American College of Radiology
ACR Appropriateness Criteria®

Routine Chest Radiography

Variant 1: No clinical concern on basis of history or physical examination.
Procedure Appropriateness Category SOE Adult RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
Radiography chest routine admission Usually not appropriate ☢ <0.1 mSv 3 n/a 0 0 0 0 0 0 0 0 0
Radiography chest routine preoperative Usually not appropriate ☢ <0.1 mSv 3 n/a 0 0 0 0 0 0 0 0 0
Radiography chest routine outpatient Usually not appropriate ☢ <0.1 mSv 2 n/a 0 0 0 0 0 0 0 0 0
Variant 2: Suspicion of acute or potentially unstable chronic cardiopulmonary disease by history or physical examination.
Procedure Appropriateness Category SOE Adult RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
Radiography chest routine admission Usually appropriate ☢ <0.1 mSv 9 n/a 0 0 0 0 0 0 0 0 0
Radiography chest routine outpatient Usually appropriate ☢ <0.1 mSv 8 n/a 0 0 0 0 0 0 0 0 0
Radiography chest routine preoperative Usually appropriate ☢ <0.1 mSv 8 n/a 0 0 0 0 0 0 0 0 0
Variant 3: Increased risk, patient- or procedure-related (ie, advanced age [particularly >70 years], unreliable history and physical examination, high-risk surgery).
Procedure Appropriateness Category SOE Adult RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
Radiography chest routine admission Usually appropriate ☢ <0.1 mSv 7 n/a 0 0 0 0 0 0 0 0 0
Radiography chest routine preoperative Usually appropriate ☢ <0.1 mSv 7 n/a 0 0 0 0 0 0 0 0 0
Radiography chest routine outpatient May be appropriate ☢ <0.1 mSv 6 n/a 0 0 0 0 0 0 0 0 0
Please refer to the supporting documentation for a more complete discussion of the concepts and their definitions below.
Final Tabulations:
A histogram of the number of panel members who rated the recommendation as noted in the column heading (ie, 1, 2, 3, …etc.)
Disagree:
The variation of the individual ratings from the median rating indicates panel disagreement on the final recommendation.
References:
Lists the references associated with the recommendation
SQ:
Study Quality (1, 2, 3, 4, Good M or Inadequate M) of the references listed.
RRL:
Information on the Relative Radiation Level (RRL) designations can be found here.