Radiology Prescription

Please correct the errors described below.

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Patient Name

DOB

FASTING: YES

Diagnosis

X-RAY

ULTRASOUND

NUCLEAR MEDICINE

Esophagogram

Barium Swallow

Upper GI series

Small Bowel Series

Obstructive series

KUB

CXR PA and Lateral

DEXA Scan

Barium Enema

Abdomen

Pelvis

Abdomen and pelvis

Neck

Thyroid

HIDA scan

HIDA scan with CCK

CT SCAN

MRI

ORAL CONTRAST

IV CONTRAST

WITH AND WIHOUT CONTRAST

Abdomen and pelvis

MRCP without contrast

Triple phase CT of the abdomen for liver lesions

Abdomen with Organ of interest

CT abdomen with pancreatic protocol

CT enterography

Abdomen and pelvis

Virtual colonoscopy

Pelvis

The patient has been prescribed BMP to check BUN/ Creatinine and GFR prior to CT scan, please check the results before injecting the dye.

BUN

Creatinine

GFR

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Date

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