ACR Appropriateness Criteria® on Acute Respiratory Illness

Lacey Washington, Arfa Khan, Tan Lucien Mohammed, Poonam V. Batra, Jud W. Gurney, Linda B. Haramati, Jean Jeudy, Heber MacMahon, Anna Rozenshtein, Kay H. Vydareny, Larry Kaiser, Suhail Raoof

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations


In a patient with acute respiratory illness (cough, sputum production, chest pain, and/or dyspnea), the need for chest imaging depends on the severity of illness, age of the patient, clinical history, physical and laboratory findings, and other risk factors. Chest radiographs seem warranted when one or more of the following are present: age ≥ 40; dementia; a positive physical examination; hemoptysis; associated abnormalities (leukocytosis, hypoxemia); or other risk factors, including coronary artery disease, congestive heart failure, or drug-induced acute respiratory failure. Chest CT may be warranted in complicated cases of severe pneumonia and in febrile neutropenic patients with normal or nonspecific chest radiographic findings. Literature on the indications and usefulness of radiologic studies for acute respiratory illness in different clinical settings is reviewed.

Original languageEnglish (US)
Pages (from-to)675-680
Number of pages6
JournalJournal of the American College of Radiology
Issue number10
StatePublished - Oct 2009
Externally publishedYes


  • Appropriateness criteria
  • diagnostic imaging
  • pneumonia

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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