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CT CHEST / ABDO / PELVIS NON CONTRAST

INDICATIONS

INDICATIONS (1-4)

  • Contrast contraindicated

  • Trauma – fracture/dislocations

Pathology Demonstrated

PATHOLOGY DEMONSTRATED (1-4)

  • Pulmonary infections

  • pulmonary nodules or masses

  • mediastinal masses and nodules including calcifications

  • masses of the chest wall

  • bronchiectasis or small airway disease

  • rib fractures

  • abnormal aeration or air collections within and outside the lungs including:

    • pneumothorax

    • pulmonary emphysema

    • mediastinal emphysema

    • soft tissue emphysema

    • atelectasis

  • Faecal Loading

  • Urolithiasis (location & size)

  • Secondary signs of renal tract obstruction and infection

  • Soft tissue swelling

  • Fracture/dislocation

  • Soft tissue/bone malignancy (may require further characterisation with contrast)

Patient Preparation

PATIENT PREPARATION

  • Patient able to lie still for ten minutes

  • Not claustrophobic (sedation may be given)

  • Cognitively capable of following basic instructions, including breathing instructions

  • Metal artefacts removed from the region of interest

  • No respiratory distress when lying supine

ANATOMY INCLUDED

ANATOMY INCLUDED
 

Example below is a General Chest/Abdo/Pelvis without contrast. Bony reconstructions are available depending on clinical question and differential diagnosis

Chest/Abdo/Pelvis (Axial)
Lung (Axial)
Chest/Abdo/Pelvis (Coronal)
Lung (Coronal)
Chest/Abdo/Pelvis (Sagittal)
Lung (Sagittal)

REFERENCES

1. American College of Radiology (ACR). Appropriateness Criteria. [Internet]. 2022 [Updated 2021, cited 10 Aug 2022]. Available from https://www.acr.org/Clinical-Resources/ACR-Appropriateness-Criteria​

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2. Radiopaedia. CT Chest Non-Contrast (Protocol) [Internet]. 2008 [updated 7 April 2022, cited 23 Aug 2022]. Available from https://radiopaedia.org/articles/ct-chest-non-contrast-protocol-1?lang=gb

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3. Radiopaedia. CT Abdomen-Pelvis (Protocol) [Internet]. 2008 [updated 7 April 2022, cited 23 Aug 2022]. Available from https://radiopaedia.org/articles/ct-abdomen-pelvis-protocol-1?lang=us

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4. Radiopaedia. CT Chest Abdomen-pelvis (protocol). [Internet]. 2008 [updated 7 April 2022, cited 23 Aug 2022]. Available from https://radiopaedia.org/articles/ct-chest-abdomen-pelvis-protocol-2?lang=gb 

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