Get the free CT WITHOUT Contrast - Proscan Imaging

Patient Registration Form (PLEASE PRINT) The Most Trusted Name in Medical Imaging For Office Use Only: Auto WC Self PATIENT INFORMATION Patient Full Name: Last First Patients SSN: Middle Initial Gender:

How to fill out ct without contrast

How to fill out CT without contrast:

1. Ensure that you have the correct form for a CT without contrast. This form may be different from the standard CT form that includes contrast administration.
2. Provide the patient's demographic details, including their name, age, gender, and medical record number.
3. Specify the reason for the CT without contrast. This could be an initial evaluation, follow-up imaging, or to evaluate a specific condition or symptom.
4. Document any relevant medical history or pre-existing conditions that may impact the interpretation of the CT scan.
5. If the patient has any known allergies or contraindications to contrast agents, indicate this clearly on the form.
6. Note any specific scanning protocols or techniques that may be required for the CT scan without contrast.
7. If there are any specific areas or regions of interest that need to be examined, mention these on the form.
8. Clearly state the referring physician's name and contact information for any clarifications or follow-up communication.
9. Review the completed form for accuracy and completeness before sending it to the radiology department.

Who needs CT without contrast:

1. Patients with known kidney dysfunction or impaired renal function may require a CT without contrast. Contrast agents can potentially worsen kidney function in these individuals.
2. Individuals with a known allergy or hypersensitivity to contrast agents may opt for a CT without contrast to avoid any adverse reactions.
3. In cases where the suspected condition or pathology can be adequately evaluated without contrast administration, a CT without contrast may be appropriate.
4. Patients with a high risk of contrast-induced nephropathy, such as those with diabetes, congestive heart failure, or multiple myeloma, may be recommended a CT without contrast.
5. Pregnant women may be candidates for a CT without contrast to minimize any potential risks to the fetus.
6. For follow-up imaging or surveillance purposes, a CT without contrast may be sufficient if the previous scans did not identify the need for contrast.

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What is ct without contrast?

CT without contrast is a medical imaging technique used to visualize the internal structures of the body without the use of a contrast agent.

Who is required to file ct without contrast?

Medical professionals such as radiologists or physicians may order a CT without contrast for diagnostic purposes.

How to fill out ct without contrast?

A radiology technician will perform the CT scan on the patient following standard imaging protocols.

What is the purpose of ct without contrast?

The purpose of CT without contrast is to assess the anatomy and pathology of the body without the interference of contrast media.

What information must be reported on ct without contrast?

The CT scan report should include detailed descriptions of the anatomical structures visualized and any abnormalities detected.