113. CHEST, ABDOMEN and PELVIS with oral and IV contrast

Scan Acquisition	1. Pulmonary arterial	2. Abdomen and pelvis, portal phase
Range	Clavicular heads through both costophrenic angles	Top of diaphragm to ischial tuberosities
Care Dose 4D	On	On
Quality Reference	130	180
KV / Effective mAs / Rotation time	120 / 130 / 0.5 seconds	120 / 180 / 0.5 seconds
Detector Collimation	1.5 mm	1.5 mm
Slice Thickness	3 mm	3 mm
Pitch factor	1.3	1.3
Kernel (for initial reconstruction)	B30f	B30f
Increment	3 mm	3 mm
Image order	Cranial - Caudal	Cranial - Caudal
Oral Contrast	ER / inpatient / suspected perforation: 750 cc dilute gastrografin Outpatient: 750 cc Redicat
Intravenous Contrast	100 cc Isovue 300 / 30 saline chaser (Dual Injector)
Injection Rate	3 cc second	N/A
Scan Delay	Usual: 25 seconds (if using 2.5 cc/second increase to 30 seconds). For pt. with heart disease: Use Care Bolus ; Timing off Main PA	70 seconds
Reconstruction (Series to send to PACS)	1. Recon 3x3 B30f mediastinum medium smooth 2. Recon 3x3 B80f lung ultrasharp 3. Recon 2x1 B80f mediastinum to 3D Card for coronal reconstruction 4. Recon 3x3 B30f abdomen medium smooth

Clinical