Stroke / CVA TIA Trauma Dizziness Headaches. Acoustic Neuroma Syrinx Visual Change Vascular Lesions (AVM) Elevated Prolactin Vertigo Bell s palsy
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1 Head Brain Alzheimer s Mental Status Change Confusion Dementia Memory Loss Dizziness Headaches MRI Brain w/o Tumor / Mass / Cancer Cranial Nerve Lesions HIV Infection Suspected MS Neurofibromatosis Hearing Loss, IAC Mass Pituitary Lesion Acoustic Neuroma Syrinx Visual Change Vascular Lesions (AVM) Elevated Prolactin Vertigo Bell s palsy MRI Brain Orbits MRI Orbits / Face / Neck w/o Graves Disease Exophthalmos / Proptosis Vascular Lesions (Hemangioma) Pseudotumor MRI Orbits / Face / Neck Neck Infection Vocal Cord Paralysis MRI Orbits /Face / Neck Chest Mediastinum MRI Chest / Mediastinum Brachial Plexus Brachial Plexus Injury Nerve Avulsion MRI Chest/Mediastinum w/o Breast Breast Newly diagnosed cancer Personal history of BC BRCA 1 or 2 gene High-risk screening Implant integrity/rupture Evaluate response to chemo Dense breast Palpable lump w/abnormal US or mammographic findings MRI Breast Bilateral 77059
2 Abdomen and Pelvis Abdomen: General MRI Abdomen Abdomen: Liver Post embolization Hemangioma Hepatoma Hepatitis Cirrhosis Increased LFTs MRI Abdomen MRCP: Biliary Biliary obstruction Stones Jaundice Abnormal enzymes MRI Abdomen w/o (MRCP) 3D Reconstruction Renal Renal Mass (cyst or solid) Hematuria Transitional cell carcinoma of kidney Abnormal finding MRI Abdomen Adrenal Adrenal Mass or Lesion Pheochromocytoma Hypertension MRI Abdomen w/o Pancreas Pancreatitis Pancreas Mass Cholangiocarcinoma PSC (primary sclerosing cholangitis) Increased LFTs less Jaundice Ampulla evaluation MRI Abdomen Tissue: General Decubitis Ulcer MRI Pelvis Tissue: Uterus Fibroid Adenomyosis Pre/Post Fibroid Embolization Infertility MRI Pelvis Bicomuate Uterus Septate Uterus MRI Pelvis Tissue: Ovaries Ovarian Mass Endometrioma MRI Pelvis Prostate Cancer Staging Treatment Planning MRI Pelvis
3 Musculoskeletal Extremity Fracture Muscle / Tendon Tear MRI n Joint w/o Stress Fracture n-joint Upper: Forearm, Humerus, Hand/ Finger/Thumb Lower: Leg/Calf, Toes, Femur/Thigh/ Hamstring, Foot (Midfoot, Forefoot) Ulcer Tumor / Mass / Mets Cellulitis Fasciitis Myositis Morton s Neuroma Soft Tissue Tumor/ Mass / Mets MRI n Joint Extremity Joint Upper: Wrist Elbow Shoulder Lower: Ankle Knee Hip Arthritis Avascular Necrosis (AVN) Stress Fracture Internal Derangement Ulcer Cellulitis Fasciitis Myositis Meniscal Tear Muscle Tear Ligament Tear Cartilage Tear Osteochondritis Dissecans (OCD) Bony Cyst Inflammatory Arthritis Septic Arthritis Tumor / Mass / Mets MRI Joint w/o MRI Joint Bony Pelvis Fracture Muscle / Tendon Tear MRI Pelvis w/o Tumor / Mass/ Cancer / Mets Septic Arthritis MRI Pelvis Athletic Pubalgia (Sports Hernia) Athletic Injury Groin MRI Pelvis w/o Spine, Cervical Arm / Shoulder / Neck Numbness, Disc Herniation Degenerative Disease Radiculopathy MRI Cervical Spine w/o Syrinx, Discitis, Myelopathy MRI Cervical 72156
4 Musculoskeletal Continued Spine: Thoracic Back, Degenerative Disc Disease Radiculopathy, Disc Herniation Compression Fracture no hx MRI Thoracic Spine w/o Discitis Post-op Fusion Syrinx Myelopathy Compression Fracture w/ hx MRI Thoracic Spine: Lumbar Back / Leg, Degenerative Disease Disc Herniation Radiculopathy Sciatica Spondylolithesis Spinal Stenosis Compression Fracture no hx MRI Lumbar Spine w/o Discitis Post-Op-Hx of Back Surgery MRI Lumbar Musculoskeletal MR Arthrography Wrist Arthrogram TFCC Tear Intercarpal Ligaments Soft Tissue Ganglia w/ Injection Wrist Rad Exam Wrist Elbow Arthrogram Loose Body Collateral Ligament Tear Internal Derangement w/injection Elbow Rad Exam Elbow Shoulder Arthrogram Synovitis RCT Adhesive Capsulitis w/injection Shoulder Rad Exam Shoulder Hip Arthrogram w/injection Wrist Rad Exam Wrist Knee Arthrogram Recurrent Meniscal Tear Post Op Loose Bodies Chondromalacia w/injection Hip Rad Exam Hip Ankle Arthrogram Loose Body ODC w/injection Knee Rad Exam Knee
5 MRA Brain (COW) Aneurysm, Family Hx Aneurysm MRA Brain w/o MRV Brain Venous Thrombosis MRV w/o Neck Bruit Abnormal Doppler or Dizziness Dizziness MRA Neck MRA Neck w/o Arch and Great Vessels Bruit MRA Neck Abdominal Aorta Abdominal Aortic Dissection Aneurysm MRA Aorta Chest Aneurysm Thoracic Aortic Dissection Excluding Cardiac Myocardium MRA Chest Abdomen Renal Artery Stenosis Hypertension Mesenteric Arterial Ischemia MRA Abdomen Pelvis Femoral Arteries MRA Pelvis Subclavian Redness, Swelling Tenderness MRA Peripheral Vascular Disease MRA
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Head & Neck Brain Alzheimer's Dz Stroke/CVA No MRI Brain w/o 70551 Mental Status Change Confusion Dementia Memory Loss Suspected MS Tumor/mass/Cancer Seizures Cranial Nerve Lesions H Infection/ Abscess
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