Chest

Chest CT Without Contrast

• Coronary calcium screening
• Fever in immunocompromised patient
• Interstitial lung disease
• Lung cancer screening
• Lung nodule follow up
• Neutropenic fever

Chest CT With IV Contrast

• Atelectasis on CXR
• Mediastinal abnormality (mass, adenopathy)
• Pleural/chest wall abnormality
• Suspect lung cancer

Abdomen and Pelvis CT

Abdomen/Pelvis CT With IV Contrast

• Abdominal or pelvic abscess
• Appendicitis (RLQ pain/Crohn’s/IBD)
• Diverticulitis (LLQ pain/Crohn’s/IBD)
• Generalized abdominal pain (or any quadrant)
• High-grade small bowel obstruction
• Jaundice/pancreatic cancer
• Pancreatic cyst (can limit to abdomen only for follow up)
• Suspect malignancy or staging known malignancy (except GU)
• Mesenteric ischemia
• Pancreatitis
• Pyelonephritis
• SBO vs ileus (add oral contrast)

Abdomen/Pelvis CT With and Without IV Contrast

• Adrenal nodule workup (abdomen only)
• Kidney lesion workup (abdomen only)
• Hematuria
• Lower gastrointestinal bleeding
• S/P aortoiliac or branch arterial stent

Abdomen/Pelvis CT Without IV Contrast

• Neutropenic fever
• Renal calculus (limited for other diagnoses)
• Retroperitoneal bleed (prefer IV)

This work is intended for use to assist hospital and healthcare audiences; however, Johns Hopkins makes no representations or warranties concerning the content or clinical efficacy of this work, its accuracy or completeness. Johns Hopkins is not responsible for any errors or omissions or for any bias, liability or damage resulting from the use of this work. This work is not intended to be a substitute for professional judgment, advice or individual root cause analysis.