELVIS W CONTRAST IMG783 CT ABDOMEN PELVIS W WO CONTRAST IMG2073 CT RENAL STONE WO CONTRAST IMG784 IMG794 IMG783 Retroperitoneal/ABD wall Pancreatitis Liver Mass hemorrhage Abscess Kidney Mass Kidney stone (see renal colic) Abdominal pain Pancreatic Mass Lymphoma Adrenal Mass Prostate CA IMG2073 Kidney Stone Testicular CA Appendicitis (w/ oral if pt very thin) Diverticulitis (w/ oral also) Trauma Bowel obstruction Appy s can be scanned either w/ or w/o contrast, each w/its own advantages. The trend seems to be w/o contrast. We will scan it as you order it. All routine Abd/Pel exams include oral contrast. The with or without contrast refers to the IV contrast portion of the study. Oral contrast can be omitted on request. 9
10 PELVIS IMAGING IMG217 CT PELVIS WO CONTRAST IMG218 CT PELVIS W CONTRAST IMG217 Hemorrhage Fracture IMG218 Abscess Ovarian cyst Mass All routine Abd/Pel exams include oral contrast. The with or without contrast refers to the IV contrast portion of the study. Oral contrast can be omitted on request. [An exception to this is pelvic scan for fracture-no oral contrast is necessary] 10
11 SPINE IMAGING IMG207 CT CERVICAL SPINE WO CONTRAST IMG208 CT CERVICAL SPINE W CONTRAST IMG213 CT LUMBAR SPINE WO CONTRAST IMG214 CT LUMBAR SPINE W CONTRAST IMG210 CT THORACIC SPINE WO CONTRAST IMG211 CT THORACIC SPINE W CONTRAST Cervical- IMG207 IMG208 Injury/Pain Paraspinous abscess Lumbar- IMG213 IMG214 Injury/Pain Paraspinous abscess Thoracic- IMG210 IMG211 Injury/Pain Paraspinous abscess Or specify region of interest. 11
12 COMBINATION ORDERS IMG790 CT CHEST ABDOMEN PELVIS WO CONTRAST IMG1428 CT CHEST ABDOMEN PELVIS W CONTRAST IMG2354 CT SOFT TISSUE NECK CHEST ABDOMEN PELVIS W CONTRAST IMG2052 CT SOFT TISSUE NECK CHEST W CONTRAST IMG790 IMG1428 IMG2354 Iodine Contraindication F/U Cancer F/U Cancer Trauma IMG2052 F/U Cancer 12
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