CHEST IMAGING GUIDELINES 2010

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1、MedSolutions,Inc.Thistooladdressescommonsymptomsandsymptomcomplexes.ImagingrequestsforpatientswithatypicalClinicalDecisionSupportToolsymptomsorclinicalpresentationsthatarenotspecificallyaddressedwillrequirephysicianreview.DiagnosticStrategiesConsultationwiththeref

2、erringphysician,specialistand/orpatient’sPrimaryCarePhysician(PCP)mayprovideadditionalinsight.CHESTIMAGINGGUIDELINES2010MedSolutions,IncMedSolutions,Inc.ClinicalDecisionSupportToolforAdvancedDiagnosticImagingCommonsymptomsandsymptomcomplexesareaddressedbythistool

3、.Imagingrequestsforpatientswithatypicalsymptomsorclinicalpresentationsthatarenotspecificallyaddressedwillrequirephysicianreview.Consultationwiththereferringphysicianmayprovideadditionalinsight.ThisversionincorporatesMSIacceptedrevisionspriorto12/18/09©2010MedSolut

4、ions,Inc.ChestImagingGuidelinesPage1of562010CHESTIMAGINGGUIDELINES2010CHESTIMAGINGGUIDELINEPAGEABBREVIATIONS5CH-1GENERALGUIDELINES7CH-2SUPRACLAVICULARREGION7CH-3CHRONICCOUGH8CH-4CHRONICNON-CARDIACCHESTPAIN9CH-5DYSPNEA/SHORTNESSOFBREATH10CH-6HEMOPTYSIS11CH-7BRONCHI

5、ECTASIS11CH-8BRONCHITIS12CH-9ASBESTOSEXPOSURE12CH-10CHRONICOBSTRUCTIVEPULMONARYDISEASE12(COPD)CH-11INTERSTITIALDISEASE13CH-12MULTIPLEPULMONARYNODULES14CH-13PNEUMONIA14CH-14POSITIVEPPDorTUBERCULOSIS(TB)14CH-15SARCOID15CH-16SOLITARYPULMONARYNODULE(SPN)15CH-17PLEURAL

6、-BASEDNODULESandOTHER17ABNORMALITIESCH-18PLEURALTHICKENING18CH-19PLEURALEFFUSION19CH-20PNEUMOTHORAX-HEMOTHORAX20CH-21MEDIASTINALLYMPHADENOPATHY20CH-22MEDIASTINALMASS21CONTINUEDNEXTPAGE©2010MedSolutions,Inc.RETURNPage2of562010CHESTIMAGINGGUIDELINES2010CHESTIMAGINGG

7、UIDELINEPAGECH-23CHESTTRAUMA22CH-24COSTOCHONDRITIS22CH-25CHESTWALLMASS23CH-26PECTUSEXCAVATUMandPECTUSCARINATUM24CH-27BREASTABNORMALITIES2427.1Computer-AidedDetection(CAD)forBreastMRI2427.2IndicationsforMRIoftheBreast2527.3BreastMRINotIndicated2827.4NippleDischarge

8、/Galactorrhea3027.5BreastPain(Mastodynia)3127.6NewerBreastImagingTechniques31CH-28PULMONARYARTERIOVENOUSFISTULA(AVM)32CH-29PULMONARYEMBOLISM(PE)32CH-30S