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Home Suspected Osteomyelitis, Septic Arthritis, or Soft Tissue Infection (Excluding Spine and Diabetic Foot)
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Soft tissue infection suspected, shoulder, implanted extra articular surgical hardware, radiography findings suggest osteomyelitis, next imaging study 3195599
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
May be appropriate
3-phase bone scan and WBC scan shoulder
10-30 mSv
☢☢☢☢
May be appropriate
FDG-PET/CT skull base to mid-thigh
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
WBC scan and sulfur colloid scan shoulder
10-30 mSv
☢☢☢☢
May be appropriate
WBC scan shoulder
10-30 mSv
☢☢☢☢
May be appropriate
Image-guided aspiration shoulder

Varies
Varies 		Usually not appropriate
3-phase bone scan shoulder
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
3-phase bone scan and WBC scan and sulfur colloid scan shoulder
10-30 mSv
☢☢☢☢
Usually not appropriate