Locations
Office
My office hours
Wednesday: 8:00am - 5:00pm
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About
Bio
Dr. Bream (aka Dr. McBreamy) is an Associate Professor of Radiology and Medicine at Vanderbilt University Medical Center. He graduated from Davidson College, UNC School of Medicine, did his residency at the University of Alabama at Birmingham and his fellowship in Interventional Radiology at UNC Chapel Hill. He currently serves as Associate Chief of Interventional Radiology and is the Fellowship Program Director. He is facile in all areas of Interventional Radiology but has special interests in venous access, gastrostomy, enterocutaneous fistula, pulmonary hypertension, cystic fibrosis, and Information Technology.
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Radiology
interventional radiology
Languages spoken
English
Doctor Q&A
27 Answers
8 Agrees
The number of answers this doctor has agreed with.
A 28-year-old male asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Standard ct scan: This refers to a ct scan that covers from the diaphragm to the upper legs. This also refers to contrast "dye" injected in your IV during the scan. The... Read More
5.4k viewsReviewed >2 years ago
A 49-year-old female asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Not likely: Free air in the abdomen usually represents a perforated bowel and can constitute a surgical emergency. However, there are non life threatening causes ... Read More
3.9k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Doppler signals: You are referring to color doppler. The red signals are coming from blood moving towards the ultrasound machine probe and the blue is flowing away fro... Read More
4.9k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Lots of things: Ultrasound is a good way to image the liver for problems without using x-rays. Things that ultrasound picks up include gall bladder problems, masses i... Read More
4.9k viewsReviewed >2 years ago
A 38-year-old female asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Go to a urologist!: Stones that are that large can harbor infection and can cause lots of problems. Go see a urologist. They can possibly scope from the inside and break ... Read More
5k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Should not affect it: Consuming alcohol will not affect your test. Obviously, practice safe drinking habits like not driving and drinking a glass of water between drinks an... Read More
4.9k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Yes and no: A benign kidney mass, the most common is called a simple cyst, does not cause kidney stones. Stasis of urine, diet and genetics cause stones. If there... Read More
4.9k viewsAnswered >2 years ago
A 24-year-old male asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Depends: Ultrasound and x-rays are both used to "look" into the body for diagnosis. X-ray uses ionizing radiation which is safe in doses given for usual images... Read More
5.9k viewsReviewed >2 years ago
A 37-year-old female asked:
Dr. Peter Breamanswered
Radiology 26 years experience
More information: A single finding of an enlarged artery can mean several things. If you have no symptoms of arterial problems in your hand, it most likely is a normal ... Read More
5k viewsAnswered >2 years ago
A 44-year-old member asked:
Dr. Peter Breamanswered
Radiology 26 years experience
No: Ultrasound would not be able to tell if there were traces of alcohol or tobacco. Ultrasound is a very useful tool for detecting abnormalities througho... Read More
5k viewsAnswered >2 years ago
A 21-year-old male asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Not very high: A chest radiograph does not tell if someone is smoking. It can tell the doctor if someone has inevitable side effects from smoking such as pneumonia, ... Read More
5k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Both use X-rays: By general radiology i assume you mean conventional radiographs like a chest x-ray. The difference between that and fluoroscopy is that fluoroscopy is... Read More
5.9k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Possibly: Constipation leads to straining and straining can cause an inguinal hernia which is one cause of groin pain, so i would recommend a check with your ge... Read More
5.9k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Sweat chloride test: CF is an abnormality of chloride channels. A simple test where they tape a special paper to your arm and measure the amount of chloride in your sweat ... Read More
5.9k viewsReviewed >2 years ago
A member asked:
Dr. Peter Breamanswered
Radiology 26 years experience
AVM: I agree that comparison with prior radiographs is the first step. Regardless if it is new or not, evaluation with a contrasted ct scan is recommended.... Read More
6k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Peter Breamanswered
Radiology 26 years experience
More information: Arterio-venous malformations at the basic level is an abnormal connection to an artery and vein. They can occur anywhere in the body and can be someth... Read More
6k viewsReviewed >2 years ago
A 39-year-old male asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Do you hurt?: Varicoceles are common on the left side in males and are due to reflux of blood from a blood vessel that connects to your left kidney vein. These can ... Read More
5k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Liver tests: A hida scan is a scan where a medicine that is taken up and excreted by you liver is tagged with a radioactive particle that can be captured on a moni... Read More
5.6k viewsReviewed >2 years ago
A 26-year-old male asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Not necessarily: While x-ray is the easiest and least expensive way to tell if a bone is healed, sometimes a nuclear medicine bone scan or MRI is needed to tell change... Read More
5k viewsAnswered >2 years ago
A 74-year-old female asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Restless leg?: You may have restless leg syndrome caused by arterial insufficiency to your legs. Go see your doctor and get a test called and ankle-brachial index (a... Read More
5k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Live X-rays: Fluoroscopy refers to a moving image of x-rays used by radiologists to guide needles, wires and catheters in the body. Using pulses of x-rays, a compu... Read More
5.4k viewsAnswered >2 years ago
1 comment
A 28-year-old male asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Computed Tomography: Ct stands for computed tomography which means that it is a special type of x-ray picture that can show slices of the body. Rather than a simple x-ray ... Read More
5.4k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Get checked out: There are a number of causes for your symptoms. First of all, you are young and you seem to be taking good precautions regarding your sexual activity ... Read More
5k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Transvaginal: The transnational probe gives much higher resolution images of the uterus and ovaries. This has to do with the higher frequency of the probe and close... Read More
4.9k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Need more info: Are you talking about your groin where they went in? If so, it is nor, al to have those feelings for up to a week. If it bleeds or if there is swellin... Read More
5.9k viewsReviewed >2 years ago
A 24-year-old male asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Jaundice: Abdominal discomfort associated with itching can be a sign of bile duct blockage in the liver. A simple lab test and/or ultrasound will help rule this... Read More
6k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Peter Breamanswered
Radiology 26 years experience
Both means to an end: Hemodialysis and peritoneal dialysis both accomplish filtering the blood of impurities. Hemodialysis is done by rapidly filtering the blood through a ... Read More
5.6k viewsReviewed >2 years ago
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
105
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Bream is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Bream is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer or tip was very helpful! Concise, clear & comprehensive answer - one of the best! Thank you -
HealthTap member
Thanks for your quick reply! Thanks.We are currently consulting hematologist, is it not sufficient
HealthTap member
Thank you, your answer was very helpful!
Education & Training
Medical/Graduate school
University of North Carolina School of Medicine, NC
Graduated 1996MD
Affiliations
american medical association
society of interventional radiology
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