Neoplasia Check – FAST Track Complete Report Guide
Table of Contents
1. Description
Use this Fast Track question when screening for possible neoplastic processes. This may include soft tissue masses, aggressive bone lesions, or suspected metastatic disease.
Scenarios when to use this fast track question:
- Thoracic, abdominal, or bone mass is visible or suspected
- There is a history of neoplasia and concern for progression or metastasis
- Patient presents with unexplained weight loss, pain, or neurologic signs
Clinical Signs Checklist (when submitting):
- Thoracic mass/nodules check
- Abdominal mass check
- Bone lesion check
- History of neoplasia
- Weight loss
- Pain
- Neurological signs
2. X-RAY Signals to Be Assessed
A. Primary Neoplasia Signals
- Lytic and/or Blastic Bone Lesions
- Mid Abdominal Mass
- Abdominal Mass Effect
- Thoracic Mass
- Limited Abdominal Detail
- Soft Tissue Swelling
B. Thoracic Findings
- Pleural Effusion
- Pneumothorax
- Caudodorsal Parenchymal Pattern
- Cranioventral Parenchymal Pattern
- Left Atrial Enlargement
- General Cardiomegaly
C. Abdominal Findings
- Hepatomegaly
- Prominent Spleen
- Spleen Visible
- Peritoneal Gas
- Uterine Distension
- Abdominal Hernia
D. Musculoskeletal Findings
- Bone Lesion – Skull
- Limb Fracture
- Pelvic Fracture
- Rib Fracture
- Skull Fracture
- Vertebral Fracture
3. Potential Diagnoses
A. Bone Lesions
- Aggressive Bone Lesions (e.g., neoplastic or infectious)
- Neoplasia – primary or metastatic
- Bone infection (osteomyelitis)
B. Abdominal Masses
- Organomegaly with or without discrete mass
- Mid-abdominal or soft tissue neoplasia
- Abdominal infection or abscess mimicking mass
C. Thoracic Masses
- Neoplasia (primary vs metastatic)
- Multiple nodules – metastatic disease
- Solitary mass – primary tumor
- Infectious or granulomatous lesion
D. Other
- Hemoabdomen secondary to bleeding mass
