ACR AC Portal

Home Pulmonary Arteriovenous Malformation (PAVM)

Variants

Adult. Presenting with shortness of breath, or hemothorax, or hemoptysis. Patient has history of epistaxis and family history of hereditary hemorrhagic telangiectasia (HHT). Suspected PAVM. Initial imaging.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

PAVM suspected, shortness of breath, epistaxis hx, family hx HHT, initial imaging

3197022

US echocardiography transthoracic with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRA pulmonary arteries without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

CT chest without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

CTA chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

CTA pulmonary arteries with IV contrast

1-10 mSv
☢☢☢

Usually appropriate

Arteriography pulmonary

10-30 mSv
☢☢☢☢

May be appropriate

MRA chest without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

CT chest without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

US echocardiography transesophageal

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US echocardiography transesophageal with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US echocardiography transthoracic resting

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually not appropriate

MRA chest without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA pulmonary arteries without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Pertechnetate albumin pulmonary scan

1-10 mSv
☢☢☢

Usually not appropriate