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Home Right Upper Quadrant Pain
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
RUQ pain, fever, high WBC count , biliary disease suspected, US negative, next imaging study 3195880
MRI abdomen without and with IV contrast with MRCP
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Nuclear medicine scan gallbladder
0.1-1mSv
☢☢
Usually appropriate
CT abdomen with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
MRI abdomen without IV contrast with MRCP
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT abdomen without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT abdomen without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate