Post on 11-Aug-2020
CT ORDERING GUIDE Table of Contents
HEAD Angiogram Head W Contrast IMG2013 3 Head WO Contrast* IMG181 3 Head W Contrast IMG182 3 Head W WO Contrast IMG183 3 Maxillofacial WO Contrast IMG2375 4 Maxillofacial W Contrast IMG2373 4 Orbit Sella Post Fossa IAC WO Contrast* IMG184 4 Orbit Sella Post Fossa IAC W Contrast IMG1239 4 Sinus WO Contrast* IMG2403 5 Sinus W Contrast IMG1246 5 Sinus Mapping WO Contrast IMG8670 5 NECK Angiogram Neck W Contrast IMG2016 6 Soft Tissue Neck WO Contrast IMG191 6 Soft Tissue Neck W Contrast* IMG192 6 CHEST Angiogram Chest W Contrast IMG2365 7 Angiogram Pulmonary* IMG3683 7 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* IMG2073 9 PELVIS Pelvis WO Contrast IMG217 10 Pelvis W Contrast* IMG218 10 CONTINUED ON NEXT PAGE
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SPINE Cervical Spine WO Contrast* IMG207 11 Cervical Spine W Contrast IMG208 11 Lumbar Spine WO Contrast* IMG213 11 Lumbar Spine W Contrast IMG214 11 Thoracic Spine WO Contrast* IMG210 11 Thoracic Spine W Contrast IMG211 11 COMBINATIONS Chest Abdomen Pelvis WO Contrast IMG790 12 Chest Abdomen Pelvis W Contrast* IMG1428 12 Soft Tissue Neck Chest Abdomen Pelvis W IMG2354 12 Soft Tissue Neck Chest W Contrast* IMG2052 12
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HEAD IMAGING EXAM CODE: BACK
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 non-contrast exams. In such cases, every effort will be made to perform the appropriate study according to the radiologist.
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HEAD IMAGING EXAM CODE: BACK
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 Orbits
Maxillofacial Orbits Sella Post Fossa IAC
IMG2375 IMG184 Traumatic Injury Acute mastoiditis Suspected fracture Otosclerosis/otospongiosis IMG2373 IMG1239 Abscess or Infection Chronic mastoiditis w/CNS symptoms Cellulitis 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.
These are ultra high-resolution studies.
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HEAD IMAGING EXAM CODE: BACK
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
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NECK IMAGING EXAM CODE: BACK
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.
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CHEST IMAGING EXAM CODE: BACK
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.
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ABDOMEN IMAGING EXAM CODE: BACK
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.
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ABDOMEN / PELVIS IMAGING EXAM CODE: BACK
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 Testicular CA Kidney Stone 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.
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PELVIS IMAGING EXAM CODE: BACK
IMG217 – CT PELVIS WO CONTRAST
IMG218 – CT PELVIS W CONTRAST
IMG217 IMG218 Hemorrhage Abscess Fracture 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]
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SPINE IMAGING EXAM CODE: BACK
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.
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COMBINATION ORDERS EXAM CODE: BACK
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