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Imaging referrals

All plain film GP referrals must be booked appointments only. There will be no CT or MR.

Ultrasound will be carried out as per British Medical Ultrasound Society national guidance.

Referral advice

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

Neck

Yes No
  • Rapidly increasing thyroid lump
  • First imaging for gradually increasing thyroid lump
  • Salivary gland tumour (plus 2WW)
  • Hoarse voice 2WW
  • Dysphagia 2WW
  • Follow up thyroid imaging
  • Hyperparathyroidism
  • Globus, throat discomfort
  • Lateral/posterior neck pain

Lymph nodes

Yes No
Persistently enlarged/increasing in size If malignancy suspected A&G/2WW depending upon specific problem

Soft tissue mass

Yes No
More than 5cm, infiltrative changes or rapidly increasing
  • Sebaceous cysts
  • Small lipoma
  • Neurofibromas

Abdomen

Yes No
  • Gallstones/RUQ pain
  • Enlarged liver metastasis (plus 2WW)
  • Persistent elevation of ALP
  • Jaundice or obstructive LFT (plus 2WW)
  • Bloating with palpable mass (plus 2WW)
  • Ascites (?2WW/A&G route)
  • Diabetes
  • Obesity
  • Statins/medications known to affect LFT
  • Diverticular disease
  • IBS

Gynaecology

Yes No
  • 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

Yes No
  • 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

Yes No
Suspected testicular mass Scrotal pain

Last reviewed: 11 January 2022