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Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with a 2-cm smooth-walled lung nodule containing fatty elements by Hounsfield attenu...
Conservative management (do nothing)
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with a 2-cm smooth-walled lung nodule containing fatty elements by Hounsfield attenu...
Follow-up imaging only
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with a 2-cm smooth-walled lung nodule containing fatty elements by Hounsfield attenu...
Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography whole body
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with a 2-cm smooth-walled lung nodule containing fatty elements by Hounsfield attenu...
Percutaneous lung biopsy
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with a 2-cm smooth-walled lung nodule containing fatty elements by Hounsfield attenu...
Surgical lung biopsy/resection
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with known multiple pulmonary nodules from metastatic cancer. All lesions but 1 have...
Percutaneous lung biopsy
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with known multiple pulmonary nodules from metastatic cancer. All lesions but 1 have...
Bronchoscopic biopsy (repeat biopsy)
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with known multiple pulmonary nodules from metastatic cancer. All lesions but 1 have...
Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography whole body
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with known multiple pulmonary nodules from metastatic cancer. All lesions but 1 have...
Follow-up imaging only
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with known multiple pulmonary nodules from metastatic cancer. All lesions but 1 have...
Surgical lung biopsy/resection
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with known multiple pulmonary nodules from metastatic cancer. All lesions but 1 have...
Conservative management (do nothing)
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a positive purified protein derivative (tuberculin) test and abnormal chest radiograp...
Endoscopic/bronchoscopic biopsy
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a positive purified protein derivative (tuberculin) test and abnormal chest radiograp...
Percutaneous mediastinal biopsy
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a positive purified protein derivative (tuberculin) test and abnormal chest radiograp...
Surgical mediastinal biopsy/resection
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a positive purified protein derivative (tuberculin) test and abnormal chest radiograp...
Follow-up imaging only
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a positive purified protein derivative (tuberculin) test and abnormal chest radiograp...
Conservative management (do nothing)
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed...
Endoscopic/bronchoscopic mediastinal biopsy
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed...
Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography whole body
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed...
Percutaneous lung biopsy
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed...
Percutaneous mediastinal biopsy
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed...
Surgical pulmonary nodule biopsy/resection
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed...
Follow-up imaging only
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed...
Conservative management (do nothing)
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with shortness of breath presenting with bilateral hilar adenopathy measuring up to ...
Bronchoscopic biopsy (repeat biopsy)
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with shortness of breath presenting with bilateral hilar adenopathy measuring up to ...
Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography whole body
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with shortness of breath presenting with bilateral hilar adenopathy measuring up to ...
Follow-up imaging only
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with shortness of breath presenting with bilateral hilar adenopathy measuring up to ...
Surgical lung biopsy/resection
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with shortness of breath presenting with bilateral hilar adenopathy measuring up to ...
Percutaneous lymph node biopsy
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with shortness of breath presenting with bilateral hilar adenopathy measuring up to ...
Conservative management (do nothing)
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) presenting with a 3-cm lobular mass involving the left pleura associated with rib er...
Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography whole body
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) presenting with a 3-cm lobular mass involving the left pleura associated with rib er...
Percutaneous lung biopsy
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) presenting with a 3-cm lobular mass involving the left pleura associated with rib er...
Surgical pleural biopsy/resection
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) presenting with a 3-cm lobular mass involving the left pleura associated with rib er...
Conservative management (do nothing)
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) presenting with a 3-cm lobular mass involving the left pleura associated with rib er...
Follow-up imaging only
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis.
Endoscopic internal biliary catheter (removable plastic stent)
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis.
Percutaneous internal/external biliary catheter
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis.
Endoscopic US-guided biliary drainage (EUS-BD)
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis.
Removable biliary covered stent
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis.
Medical management only
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis.
Surgery
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis.
Permanent biliary metallic stent
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with elevated bilirubin and suspected sclerosing cholangitis.
Endoscopic internal biliary catheter (removable plastic stent)
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with elevated bilirubin and suspected sclerosing cholangitis.
Medical management only
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with elevated bilirubin and suspected sclerosing cholangitis.
Percutaneous internal/external biliary catheter
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with elevated bilirubin and suspected sclerosing cholangitis.
Removable biliary covered stent
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with elevated bilirubin and suspected sclerosing cholangitis.
Surgery
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with elevated bilirubin and suspected sclerosing cholangitis.
Permanent biliary metallic stent
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic s...
Endoscopic internal biliary catheter (removable plastic stent)
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic s...
Percutaneous internal/external biliary catheter
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic s...
Removable biliary covered stent
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic s...
Endoscopic US-guided biliary drainage (EUS-BD)
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic s...
Surgery
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic s...
Medical management only
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic s...
Permanent biliary metallic stent
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy.
Endoscopic internal biliary catheter (removable plastic stent)
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy.
Percutaneous internal/external biliary catheter
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy.
Surgery
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy.
Endoscopic US-guided biliary drainage (EUS-BD)
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy.
Medical management only
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy.
Permanent biliary metallic stent
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy.
Removable biliary covered stent
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis.
Endoscopic internal biliary catheter (removable plastic stent)
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis.
Percutaneous internal/external biliary catheter
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis.
Endoscopic US-guided biliary drainage (EUS-BD)
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis.
Medical management only
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis.
Removable biliary covered stent
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis.
Surgery
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis.
Permanent biliary metallic stent
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma).
Endoscopic internal biliary catheter (removable plastic stent)
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma).
Percutaneous internal/external biliary catheter
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma).
Percutaneous biliary metallic stent
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma).
Removable biliary covered stent
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma).
Surgery
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma).
Endoscopic US-guided biliary drainage (EUS-BD)
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma).
Medical management only
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor).
Percutaneous internal/external biliary catheter
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor).
Endoscopic internal biliary catheter (removable plastic stent)
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor).
Permanent biliary metallic stent
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor).
Removable biliary covered stent
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor).
Surgery
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor).
Endoscopic US-guided biliary drainage (EUS-BD)
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor).
Medical management only
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K).
Endoscopic internal biliary catheter (removable plastic stent)
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K).
Percutaneous internal/external biliary catheter
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K).
Medical management only
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K).
Endoscopic US-guided biliary drainage (EUS-BD)
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K).
Removable biliary covered stent
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K).
Surgery
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K).
Permanent biliary metallic stent
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites.
Endoscopic internal biliary catheter (removable plastic stent)
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites.
Percutaneous internal/external biliary catheter
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites.
Medical management only
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites.
Removable biliary covered stent
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites.
Endoscopic US-guided biliary drainage (EUS-BD)
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites.
Permanent biliary metallic stent
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites.
Surgery
The proposed procedure is **usually not appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Patient with right lower quadrant abdominal pain, fever, and leukocytosis for 7 days. Physical examination shows no perito...
Percutaneous catheter drainage only
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Patient with right lower quadrant abdominal pain, fever, and leukocytosis for 7 days. Physical examination shows no perito...
Percutaneous catheter drainage followed by delayed surgery
The proposed procedure is **usually appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Patient with right lower quadrant abdominal pain, fever, and leukocytosis for 7 days. Physical examination shows no perito...
Needle aspiration
The proposed procedure is **may be appropriate**
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Patient with right lower quadrant abdominal pain, fever, and leukocytosis for 7 days. Physical examination shows no perito...
Surgical drainage
The proposed procedure is **may be appropriate**