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Date: 10 August 2020

Time: 17:25

GP imaging referral advice

All plain film referrals must be booked appointments only.

There will be no CT or MR.

UHB commit to reviewing all pre-existing pathways, starting with neurology and headache, shoulder imaging and low back pain, to be completed and agreed by 1 August.

Ultrasound will be carried out as per BMUS national guidance.

Referrals can be made for:

  • gallstones
  • right upper quadrant pain
  • persistent abnormal liver function test
  • testicular US (cancer)
  • gynaecology/pelvic scans
  • rapid increase in size of superficial/deep soft tissue masses
  • persistently enlarged lymph nodes in the neck

Referrals cannot be made for:

  • scrotal pain
  • diabetes
  • change in bowel habit
  • polycystic ovaries
  • follow up of long standing lumps and bumps
Area of interestYesNo
Neck
  • Rapidly increasing thyroid lump
  • First imaging for gradually increasing thyroid lump
  • Salivary gland tumour ( + 2WW)
  • Hoarse voice 2WW
  • Dysphagia 2WW
  • Follow up thyroid imaging
  • Hyperparathyroidism
  • Globus, throat discomfort
  • Lateral/posterior neck pain
Lymph nodes
  •  Persistently enlarged/increasing in size
  • If malignancy suspected A&G / 2WW depending upon specific problem
Soft tissue mass
  •  More than 5 cm, infiltrative changes or rapidly increasing
  • Sebaceous cysts
  • Small lipoma
  • Neurofibromas
Abdomen
  • Gallstones / RUQ pain
  • Enlarged liver ?metastasis (+2WW)
  • Persistent elevation of ALP
  • Jaundice or obstructive LFT (+2WW)
  • Bloating with palpable mass(?2WW)
  • Ascites (?2WW/ A &G route)
  • Diabetes
  • Obesity
  • Statins/medications known to affect LFT
  • Diverticular disease
  • IBS
Gynaecology
  • Pelvic pain with additional symptoms and signs
  • Pelvic pain in > 50 years of age
  • Simple ovarian cyst <5cm with pain
  • Polycystic ovaries
  • Follow up of fibroids
  • Dermoids
  • Cysts
  • Post menopausal bleeding (2WW)
Urinary tract
  • First episode of UTI in men
  • Recurrent UTI in women
  • Hypertension ?renal artery stenosis
  • Visible haematuria (2WW)
  • Acute renal colic - CT via Emergency Department
  • Renal mass (2WW)
Scrotal US
  • Suspected testicular mass
  • Scrotal pain
MSK TBA   

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