Mount Carmel Health Partners Clinical Guidelines CT Scan

CT Scan/MRI Ordering Reference Guide The Computed Tomography (CT) Scan and Magnetic Resonance Imaging (MRI) Ordering Reference Guide is to provide guidance in ordering CT Scan and/or MRI scan. In many cases, the first line imaging maybe more appropriately an x-Ray () and/or an ultrasound (±). This reference guide intend is when the provider has pre-determined to order an CT Scan and/or MRI. To Schedule an appointment call Preplanned Services: 614-546-4773(phone) and 614-546-4826 (fax) CT Scan/MRI BODY PART SIGNS/SYMPTOMS Trauma, Cerebral Vascular Accident (CVA), Bleeding, Headache, Shunt Check, Alzheimer's, Memory Loss, Transient Ischemic Attack (TIA), Mental Status Change, Confusion, Seizure BRAIN Hearing Loss, Tumor, Elevated Prolactin Levels, Cranial Nerve Lesions, Dizziness, Vertigo, Multiple Sclerosis (MS), Arteriovenous Malformation (AVM), Pituitary Lesions, Seizures, Infection Stroke, CVA, TIA EXAM TO ORDER CT Head without Contrast then after a CT Head without contrast was performed consider: MRI Brain Without Contrast for more severe symptoms or persistent symptoms MRI Brain without and with Contrast CT Head without Contrast then consider: MRI Brain without Contrast SINUSES ORBITS FACIAL BONES TEMPORAL BONES NECK CHEST ABDOMEN and PELVIS Pain, Congestions, Sinusitis CT Sinus without Contrast Infection, Mass CT Orbits with Intravenous (IV) Contrast Trauma, Fracture, Foreign Body CT Orbits without Contrast Grave's Disease, Exophthalmus, Proptosis, Pseudo tumor, Vascular Lesions MRI Orbits without and with Contrast Trauma, Pain CT Facial Bones without Contrast Tinnitus, Cholesteatoma, Pain, Trauma CT Temporal Bones without Contrast Mass, Adenopathy CT Neck with IV Contrast Infection, Pain, Vocal Cord Paralysis MRI Neck without and with Contrast for problem solving or CT Contrast Allergy Neural Tumor, Brachial Plexus Pathology MRI Chest without Contrast Hilar or Mediastinal Mass, Lung Cancer, Lymphoma, Sarcoid, Staging, Mesothelioma, Metastatic Work-Up CT Chest with Contrast Nodule, Cough, Pain  CT Chest without Contrast Interstitial Lung Disease, Idiopathic Pulmonary Fibrosis (IPF), Usual Interstitial Pneumonia (UIP)  CT Chest, High Resolution, No Contrast. Neural Tumor, Brachial Plexus Pathology MRI Chest without Contrast Pain, Colitis, Inflammatory Bowel Disease (IBD), Crohns, Appendicitis, Abscess, Tumor, Cancer CT Abdomen and Pelvis with Oral and IV Contrast Hematuria with Pain, Stone Survey CT Abdomen and Pelvis without Oral and IV Contrast Post Liver Embolization, Hemangioma, Hepatoma, Hepatitis, Cirrhosis, Pancreatitis, Pseudocyst CT or MRI Abdomen without and with Contrast Biliary Obstruction, GB Stones, Jaundice, Abnormal Enzymes, Adrenal Mass ± MRI Abdomen with Contrast (MRCP) IBD, Occult Gastrointestinal (GI) Bleeding, Diffuse Small Bowel Disease (SBD) (Gluten enteropathy) CT Enterography usually after routine CT is inconclusive Fibroid, Pre-Post Fibroid Embolization, Ovarian Mass, Endometrioma ± MRI Pelvis without and with Contrast Note: First line imaging maybe more appropriately an x-Ray (*) and/or an ultrasound (±). February 2017