AMA Clinical Examples in Radiology - 2019 Issue 4 (Fall)
Thyroid Carcinoma Scan with SPECT/CT
RADIOLOGY TEST CASE Thyroid Carcinoma Scan with SPECT/CT The radiology test case is provided for coding professionals to test their knowledge. Please take some time to review and code the case. Consider your answers as to how the procedure is reported in 2019. Once you are confident with your answer, turn to page 14 for the correct answer and discussion. CLINICAL HISTORY A 16-year-old female with a history of thyroid cancer, status post-thyroidectomy with concern for metastases. The thyroid-stimulating hormone (TSH) level was 45.3 uIU/mL. TECHNIQUE Twenty-four hours following the uneventful oral administration of 2.2 mCi of...
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Article Overview
This radiology test case is aimed at coding professionals and focuses on a thyroid carcinoma imaging study performed with SPECT/CT. It presents the clinical context, imaging technique, and reported findings so readers can evaluate how the procedure would be reported in 2019. The article is relevant to radiology coders and others working with nuclear medicine, cross-sectional imaging, and oncology-related diagnostic studies.
Why This Topic Matters
Thyroid cancer imaging reports often involve multiple modalities and specific documentation details that affect accurate coding and record review. This case helps readers assess relevance to radiology and nuclear medicine coding workflows without disclosing the premium article’s answer and discussion.
Article Sections
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Clinical History
Summarizes the patient background and the reason the imaging study was performed.
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Technique
Describes the imaging protocol, tracer administration, and the types of images acquired during the exam.
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Findings
Presents the imaging observations across the neck, whole body, and SPECT/CT components of the study.
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Impression
States the overall diagnostic interpretation of the imaging results.
What You Will Learn
- How a thyroid carcinoma nuclear medicine case is structured for coding review
- What clinical and imaging documentation is included in a SPECT/CT study report
- How radiology test cases present information for 2019 coding practice review
- Which general findings and impressions may appear in a thyroid cancer imaging report
Who Should Read This
- Radiology coders
- Nuclear medicine coders
- Coding auditors
- Health information management professionals
- Medical coding educators
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