ACR Appropriateness Criteria on acute respiratory illness.

Journal Article

In a patient with acute respiratory illness (cough, sputum production, chest pain, and/or dyspnea), the need for chest imaging depends on the severity of illness, age of the patient, clinical history, physical and laboratory findings, and other risk factors. Chest radiographs seem warranted when one or more of the following are present: age > or = 40; dementia; a positive physical examination; hemoptysis; associated abnormalities (leukocytosis, hypoxemia); or other risk factors, including coronary artery disease, congestive heart failure, or drug-induced acute respiratory failure. Chest CT may be warranted in complicated cases of severe pneumonia and in febrile neutropenic patients with normal or nonspecific chest radiographic findings. Literature on the indications and usefulness of radiologic studies for acute respiratory illness in different clinical settings is reviewed.

Full Text

Duke Authors

Cited Authors

  • Washington, L; Khan, A; Mohammed, T-L; Batra, PV; Gurney, JW; Haramati, LB; Jeudy, J; Macmahon, H; Rozenshtein, A; Vydareny, KH; Kaiser, L; Raoof, S

Published Date

  • October 2009

Published In

Volume / Issue

  • 6 / 10

Start / End Page

  • 675 - 680

PubMed ID

  • 19800586

Pubmed Central ID

  • 19800586

Electronic International Standard Serial Number (EISSN)

  • 1558-349X

Digital Object Identifier (DOI)

  • 10.1016/j.jacr.2009.06.022


  • eng

Conference Location

  • United States