Adrenals

Priority Description
1. P1 High probability of potentially life threatening condition
2. P2 High probability of condition potentially causing significant long term harm
3. P3 Possibility of potentially life threatening condition
4. P4 Possibility of condition potentially causing significant long term harm
5. P5 Unlikely to be life threatening or cause significant long term harm

Protocol code	When to use
?Ca 2Wk	? Cancer 2ww – use as normal – scan to be scheduled within 2 weeks
Urgent	Urgent – use as normal – scan to be scheduled within 4 weeks
COVID – Semi Urgent	Examination needs performing during next few months
Routine	Do not use during Covid pandemic
COVID P5 Cancel	Examination is P5 exam and will be cancelled and re refer back to clinician
Cancel	Examination to be cancelled due to non-justification of examination only ( not due to COVID)
On hold	Use as normal

All routine are reclassified as above.

Indication	COVID Cancel	COVID Urgent	Brief description	Slice thickness and reconstruction kernel	Further details of contrast timing/explanation of what the radiographers do	Abbreviation
Characterise adrenal lesion/nodule (inc Conn’s)		X	Pre-contrast and review for possible 65 seconds and 15 minute delayed Currently we do arterial for Conn's...	1.5 mm B30f, 1.2 mm increment.	Pre/65 seconds/15 minutes	Pre contrast and review for CT adrenals
Previous adrenal cancer		X	CT triple phase adrenals (pre-contrast/65 second and 15 minute delayed)	1.5 mm B30f, 1.2 mm increment.	Pre/65 seconds/15 minutes	CT adrenals Post contrast
Phaeochromocytoma?		X	CT abdomen to below aortic bifurcation to exclude paraganglioma (pre-contrast/65 second PV +/- 15 minute delayed	1.5 mm B30f, 1.2 mm increment.	Pre/65 seconds/15 minutes	Pre-contrast abdo + abdo + c +/- 15 min delay
Adrenocortical cancer staging		X	CT chest, abdomen & pelvis + contrast	1.5 mm B30f, 1.2 mm increment.	65 seconds	CT CAP + c