Ordering Guide
Please call our office at 352-795-9200 during business hours (M-F 8:30am-5pm, excluding Holidays) and/or fax a physician order form/script as provided below to 352-795-6460.
This Ordering Guide is meant to assist physicians when ordering a medical imaging exam with Citrus Diagnostic Center. The guide includes common indications as well as recommendations for the most appropriate examination.
Patients Come First
Examinations may be further tailored to a patient’s specific condition. When ordering an exam, please include the clinical question/specific condition in question so that the appropriate imaging can be performed.
Physician Order Form
Ordering Guide
Body Imaging
| Symptom / Concern | Exam to Order |
|---|---|
| Urinary Concerns | |
| Complex renal cyst | MRI abdomen with and without contrast |
| Flank pain, suspect stone Painless hematuria | CT stoneprotocol without contrast |
| Pyelonephritis | CT urography with and without contrast None ifuncomplicated; CT abdomen and pelvis with and without contrast if complications arise |
| Renal mass Renal stone | MRI kidneys with and without contrast CT renal mass protocol if cannot do MRI CT abdomen pelvis withoutcontrast |
| GI Concerns | |
| Abdominal distention | CT abdomen pelvis with oral and IV contrast |
| Abdominal mass | CT abdomen pelvis with oral and IV contrast |
| Abdominal pain | CT with oral and IV contrast; include both abdomen and pelvis in most cases, unless very specific symptoms |
| Flank pain IBD | CT abdomen pelvis without contrast CT enterography (requires IV contrast and a special oral contrast given at time ofscan); consider MR enterography in patients with multiple prior exams. |
| Pancreatitis | Initial episode or known disease without complicating factors, typically abdominal US; if severe or complications suspected, CT abdomen with contrast |
| Suspect cholelithiasis | Gallbladder US |
| Mass Evaluation | |
| Adrenal mass, likely adenoma | Abdominal MR without contrast; if neoplasm suspecteda, dd MR with and without contrast Alternative: Adrenal protocol CT with and without IV contrast |
| Known liver lesion | Abdominal MR with and without contrast |
| Suspect mass,unknown source | CT with oral and IV contrast |
| Women’s Imaging | |
| DUB | Transvaginal pelvic US |
| Chest Concerns | |
| Dyspnea, suspect pulmonary embolism |
CT chest with contrast, PE protocol |
| Dyspnea, suspect interstitial lung disease |
High resolution CT chest without contrast |
| Abnormal chest X-ray, lung finding | CT chest without contrast (specify if for pulmonary nodule) |
| Abnormal chest X- ray, mediastinum or hilar finding |
CT chest with contrast |
| Follow up pneumoni/apleural effusion |
CT chest without contrast |
| Follow up lung cancer | CT chest with contrast |