ORDERING GUIDELINES: ULTRASOUND

GENERAL INFORMATION

 The patient’s history/diagnosis/reason for exam MUST include a symptom. We cannot accept “Rule Out . . .” as the sole diagnosis/reason for exam. Likewise, a sole diagnosis/reason for exam such as “gallstones” cannot be accepted. A symptom that results in a suspicion of gallstones, e.g., “right upper quadrant pain after meals,” must be provided.  If the patient does not speak English, you must notify Central Scheduling when you make the appointment that an interpreter will be needed.  For additional information on ultrasound exams, and other radiology exams, please consult the American College of Radiology’s ACR Appropriateness Criteria® document found at www.acr.org.

For ordering guidelines, please scroll to the appropriate page(s). For Breast Ultrasound, please see the section on Mammography and Breast Ultrasound.

 Abdominal Ultrasound  Deep Vein Thrombosis Ultrasound  Obstetrical Ultrasound  Pelvic Ultrasound  Scrotal Ultrasound  Soft Tissue Ultrasound

ABDOMINAL ULTRASOUND EXAM INFORMATION

ABDOMINAL ULTRASOUND EXAM INFORMATION EXAM COMMON ORDERING NOTES OUTPATIENT INPATIENT AND INDICATIONS PREP EMERGENCY DEPARTMENT PATIENT PREP US Abdominal  Right upper quadrant  If the right upper  Patient should have  Patient should have nothing to Limited RUQ pain quadrant area and both nothing to eat or drink eat or drink for 6 hours prior to  Right flank pain kidneys are desired, for 6 hours prior to the the exam.  Epigastric pain order US Abdominal exam.  All EKG leads and stickers located Includes:  Jaundice Survey.  Patient may take in the area of interest should be Pancreas  Abnormal liver  When the left upper medications with a small removed so that the sonographer Liver function tests quadrant only is the amount of water. can access the area to be Gallbladder  Abnormality seen on primary area of scanned. Bile Ducts another imaging study interest, order US Right Kidney  Follow-up of known or Spleen. suspected abnormality in the right upper quadrant

US Spleen  Left upper quadrant  If the left upper  Patient should have  Patient should have nothing to pain quadrant area and both nothing to eat or drink eat or drink for 6 hours prior to  Left flank pain kidneys are desired, for 6 hours prior to the the exam. Includes:  Abnormality seen on order US Abdominal exam.  All EKG leads and stickers located Spleen another imaging study Survey.  Patient may take in the area of interest should be Left Kidney  Follow-up of known or medications with a small removed so that the sonographer suspected abnormality amount of water. can access the area to be in the left upper scanned. quadrant

ABDOMINAL ULTRASOUND EXAM INFORMATION EXAM COMMON ORDERING NOTES OUTPATIENT INPATIENT AND INDICATIONS PREP EMERGENCY DEPARTMENT PATIENT PREP US Abdominal  Abdominal pain  AN ABDOMINAL  Patient should have  Patient should have nothing to Survey  Flank pain SURVEY DOES NOT nothing to eat or drink eat or drink for 6 hours prior to  Abnormal laboratory EXAMINE THE PELVIS for 6 hours prior to the the exam. Includes: tests OR BOWEL. exam.  All EKG leads and stickers located Pancreas  Abnormality seen on  When the right upper  Patient may take in the area of interest should be Liver another imaging study quadrant only is the medications with a small removed so that the sonographer Gallbladder  Follow-up of known or primary area of amount of water. can access the area to be Bile Ducts suspected abnormality interest, order US Abd scanned. Right and Left in the abdomen Limited RUQ. Kidneys  When the left upper Spleen quadrant only is the Aorta (limited) primary area of IVC (limited) interest, order US Spleen.  If an abdominal hernia is the area of interest, order US Abdominal Wall.

US Aorta  Palpable or pulsatile  Patient should have  Patient should have nothing to abdominal mass nothing to eat or drink eat or drink for 6 hours prior to Includes:  Follow-up of a for 6 hours prior to the the exam. Aorta previously identified exam.  All EKG leads and stickers located Proximal Iliac abdominal aortic  Patient may take in the area of interest should be Arteries aneurysm medications with a small removed so that the sonographer amount of water. can access the area to be scanned.

ABDOMINAL ULTRASOUND EXAM INFORMATION EXAM COMMON ORDERING NOTES OUTPATIENT INPATIENT AND INDICATIONS PREP EMERGENCY DEPARTMENT PATIENT PREP US Aorta  Screening evaluation  Patient should have  This exam is only performed as Screening for abdominal aortic nothing to eat or drink an outpatient exam. aneurysm for 6 hours prior to the Includes: exam. Aorta  Patient may take Proximal Iliac medications with a small Arteries amount of water.

US Kidneys  Flank pain  If both kidneys and the  None  None  Abnormal renal right upper quadrant Includes: laboratory tests area are desired, order Right and Left  Renal abnormality US Abdominal Survey. Kidneys seen on another  If both kidneys and the imaging study left upper quadrant

 Follow-up of known or area are desired, order suspected renal US Abdominal Survey. abnormality  RENAL VASCULAR  Hematuria in a child STUDIES ARE ORDERED THROUGH THE CARDIOVASCULAR DEPARTMENT

ABDOMINAL ULTRASOUND EXAM INFORMATION EXAM COMMON ORDERING NOTES OUTPATIENT INPATIENT AND INDICATIONS PREP EMERGENCY DEPARTMENT PATIENT PREP US Kidney & U  Flank pain  If the bladder only is  Patient must have a full  Patient must have a full bladder. Bladder  Abnormal laboratory the area of interest, bladder.  Patient should drink four 8-ounce tests order US Bladder.  Patient should drink four glasses of water prior to the Includes:  Abnormality seen on 8-ounce glasses of water exam. Patient should be Right and Left another imaging study prior to the exam. FINISHED drinking the water at Kidneys  Follow-up of known or Patient should be least one hour before the exam. Urinary Bladder suspected renal or FINISHED drinking the  Patient should not void before urinary bladder water at least one hour the exam. abnormality before the exam.  In lieu of drinking water, patient  Hematuria in a child  Patient should not void can have IV fluids. before the exam.  A bladder scan should be performed before the patient is sent to the ultrasound department to verify that the patient has at least 250 ml of fluid in the bladder.  If the patient has a Foley catheter, it should be clamped prior to the exam in so that the bladder is full at the time of the exam.

ABDOMINAL ULTRASOUND EXAM INFORMATION EXAM COMMON ORDERING NOTES OUTPATIENT INPATIENT AND INDICATIONS PREP EMERGENCY DEPARTMENT PATIENT PREP US Bladder  Urinary retention,  If the kidneys are also  Patient must have a full  Patient must have a full bladder. frequency, or urgency of interest, order US bladder.  Patient should drink four 8-ounce Includes:  Palpable mass Kidneys & U Bladder  Patient should drink four glasses of water prior to the Urinary Bladder  Hematuria 8-ounce glasses of water exam. Patient should be prior to the exam. FINISHED drinking the water at Patient should be least one hour before the exam. FINISHED drinking the  Patient should not void before water at least one hour the exam. before the exam.  In lieu of drinking water, patient  Patient should not void can have IV fluids. before the exam.  A bladder scan should be performed before the patient is sent to the ultrasound department to verify that the patient has at least 250 ml of fluid in the bladder.  If the patient has a Foley catheter, it should be clamped prior to the exam so that the bladder is full at the time of the exam.

US Ascites 4  Search for free or  This exam looks for  None  None Quad Measure loculated peritoneal ascites only; it does and/or retroperitoneal not examine organs. Includes: fluid Abdomen Peritoneal Cavity DEEP VEIN THROMBOSIS ULTRASOUND EXAM INFORMATION

IMPORTANT INFORMATION: All arterial studies of extremities are ordered through the cardiovascular department.

DEEP VEIN THROMBOSIS ULTRASOUND EXAM INFORMATION EXAM COMMON ORDERING NOTES OUTPATIENT INPATIENT AND INDICATIONS PREP EMERGENCY DEPARTMENT PATIENT PREP US DVT Left Leg  Pain and swelling in left  This exam looks for deep  None  Patient should be transported on a leg vein thrombosis stretcher or bed Includes:  Follow-up for patients  If a palpable mass of the  Patient MUST have his/her Deep venous with known DVT in left left leg is the area of pants/pajama bottoms removed system of left leg leg interest, order US Soft before being transported. from the groin to Tissue Left Leg Underwear does not need to be the upper calf  If a Baker’s Cyst only is removed. suspected, order US Soft Tissue Left Leg

US DVT Right Leg  Pain and swelling in  This exam looks for deep  None  Patient should be transported on a right leg vein thrombosis stretcher or bed Includes:  Follow-up for patients  If a palpable mass of the  Patient MUST have his/her Deep venous with known DVT in right leg is the area of pants/pajama bottoms removed system of right leg right leg interest, order US Soft before being transported. from the groin to Tissue Right Leg Underwear does not need to be the upper calf  If a Baker’s Cyst only is removed. suspected, US Soft Tissue Right Leg

DEEP VEIN THROMBOSIS ULTRASOUND EXAM INFORMATION EXAM COMMON ORDERING NOTES OUTPATIENT INPATIENT AND INDICATIONS PREP EMERGENCY DEPARTMENT PATIENT PREP US DVT Bilateral  Pain and swelling in  This exam looks for deep  None  Patient should be transported on a Legs both legs vein thrombosis stretcher or bed  Follow-up for patients  Patient MUST have his/her Includes: with known DVT in pants/pajama bottoms removed Deep venous both legs before being transported. system of both Underwear does not need to be legs from the removed. groin to the upper calf

US DVT Left Arm  Pain and swelling in left  This exam looks for deep  None  Patient should be dressed in a arm vein thrombosis gown with snaps at the shoulders Includes:  Follow-up for patients  If a palpable mass of the  All EKG leads and stickers located Deep venous with known DVT in left left arm is the area of in the area of interest should be system of left arm arm interest, order US Soft removed so that the sonographer from the neck to Tissue Left Arm can access the area to be scanned. the elbow

US DVT Right Arm  Pain and swelling in  This exam looks for deep  None  Patient should be dressed in a right arm vein thrombosis gown with snaps at the shoulders Includes:  Follow-up for patients  If a palpable mass of the  All EKG leads and stickers located Deep venous with known DVT in right arm is the area of in the area of interest should be system of right right arm interest, order US Soft removed so that the sonographer arm from the neck Tissue Right Arm can access the area to be scanned. to the elbow

DEEP VEIN THROMBOSIS ULTRASOUND EXAM INFORMATION EXAM COMMON ORDERING NOTES OUTPATIENT INPATIENT AND INDICATIONS PREP EMERGENCY DEPARTMENT PATIENT PREP US DVT Bilateral  Pain and swelling in  This exam looks for deep  None  Patient should be dressed in a Arms both arms vein thrombosis gown with snaps at the shoulders  Follow-up for patients  All EKG leads and stickers located Includes: with known DVT in in the area of interest should be Deep venous both arms removed so that the sonographer system of both can access the area to be scanned. arms from the neck to the elbows

OBSTETRICAL ULTRASOUND EXAM INFORMATION

Obstetrical Ultrasound exams are divided below into three categories:  Less Than 14 Weeks Exams  Greater Than 14 Weeks Exams  Multiple Gestations Exams.

OBSTETRICAL ULTRASOUND EXAM INFORMATION EXAM COMMON ORDERING NOTES OUTPATIENT INPATIENT AND INDICATIONS PREP EMERGENCY DEPARTMENT PATIENT PREP

LESS THAN 14 WEEKS EXAMS US Preg Less Than  Size and dates  Patient should have a  Patient must have a  Patient must have the results of 14 Weeks  Vaginal bleeding in positive pregnancy test full bladder. βHcG test before ultrasound is early pregnancy before ultrasound is  Patient should drink ordered. ordered. four 8-ounce glasses  Patient must have a full bladder.  This exam includes of water prior to the  Patient should drink four 8-ounce evaluation of the exam. Patient glasses of water prior to the exam. maternal uterus and should be FINISHED Patient should be FINISHED adnexae. drinking the water drinking the water at least one  A transvaginal exam at least one hour hour before the exam. may also be performed before the exam.  Patient should not void before the per department  Patient should not exam. protocol or if void before the  In lieu of drinking water, patient specifically requested exam. can have IV fluids. by the provider. A  A bladder scan should be performed separate exam does before the patient is sent to the not need to be ultrasound department to verify ordered. that the patient has at least 250 ml of fluid in the bladder. OBSTETRICAL ULTRASOUND EXAM INFORMATION EXAM COMMON ORDERING NOTES OUTPATIENT INPATIENT AND INDICATIONS PREP EMERGENCY DEPARTMENT PATIENT PREP US  Determine  This exam does not  Patient must have a  Patient must have the results of Limited/Viability/Ec viability/fetal heart routinely examine the full bladder. βHcG test before ultrasound is topic beat maternal uterus and  Patient should drink ordered.  Suspected ectopic adnexae. four 8-ounce glasses  Patient must have a full bladder. pregnancy  Patient should have a of water prior to the  Patient should drink four 8-ounce positive pregnancy test exam. Patient glasses of water prior to the exam. before ultrasound is should be FINISHED Patient should be FINISHED ordered. drinking the water drinking the water at least one  A transvaginal exam at least one hour hour before the exam. may also be performed before the exam.  Patient should not void before the per department  Patient should not exam. protocol or if void before the  In lieu of drinking water, patient specifically requested exam. can have IV fluids. by the provider. A  A bladder scan should be separate exam does performed before the patient is not need to be sent to the ultrasound department ordered. to verify that the patient has at least 250 ml of fluid in the bladder.

OBSTETRICAL ULTRASOUND EXAM INFORMATION EXAM COMMON ORDERING NOTES OUTPATIENT INPATIENT AND INDICATIONS PREP EMERGENCY DEPARTMENT PATIENT PREP US Follow Up Less  Re-examination of an  A transvaginal exam  Patient must have a  Patient must have a full bladder. 14 Weeks abnormality seen on a may also be per full bladder.  Patient should drink four 8-ounce previous ultrasound department protocol or  Patient should drink glasses of water prior to the exam.  Vaginal bleeding in if specifically requested four 8-ounce glasses Patient should be FINISHED drinking early pregnancy when by the provider. A of water prior to the the water at least one hour before an initial ultrasound separate exam does exam. Patient the exam. exam has already not need to be should be FINISHED  Patient should not void before the been performed ordered. drinking the water exam. at least one hour  In lieu of drinking water, patient can before the exam. have IV fluids.   Patient should not A bladder scan should be performed before the patient is sent to the void before the ultrasound department to verify exam. that the patient has at least 250 ml of fluid in the bladder.

US Preg 1st Tri  Nuchal Lucency First  Lab order must also be  Patient must have a  This exam is only performed as an Screening Trimester Screening placed full bladder. outpatient exam. Test  A transvaginal exam  Patient should drink may also be performed four 8-ounce glasses per department of water prior to the protocol or if exam. Patient should specifically requested be FINISHED drinking by the provider. A the water at least separate exam does one hour before the exam. not need to be  Patient should not ordered. void before the exam. OBSTETRICAL ULTRASOUND EXAM INFORMATION EXAM COMMON ORDERING NOTES OUTPATIENT INPATIENT AND INDICATIONS PREP EMERGENCY DEPARTMENT PATIENT PREP

GREATER THAN 14 WEEKS EXAMS US Preg Greater  Fetal Survey  A transvaginal exam  Patient must have a  This exam is only performed as an Than 14 Weeks may also be performed full bladder. outpatient exam. per department  Patient should drink protocol or if four 8-ounce glasses specifically requested of water prior to the by the provider. A exam. Patient should separate exam does be FINISHED drinking not need to be the water at least ordered. one hour before the exam.  Patient should not void before the exam.

US Follow Up  Re-evaluation of an  A transvaginal exam  Patient must have a  Please call the Ultrasound Greater 14 Weeks abnormality seen on a may also be performed full bladder. Department (ext. 4448) for previous ultrasound per department  Patient should drink information about the patient protocol or if four 8-ounce glasses prep for this exam. specifically requested of water prior to the by the provider. A exam. Patient should separate exam does be FINISHED drinking not need to be the water at least ordered. one hour before the exam.  Patient should not void before the exam. OBSTETRICAL ULTRASOUND EXAM INFORMATION EXAM COMMON ORDERING NOTES OUTPATIENT INPATIENT AND INDICATIONS PREP EMERGENCY DEPARTMENT PATIENT PREP US Biophysical  Evaluate fetal well-  Does not include  None  None Profile being estimated fetal weight unless specifically requested.

MULTIPLE GESTATION EXAMS: US Preg Less Than  Size and dates  A transvaginal exam  Patient must have a  Patient must have a full bladder. 14 Wks Mult  Vaginal bleeding in may also be performed full bladder.  Patient should drink four 8-ounce early pregnancy per department  Patient should drink glasses of water prior to the protocol or if four 8-ounce glasses exam. Patient should be specifically requested of water prior to the FINISHED drinking the water at by the provider. A exam. Patient least one hour before the exam. separate exam does should be FINISHED  Patient should not void before not need to be drinking the water the exam. ordered. at least one hour  In lieu of drinking water, patient before the exam. can have IV fluids.  Patient should not  A bladder scan should be void before the performed before the patient is exam. sent to the ultrasound department to verify that the patient has at least 250 ml of fluid in the bladder.

OBSTETRICAL ULTRASOUND EXAM INFORMATION EXAM COMMON ORDERING NOTES OUTPATIENT INPATIENT AND INDICATIONS PREP EMERGENCY DEPARTMENT PATIENT PREP US Follow Up Less  Re-examination of an  A transvaginal exam  Patient must have a  Patient must have a full bladder. 14 Wks Mult abnormality seen on a may also be performed full bladder.  Patient should drink four 8-ounce previous ultrasound per department  Patient should drink glasses of water prior to the exam.  Vaginal bleeding in protocol or if four 8-ounce glasses Patient should be FINISHED early pregnancy when specifically requested of water prior to the drinking the water at least one an initial ultrasound by the provider. A exam. Patient hour before the exam. exam has already separate exam does should be FINISHED  Patient should not void before the been performed not need to be drinking the water exam. ordered. at least one hour  In lieu of drinking water, patient before the exam. can have IV fluids.   Patient should not A bladder scan should be performed before the patient is void before the sent to the ultrasound department exam. to verify that the patient has at least 250 ml of fluid in the bladder.

US Preg Greater 14  Fetal Survey  A transvaginal exam  Patient must have a  This exam is only performed as an Weeks Mult may also be performed full bladder. outpatient exam. per department  Patient should drink protocol or if four 8-ounce glasses specifically requested of water prior to the by the provider. A exam. Patient should separate exam does be FINISHED drinking not need to be the water at least ordered. one hour before the exam.  Patient should not void before the exam. OBSTETRICAL ULTRASOUND EXAM INFORMATION EXAM COMMON ORDERING NOTES OUTPATIENT INPATIENT AND INDICATIONS PREP EMERGENCY DEPARTMENT PATIENT PREP US Follow Up  Re-evaluation of an  A transvaginal exam  Patient must have a  Please call the Ultrasound Greater 14 Mult abnormality seen on a may also be performed full bladder. Department (ext. 4448) for previous ultrasound per department  Patient should drink information on the prep for this protocol or if four 8-ounce glasses exam. specifically requested of water prior to the by the provider. A exam. Patient separate exam does should be FINISHED not need to be drinking the water ordered. at least one hour before the exam.  Patient should not void before the exam.

US Biophysical  Evaluate fetal well-  Does not include  None  None Profile Mult being estimated fetal weight unless specifically requested.

PELVIC ULTRASOUND EXAM INFORMATION

PELVIC ULTRASOUND EXAM INFORMATION EXAM COMMON ORDERING NOTES OUTPATIENT INPATIENT AND INDICATIONS PREP EMERGENCY DEPARTMENT PATIENT PREP US Pelvic Non OB  Pelvic pain  This exam normally  Patient must have a  Patient must have a full bladder.  Amenorrhea includes both a full bladder.  Patient should drink four 8-ounce Includes:  Menorrhagia transabdominal exam  Patient should drink glasses of water prior to the Uterus  Metrorrhagia and a transvaginal exam four 8-ounce glasses exam. Patient should be Endometrium  Menometrorrhagia for patients age 18 or of water prior to the FINISHED drinking the water at Adnexae  Post-menopausal over. A separate exam. Patient should least one hour before the exam. Ovaries bleeding transvaginal exam does be FINISHED drinking  Patient should not void before not need to be ordered the water at least the exam.  Patient may choose not one hour before the  In lieu of drinking water, patient to do the transvaginal exam. can have IV fluids. exam  Patient should not  A bladder scan should be  Provider should provide void before the performed before the patient is any special instructions exam. sent to the ultrasound (such as “no transvaginal” department to verify that the or “transvaginal only.”) patient has at least 250 ml of  If an inguinal hernia is fluid in the bladder. suspected, order US Pelvic Wall.

PELVIC ULTRASOUND EXAM INFORMATION EXAM COMMON ORDERING NOTES OUTPATIENT INPATIENT AND INDICATIONS PREP EMERGENCY DEPARTMENT PATIENT PREP US Pelvic Follow  Follow-up of  This exam normally  Patient must have a  Patient must have a full bladder. Up Non OB previously detected includes both a full bladder.  Patient should drink four 8-ounce abnormality transabdominal exam  Patient should drink glasses of water prior to the Includes:  Further evaluation of and a transvaginal exam four 8-ounce glasses exam. Patient should be Uterus pelvic abnormality for patients age 18 or of water prior to the FINISHED drinking the water at Endometrium detected on another over. A separate exam. Patient should least one hour before the exam. Adnexae imaging study transvaginal exam does be FINISHED drinking  Patient should not void before Ovaries not need to be ordered the water at least the exam.  Patient may choose not one hour before the  In lieu of drinking water, patient to do the transvaginal exam. can have IV fluids. exam  Patient should not  A bladder scan should be  Provider should provide void before the performed before the patient is any special instructions exam. sent to the ultrasound (such as “no transvaginal” department to verify that the or “transvaginal only.”) patient has at least 250 ml of fluid in the bladder.

SCROTAL ULTRASOUND EXAM INFORMATION

SCROTAL ULTRASOUND EXAM INFORMATION EXAM COMMON INDICATIONS ORDERING NOTES OUTPATIENT INPATIENT AND PREP EMERGENCY DEPARTMENT PATIENT PREP Scrotum  Scrotal pain  None  None  Testicular trauma Testes  Palpable scrotal mass Scrotal Sac  Scrotal asymmetry, Epididymides enlargement, or swelling  Suspected scrotal hernia  Undescended testicle(s)  Follow-up of prior abnormality  Follow-up of abnormality found on another imaging study

SOFT TISSUE ULTRASOUND EXAM INFORMATION

SOFT TISSUE ULTRASOUND EXAM INFORMATION EXAM COMMON INDICATIONS ORDERING NOTES OUTPATIENT INPATIENT AND PREP EMERGENCY DEPARTMENT PATIENT PREP US Soft Tissue  Soft tissue mass on head  Order must identify  None  None Head/Neck or neck – not thyroid- location related

US Chest Wall  Soft tissue mass on  Order must identify  None  None chest (excluding breast) location of mass or upper back  Pleural effusion

US Abdominal Wall  Soft tissue mass on front  Order must identify  None  None or back of abdomen location  Suspected hernia

US Pelvic Wall  Soft tissue mass in pelvic  Order must identify  None  None wall, buttocks, perineum location or penis  Suspected hernia

SOFT TISSUE ULTRASOUND EXAM INFORMATION EXAM COMMON INDICATIONS ORDERING NOTES OUTPATIENT INPATIENT AND PREP EMERGENCY DEPARTMENT PATIENT PREP US Soft Tissue Left  Evaluation of soft tissue  Order must identify  None  Patient MUST have his/her Leg masses, swelling, or fluid location pants/pajama bottoms collection in left leg removed before being  Detection of foreign transported. Underwear does bodies in superficial soft not need to be removed. tissues of left leg  Soft tissue mass on left buttock  Soft tissue mass on perineum

US Soft Tissue Right  Evaluation of soft tissue  Order must identify  None  Patient MUST have his/her Leg masses, swelling, or fluid location pants/pajama bottoms collection in right leg removed before being  Detection of foreign transported. Underwear does bodies in superficial soft not need to be removed. tissues of right leg  Soft tissue mass on right buttock  Soft tissue mass on perineum

SOFT TISSUE ULTRASOUND EXAM INFORMATION EXAM COMMON INDICATIONS ORDERING NOTES OUTPATIENT INPATIENT AND PREP EMERGENCY DEPARTMENT PATIENT PREP US Soft Tissue Left  Evaluation of soft tissue  Order must identify  None  None Arm masses, swelling, or fluid location collection in left arm  Detection of foreign bodies in superficial soft tissues in left arm US Soft Tissue Right  Evaluation of soft tissue  Order must identify  None  None Arm masses, swelling, or fluid location collection in right arm  Detection of foreign bodies in superficial soft tissues in right arm

US Foot Plantar  Suspected plantar  Order must identify  None  None Faciitis fasciitis in one or both location feet

US Foot Mortons  Suspected Morton’s  Order must identify  None  None Neuroma neuroma in either foot location