All plain film
Booked appointments only
No CT or MR
UHB commit to reviewing all pre-existing pathway, starting with neurology and headache, shoulder imaging and low back pain- to be completed and agreed by 1st August.
Ultrasound as per BMUS national guidance
Can refer for: Gallstones, Right upper quadrant pain, persistent abnormal liver function test, Testicular US (? Cancer), gynaecology/pelvic scans, rapid increase in size of superficial/deep soft tissue masses and persistently enlarged lymph nodes in the neck
Cannot refer for: scrotal pain, diabetes, change in bowel habit, polycystic ovaries and follow up of long standing lumps and bumps
| Area of interest | Yes | No |
| Neck | Rapidly increasing thyroid lump First imaging for gradually increasing thyroid lump Salivary gland tumour ( + 2WW) |
Hoarse voice 2WW Dysphagia 2WW Follow up thyroid imaging Hyperparathyroidism Globus, throat discomfort Lateral/posterior neck pain |
| Lymph nodes | Persistently enlarged/increasing in size | If malignancy suspected A&G / 2WW depending upon specific problem |
| Soft tissue mass | More than 5 cm, infiltrative changes or rapidly increasing | Sebaceous cysts, small lipoma, neurofibromas |
| Abdomen | Gallstones / RUQ pain Enlarged liver ?metastasis (+2WW) Persistent elevation of ALP Jaundice or obstructive LFT (+2WW) Bloating with palpable mass(?2WW) Ascites (?2WW/ A &G route) |
Diabetes, obesity, statins/medications known to affect LFT Diverticular disease, IBS |
| Gynaecology | Pelvic pain with additional symptoms and signs Pelvic pain in >50 years of age | Simple ovarian cyst <5cm with pain. Polycystic ovaries Follow up of fibroids, dermoids, cysts Post menopausal bleeding (2WW) |
| Urinary tract | First episode of UTI in men Recurrent UTI in women |
Hypertension ?renal artery stenosis Visible haematuria (2WW) Acute renal colic – CT via Emergency department Renal mass (2WW) |
| Scrotal US | Suspected testicular mass | Scrotal pain |
| MSK | TBA |
