ACR AC Portal

Home Workup of Pleural Effusion or Pleural Disease

Variants

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Parapneumonic effusion suspected, recent pneumonia, initial imaging

3196695

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually appropriate

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
(Disagreement)

CT chest without 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

CTA chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Empyema suspected, recent pneumonia, initial imaging

3196696

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually appropriate

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
(Disagreement)

CT chest without 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

CTA chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Pleural effusion suspected, recent minor blunt trauma, initial imaging

3196698

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually appropriate

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
(Disagreement)

CT chest without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CTA chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate
(Disagreement)

Image-guided aspiration chest

Varies

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

Pleural effusion suspected, noninfectious, cough, initial imaging

3196701

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually appropriate

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
(Disagreement)

CT chest without 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

CTA chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Pleural effusion suspected, noninfectious, dyspnea, initial imaging

3196700

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually appropriate

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
(Disagreement)

CT chest without 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

CTA chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Pleural effusion suspected, noninfectious, chest pain, initial imaging

3196702

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually appropriate

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
(Disagreement)

CT chest without 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

CTA chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Pleural effusion, incidental, incomplete thoracic imaging, next imaging study

3196704

US chest

0 mSv
O

0 mSv [ped]
O

May be appropriate
(Disagreement)

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

May be appropriate
(Disagreement)

CT chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate
(Disagreement)

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

CTA chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate