ACR logo

ACR AC Portal

Home Acute Onset Flank Pain-Suspicion of Stone Disease (Urolithiasis)
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Flank pain, acute, stone disease on recent imaging, recurrent symptoms, follow-up imaging 3196626
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
US color Doppler kidneys and bladder retroperitoneal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
US kidneys and bladder retroperitoneal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography abdomen and pelvis
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography intravenous urography
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
MRI abdomen and pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI abdomen and pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRU without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRU without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CTU without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate