Ankle

Pain, Occult Fracture, Osteochondritis Dissecans, Achilles Tendon Tear, Tendon Tears, Tendonitis, Avascular Necrosis, Infection/Osteomyelitis, Tumor/Mass

MR

Ankle

Impingement

MR Arthrogram

Ankle

Complex Fracture

CT

Elbow

Pain, Occult Fracture, Distal Biceps Tendon Tear, Epicondylitis, Avascular Necrosis, Tumor/Mass, Infection/Osteomyelitis

MR

Elbow

Collateral Ligament Tear

MR

Elbow

Complex Fracture

CT

Foot

Pain, Occult Fracture, Infection/Osteomyelitis, Tumor/Mass, Plantar Fasciitis, Tarsal Coalition, Tendon Tears, Tendonitis, Avascular Necrosis

MR

Foot

Complex Fracture

CT

Hip

Pain, Occult Fracture, Avascular Necrosis, Infection/Osteomyelitis, Tumor/Mass, Bursitis, Myositis/Tendonitis

MR

Hip

Acetabular Labral Tear, Impingement

MR Arthrogram

Hip/Pelvis

Complex Fracture, Painful Arthroplasty

CT

Knee

Pain, Occult Fracture/Contusion, Avascular Necrosis, Meniscal Tear, Cruciate Ligament Tear, Collateral Ligament Tear, Osteochondritis Dissecans, Infection/Osteomyelitis, Tumor/Mass

MR

Knee

Internal Derangement–MR Contraindicated

CT Arthrogram

Knee

Complex Fracture, Painful Arthroplasty

CT

Shoulder

Rotator Cuff Tear, Occult Fracture, Pain, Tendonitis, Bursitis, Impingement Syndrome, Proximal Biceps Tendon Tear, Avascular Necrosis, Tumor/Mass, Infection/Osteomyelitis

MR

Shoulder

Glenoid Labrum Tear

MR Arthrogram

Shoulder

Internal Derangement–MR Contraindicated

CT Arthrogram

Shoulder

Complex Fracture, Painful Arthroplasty

CT

Wrist

Pain, Occult Fracture, Avascular Necrosis, Carpal Tunnel Syndrome, Tumor/Mass, Infection/Osteomyelitis

MR

Wrist

TFCC/Interosseous Ligament Tear

MR Arthrogram

Wrist

Complex Fracture

CT

Known Myeloma

PET/CT

Suspected Skeletal Metastasis

Bone Pain

Bone Scan (Nuc Med) & F18 PET

Suspected Soft Tissue Mass or Abscess

MR (if MR contraindicated, CT

Ulcer/Infection

Rule-Out Osteomyelitis

MR (if MR contraindicated or hardware present), CT, Bone Scan (Nuc Med)

Acute Headache

Subarachnoid Hemorrhage

CT

Cranial Nerve Dysfunction

Neuritis, Tumor

MR

Fever and Headache

Brain Abscess, Encephalitis

MR

Fluctuating Neurologic Symptoms

Multiple Sclerosis, Lyme Disease

MR

Galactorrhea, Elevated Prolactin

Pituitary Adenoma

MR Pituitary

Head, Neck, Vascular Work-Up

TIA, Stroke

MRA Carotid and Circle of Willis (COW) CTA if MRA Contraindicated

Head Trauma

Subdural Hematoma, Parenchymal Hemorrhage

CT

Headache With Neurologic Deficit

Tumor

MR

Headache Without Neurologic Deficit

Tension Headaches

CT

Known Malignancy With Neurologic Deficit

Metastasis, Carcinomatosis

MR

Progressive Neurologic Symptoms

Tumor

MR

Seizures

Congenital Anomaly, Tumor

MR

Temporal Visual Field Cut

Pituitary Adenoma

MR Pituitary

Transient Ischemic Attack/Stroke (Symptoms less than 6 hours)

Bleed/Infarct

CT & MR

Transient Ischemic Attack/Stroke (Symptoms greater than 6 hours)

Bleed/Infarct

MR

Double Vision, Diplopia

Neuritis, Tumor

Brain and Orbit MR

Facial Pain, Draining Nose

Sinusitis

Coronal CT

Infection, Draining Ear

Cholesteatoma

Temporal Bone CT

Proptosis

Orbital Mass

CT Orbit and Pituitary Region

Tinnitus, Sensorineural Hearing Loss

Acoustic Neuroma

MR

Lymphadenopathy/Mass

CT & MR

Head & Neck Cancer (Known)

Staging/Restaging

PET/CT

Myelopathy

Spinal Stenosis

MR

Progressive Spinal Cord Symptoms

Transverse Myelitis, Cord tumor

MR

Radiculopathy

Osteophyte, Disc Protrusion

MR

Spine Pain With Known Malignancy

Metastasis

MR

Trauma

Fracture

CT

CT Abdomen/Pelvis

Eval Abdominal Organs, Abdomen Pain, Eval or F/u Cancer, Eval Hernia, Post-Trauma for Injury to Organs

With IV and Oral Contrast

CT Abdomen/Pelvis

Kidney Stones, Contraindication to IV Iodine (Allergy, Poor Kidney Function)

Without IV Contrast, No Oral Contrast

CTA Abdomen/Pelvis

Known AAA, AAA Endograft for Leak, Eval for Abdominal Aortic Dissection

With IV Contrast, No Oral Contrast

CT Chest (High-Res)

Eval Interstitial Lung Disease (ILD)

Without IV Contrast, No Oral Contrast

CT Chest (Routine)

Eval Lung Mass/Abnormalities on X-ray, Susp. Primary Lung Cancer, Susp. Mediastinal Mass, Susp. Lung Abscess/Empyema, Initial Assessment of Pulmonary Nodules

With IV Contrast, No Oral Contrast

CT Chest (PE)

Pulmonary Embolism

With IV Contrast, No Oral Contrast

CT Chest

Surveillance of Known Lung Nodules

Without IV Contrast, No Oral Contrast

CTA Chest

Acute Aortic Syndromes, Including Aortic Dissection, Intramural Hematoma Penetrating Atherosclerotic Ulcer, Aortic Aneurysm

With IV Contrast, No Oral Contrast

CT Enterography

Crohn’s Disease, Eval Small Bowel Polyps

With IV and Special Oral Contrast

CT Facial Bones

Trauma, Post-Op or Pre-Surgery Planning, Eval Hardware

Without IV Contrast, No Oral Contrast

CT Facial Bones/Neck

Eval Facial Swelling/Redness, Rule-Out Abscess/Mass, Lymphadeonopathy

With IV Contrast, No Oral Contrast

CT Head

Headaches, Post-Trauma for Injury/Bleeds, Post-Op Eval, Shunt or Other Placements

Without IV Contrast, No Oral Contrast

CT Head (If MRI Contraindicated)

Eval Tumor(s)

With IV Contrast, No Oral Contrast

CTA Head or Neck

Eval Arteries in Brain for Poss. Aneurysms and/or Blockage, Eval for Stroke

With IV Contrast, No Oral Contrast

CT Liver w/ Pelvis

Eval Liver Masses, HCC, Elevated LFTs, Liver Failure

With IV and Oral Contrast

CT Orthopedic/MSK

Without IV Contrast, No Oral Contrast

CT Pancreas w/ Pelvis

Eval Pancreatic Masses

With IV and Oral Contrast

CT Urogram

Renal Mass/Hematuria/UTIs, Rule-Out Urinary Tract Cancer

With & W/o IV Contrast, No Oral Contrast

CT Sinus

Acute/Chronic Sinusitis

Without IV Contrast, No Oral Contrast

CT Soft Tissue Neck

Neck Mass, Soft Tissue Pathology, Neck/Facial Swelling/Redness

With IV Contrast, No Oral Contrast

CT Spine (If MRI Contraindicated)

Trauma, Post-Op Eval, DDD/Narrowing

Without IV Contrast, No Oral Contrast

CT Temporal Bones

Hearing Loss, Ear Pain, Trauma

Without IV Contrast, No Oral Contrast

MRA/MRI Abdomen/Pelvis

With and Without IV Contrast No contrast if pt on dialysis or GFR <30

MRCPSuspected CBD stone

Without IV Contrast

MRI Brain

Suspected Tumor or Infection

Without IV Contrast

MRI Brain

Tumor, Infection

With and Without IV Contrast

MR Enterography

Abdominal Pain, Crohn’s Disease

With IV and Special Oral Contrast

MRI/MRA Neck

With and Without IV Contrast

MRI Orthopedic/MSK

Without IV Contrast

MRI Orthopedic/MSK

Suspected Tumor or Infection

With and Without IV Contrast

MRI Spine

HNP, Pain, Extremity Weakness, Tenderness, Cauda Equina

Without IV Contrast

MRI Spine

Suspected Abscess, Tumor, Recent Spine Surgery

With and Without IV Contrast