ACR AC Portal

Home Pneumonia in the Immunocompetent Child

Variants

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Community acquired pneumonia suspected, uncomplicated, immunocompetent, initial imaging

3164909

US chest

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

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

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Community acquired pneumonia, immunocompetent, hospital admission required, initial imaging

3180672

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually appropriate

US chest

0 mSv
O

0 mSv [ped]
O

May be 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

Community acquired pneumonia, immunocompetent, not responding to outpatient treatment, initial imaging

3180671

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually appropriate

US chest

0 mSv
O

0 mSv [ped]
O

May be 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

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Hospital acquired pneumonia suspected, immunocompetent, initial imaging

3164911

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually appropriate

US chest

0 mSv
O

0 mSv [ped]
O

May be 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

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Pneumonia, immunocompetent, moderate to large parapneumonic effusion suspected on radiography, next imaging study

3164912

US chest

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography chest decubitus view

<0.03 mSv [ped]
☢

May be appropriate

CT chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be 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 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

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Pneumonia, immunocompetent, bronchopleural fistula suspected on radiography, next imaging study

3164913

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]
☢☢☢☢

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 without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Pneumonia, immunocompetent, lung abscess suspected on radiography, next imaging study

3164914

CT chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

US chest

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI chest without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI chest without IV contrast

0 mSv
O

0 mSv [ped]
O

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

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Recurrent nonlocalized pneumonia on radiography, immunocompetent, next imaging study

3164915

CT chest without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

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

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Recurrent localized pneumonia on radiography, immunocompetent, next imaging study

3164916

CT chest with 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

CT chest without IV contrast

1-10 mSv
☢☢☢

3-10 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 without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate