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Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Respiratory illness, acute, immunocompetent, physical exam negative, normal vital signs, no other risk factors, initial imaging

3074083

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

May be appropriate
(Disagreement)

US chest

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI chest without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI chest without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT chest without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT chest without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CTA chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

V/Q scan lung

1-10 mSv
☢☢☢

Usually not appropriate