Dr. Michael Ginsburg

Interventional Radiology 14 years experience

Same exam: Here is a link to detailed information on ultrasonograpy, also called sonography including information on how the procedure is performed. http://www.u... Read More

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Dr. Alan Ali and 2 doctors agree3 doctors agree

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A 34-year-old female asked:

Ultrasound says 9mm small renal cyst, was not indicated if its simple or complex. what will i do? will i repeat it again? pls help

Interventional Radiology 14 years experience

Most Likely Benign : Most sub-centimeter cysts are too small to further characterize. However, if the radiologist didn't mention anything complicating the cyst, than its ... Read More

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5.3k viewsAnswered >2 years ago

A 41-year-old member asked:

What can a mri show on pituitary glands? my wife is going to get an mri done to examine her pituitary gland. if there is something wrong with her hypothalamus instead, would the mri also show that?

Interventional Radiology 14 years experience

Yes: Pituitary gland mris are used to discover tumors of the pituitary gland. These are usually benign. Parts of the brain including the hypothalamus are a... Read More

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Dr. Pamela Pappas and another doctor agree2 doctors agree

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A 35-year-old member asked:

Has anyone had improvement of carcinoma after chemoembolization?

Interventional Radiology 14 years experience

Definitely : Chemoembolization is proven to prolong survival. The importance of good targeting &#40;Cone beam CT&#41; can't be overstated! Making sure... Read More

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3.7k viewsReviewed >2 years ago

Dr. Thomas Wright agrees1 doctor agrees

A 31-year-old female asked:

Can the cecum be seen during a colonoscopy? or is it through a sigmoidoscopy? can cancer of the cecum be detected through radiology tests like ct/mri?

Interventional Radiology 14 years experience

Virtual Colonoscopy : Ileocecal valve ; cecum are seen during colonoscopy. Sigmoidoscopy doesn't reach the cecum. Virtual colonoscopy using ct or MRI is an alternative colo... Read More

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4.3k viewsAnswered >2 years ago

A 54-year-old female asked:

I woke a few days ago with pain and swelling on the lower front of neck. i can feel restriction wben swallowing. could my thyroid nodules be reason?

Interventional Radiology 14 years experience

It is unlikely: It is unlikely for a thyroid nodule to cause pain and swelling. Pain/swelling in the midline front of the neck may represent thyroiditis, inflamed th... Read More

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A 35-year-old male asked:

Which kinds of testicular cancer can be seen in the blood?

Interventional Radiology 14 years experience

Not a simple answer: To reassure you-testicular cancer has one of the highest cure rates of all cancers and almost 100% if it has not spread. First evaluation of testicula... Read More

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5.3k viewsReviewed >2 years ago

Dr. Chad Levitt agrees1 doctor agrees

A 32-year-old female asked:

What does a gallbladder sludge and cyst in the liver mean?

Interventional Radiology 14 years experience

Benign findings : Gallbladder sludge can be seen with rapid weight loss, prolonged fasting, really sick patients with low/absent oral intake or use of tpn.Certain drugs... Read More

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5.3k viewsReviewed >2 years ago

Dr. Barry Rosen and another doctor agree2 doctors agree

A 54-year-old male asked:

I had breathing problem ddimer test showed abnormally high did a ct angio pulmonary result showed no clot what could be the reason could it be allery?

Interventional Radiology 14 years experience

Many reasons : Elevated d-dimmer is non-specific and can be falsely elevated (false positive test). Its a screening test done to rule out a blood clot (pulmonary emb... Read More

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5.3k viewsAnswered >2 years ago

A 44-year-old female asked:

Does having an mri of the knee show scar tissue that has be built up? what do they do for arthofibrosis of the knee is surgery required?

Interventional Radiology 14 years experience

MRI is key: Mri is very helpful in evaluation of knee soft tissue injury including evaluation of ligaments, tendons as well as menisci. It can also visualize scar... Read More

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5.3k viewsAnswered >2 years ago

A 44-year-old member asked:

Ultrasound guided or ct guided biopsy of liver. which is more accurate?

Interventional Radiology 14 years experience

Both are accurate : Liver biopsies are performed for both focal liver lesions and nonfocal generalized liver disease playing a key role in the diagnosis and prognosticati... Read More

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5.3k viewsReviewed >2 years ago

Dr. Alan Ali and 2 doctors agree3 doctors agree

A 30-year-old female asked:

I need a mri of my l-spine but i'm almost a month pregnant can i still get it or not if not what's my other options?

Interventional Radiology 14 years experience

Why do you need it?: Per safety committee of the society for MRI & what i tell my patients-"mri may be used in pregnant women if other nonionizing forms of diagnostic imag... Read More

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5.1k viewsAnswered >2 years ago

A 44-year-old female asked:

What can be done if a person has already had radiology and laser surgery done for vercose veins but the problem is still there in the foot?

Interventional Radiology 14 years experience

Further Evaluation : Doppler ultrasound can be performed to assess the cause of any recurrent varicose veins after ablative procedure. The goal of ultrasound is to identif... Read More

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4.7k viewsReviewed >2 years ago

Dr. Thomas Inwood agrees1 doctor agrees

A 24-year-old female asked:

Fibrolamellar hepatocellular carcinoma common in the 20s and how do you prevent it?

Interventional Radiology 14 years experience

Very rare: Fibrolamellar carcinoma is a very rare primary hepatic malignancy which usually occurs in the setting of a normal liver parenchyma with median age of ... Read More

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3.7k viewsReviewed >2 years ago

Dr. Thomas Wright agrees1 doctor agrees

A male asked:

What are the chances a 4mm thyroid nodule with microcalcifications present is malignant? what are the cure and survival rates for a 29 y. o. male?

Interventional Radiology 14 years experience

High chance : The presence of microcalcifications is highly specific for malignancy and has important diagnostic value. If the nodule is indeed malignant and the on... Read More

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5.3k viewsReviewed >2 years ago

A 27-year-old female asked:

Ct of abdomen showed "circulating constipation". what does that mean? i don't feel constipated at all.

Interventional Radiology 14 years experience

Error : Radiologists dictate their reports using voice recognition systems that are prone to errors which occasionally escape detection. I suggest you call th... Read More

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5.3k viewsReviewed >2 years ago

Dr. Kenneth Smith agrees1 doctor agrees

A 29-year-old male asked:

For a stage iii b colon cancer removed surgically, why the chemo should be systemic rather than regional although there are no metastasis?

Interventional Radiology 14 years experience

Micrometastasis: The goal of adjuvant therapy is the eradication of occult micrometastatic tumor cells before metastatic disease becomes clinically evident. Undetected... Read More

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5k viewsReviewed >2 years ago

Dr. Alan Ali and 3 doctors agree4 doctors agree

A 31-year-old female asked:

My 2nd pregnancy and again a cyst in my left breast no pain the radiologist said it is nothing bad just fluid or just maybe milk could it be possible?

Interventional Radiology 14 years experience

Yes, it is possible: Some women may find a lump appear around the second trimester.The most common ones are cysts (fluid filled sacs), galactoceles (milk filled cysts) & f... Read More

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5k viewsAnswered >2 years ago

A 33-year-old female asked:

I have diamniotic monochorionic pregnancy. will it be a boy or a girl type or will it be same gender type?

Interventional Radiology 14 years experience

Identical twins: Identical twins (also called paternal) created from one sperm fertilizing one egg to form one zygote which then divides into two separate and identica... Read More

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Dr. Alan Ali and another doctor agree2 doctors agree

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A 18-year-old male asked:

Cavernous sinus thrombosis risk from picking at sore in nose and making it bleed?

Interventional Radiology 14 years experience

Unlikely-Conceivable: Cavernous sinus thrombosis is usually a late complication of an infection of the central face or paranasal sinuses. If significant infection is introd... Read More

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5k viewsReviewed >2 years ago

Dr. Alan Ali and another doctor agree2 doctors agree

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A 19-year-old female asked:

Slipped on ice mon. night been dizzy and neasous and short of breath i have also been forgetting things and sometimes i have difficulties walking and.

Interventional Radiology 14 years experience

See a Neurologist: You should make an appointment asap and get a full neurological evaluation. Be prepared to discuss your symptoms in detail with your doctor. You will ... Read More

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4.7k viewsAnswered >2 years ago

A 63-year-old male asked:

Appendix, colon cancer and bdominal hernia mesh implant surgeries. lots of scar tissue causing bowel blockages. can anything be done about it?

Interventional Radiology 14 years experience

Significant problem: There are no known medical treatments for adhesions. Once formed, there isn't medicine that can dissolve them. Symptomatic treatment with pain & anti-... Read More

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4.9k viewsReviewed >2 years ago

Dr. Shariq Refai agrees1 doctor agrees

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A 20-year-old male asked:

How to prevent oesophageal cancer ?

Interventional Radiology 14 years experience

Lifestyle and diet: Factors that cause irritation of your esophagus and increase your risk of esophageal cancer include (some are modifiable): barrett's esophagus (preca... Read More

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4.1k viewsReviewed >2 years ago

Dr. Veena Govila agrees1 doctor agrees

A 48-year-old female asked:

I have pain+in+the+right+shoulder & it hurts when i breathe in i have +had+it+all+day+?

Interventional Radiology 14 years experience

Pleuritic pain: You need to see/call your physician asap! pleuritic pain is concerning. Frequently benign, but there are few causes that need to be ruled out (pulmo... Read More

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5.3k viewsReviewed >2 years ago

Dr. Donald Alves agrees1 doctor agrees

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A 46-year-old member asked:

Help please? what is the cure for myoma uteri without surgical intervention?

Interventional Radiology 14 years experience

Fibroid Embolization: Uterine fibroid embolization is performed by an interventional radiologist, physician trained to perform minimally invasive procedures. After a small ... Read More

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3.8k viewsReviewed >2 years ago

Dr. John Munshower and 3 doctors agree4 doctors agree

A 39-year-old member asked:

What to do with conflicting ct scan results? i had a mammogram and a ct scan done. the ct scan showed a lump in my breast but the mammogram didn't show anything. what is done in situations like these? should another test be done other than ct or mamogra

Interventional Radiology 14 years experience

Its not conflicting : Ct can show lump in the breast that simply represent normal breast parenchyma. If it was a diagnostic mammogram evaluating the specific area of concer... Read More

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5.3k viewsAnswered >2 years ago

A 42-year-old male asked:

Do you have a higher risk of deep vein thrombosis and/or pulmonary embolism if you smoke cigarettes and chew tobacco?

Interventional Radiology 14 years experience

Yes, slightly higher: Both clinical and basic research have linked smoking to abnormalities of coagulation, fibrinolysis and to venous thromboembolic disease. Several poten... Read More

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4.9k viewsReviewed >2 years ago

Dr. Alan Ali and 5 doctors agree6 doctors agree

A 46-year-old member asked:

Are thre lymph nodes in my upper arm?

Interventional Radiology 14 years experience

Yes: The lymph nodes of the upper extremity are divided into two sets, superficial and deep. The superficial lymph nodes are few ; of small size. One or tw... Read More

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4.8k viewsReviewed >2 years ago

Dr. Bruce J. Stringer and 2 doctors agree3 doctors agree

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A 31-year-old female asked:

If you had a concussion and a little blood on the brain that they thought would desolve or go away on its own but showed up on a mri 3weeks lat then?

Interventional Radiology 14 years experience

MR is very sensitive: Mri is very sensitive in detecting blood products. It is even capable of staging the age of the bleed as the imaging characteristics of blood on MRI a... Read More

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4.9k viewsReviewed >2 years ago

Dr. Bennett Machanic and 5 doctors agree6 doctors agree

A 47-year-old male asked:

Can certain types of exercise aggravate an existing dvt? possibly cause another piece to break off and maybe result in a pe?

Interventional Radiology 14 years experience

Uncertain: There is evidence that early walking exercise can be started in uncomplicated DVT within the first day after appropriate anticoagulant treatment & use... Read More

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4.9k viewsReviewed >2 years ago

Dr. Sahba Ferdowsi and 4 doctors agree5 doctors agree

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A 22-year-old male asked:

Small lump on tibailis anterior muscle.i play competitive basketball.only appears when i step with that leg (right leg). disapears when leg is lifted.

Interventional Radiology 14 years experience

Muscle Hernia: Most muscle hernias occur in the lower leg & affect the tibialis anterior muscle. Swelling appears or enlarges when the affected muscle is contracted ... Read More

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A 30-year-old male asked:

I think theres a, bulging disc in my neck. having an mri soon, but my neck feels like it's pressing against my throat when i lay. how should i?

Interventional Radiology 14 years experience

Any Other Symptoms?: Would you be able to describe your symptoms a little bit more? Is it difficult and/or painful to swallow? If yes, does is it matter if its fluids vers... Read More

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A 39-year-old female asked:

Mri results.. i have the cd.. not sure how to get it to someone on here?

Interventional Radiology 14 years experience

Tell us more: What are you confused about or want to ask a question on? What do you want to clarify? Also, it would be helpful if you could expand on your symptoms ... Read More

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4.9k viewsReviewed >2 years ago

Dr. Shariq Refai agrees1 doctor agrees

A 37-year-old female asked:

Radial artery occlusion. ultrasound radiologist says ulnar artery i'd providing good flow. he says pain may be due yo nerve damage. what is treatment.

Interventional Radiology 14 years experience

Unclear question: Please describe your symptoms and the pain you are experiencing. Please also expand on the radial artery occlusion if possible; including where is it ... Read More

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5k viewsReviewed >2 years ago

Interventional Radiology 14 years experience

It depends: Early treatment with blood thinners is important to prevent a life-threatening pulmonary embolism, but does not treat the existing clot. Early in trea... Read More

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4.9k viewsReviewed >2 years ago

Dr. Thomas Wright and another doctor agree2 doctors agree

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A 39-year-old male asked:

What is a multi-striated ovarian cyst?

Interventional Radiology 14 years experience

Hemorrhagic cyst?: It may represent a hemorrhagic ovarian cyst. A unilocular thin-walled cyst in the adnexal region with internal fine interdigitating septations/fibrin-... Read More

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5k viewsReviewed >2 years ago

A 40-year-old male asked:

On last saturday my wife had gone through a usg when she was exactly 7 weeks and 3 days of pregnancy. but doctors did not get the heartbeat..is it ok?

Interventional Radiology 14 years experience

Cardiac Activity: Embyronic cardiac activity must be identified with a crown-rump (embryonic pole) length ≥ 7 mm based on new more stringent guidelines (previously >... Read More

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A 21-year-old male asked:

What are the causes of gall stones?

Interventional Radiology 14 years experience

Many causes: When bile chemical composition (cholesterol, calcium bilirubinate, calcium carbonate) in the gallbladder gets out of balance, gallstones can form. Whi... Read More

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5.3k viewsReviewed >2 years ago

Dr. Mark Hoepfner and another doctor agree2 doctors agree

A 31-year-old male asked:

Why does gastritis affect u more in the morning ?

Interventional Radiology 14 years experience

Could be PUD: Duodenal ulcer classically manifests with upper abdominal pain that is worse with fasting (in the morning before meal). Gastric ulcer pain is in simil... Read More

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5.3k viewsAnswered >2 years ago

A 25-year-old female asked:

If someone had obstructive hydrocephalus and the tumor was removed, but then they still had hydro afterwards, is it communicating or noncommunicating?

Interventional Radiology 14 years experience

Clarification : This is frequent cause of confusion as some terms used interchangeably. Noncommunicating hydrocephalus is commonly called obstructive hydrocephalus oc... Read More

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A 20-year-old female asked:

If i had 3 cat scans one in oct & one in nov & one in dec is that bad or high risk for cancer very worried bout that! the 3 where of the brain/head?

Interventional Radiology 14 years experience

Very small risk : There is a small increased risk of cancer with ct scans. Younger patients are believed to be more vulnerable to the effects of radiation.Ct head radia... Read More

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5.3k viewsAnswered >2 years ago

A 42-year-old female asked:

Rn said today my mamm results showed 5mm density and this don't make sense to me she said they are calling it a lymphnode? what does that mean.

Interventional Radiology 14 years experience

Usually benign : Lymph nodes can appear for various reasons. If not enlarged and in an appropriate location it is a frequently seen benign finding on a mammogram. I re... Read More

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5.3k viewsAnswered >2 years ago

A 44-year-old female asked:

Does a displacement of the meniscal root just go away? i had a new mri but it didn't show that. it showed a medial extrusion what does that mean?

Interventional Radiology 14 years experience

Same thing: Extrusion is basically the same thing as displacement - meniscus is considered extruded when it extends beyond the tibial margin. With meniscus extrus... Read More

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5.2k viewsAnswered >2 years ago

A 63-year-old female asked:

What does this mean: myocardial perfusion imaging adversely affected by soft breast tissue attenuation

Interventional Radiology 14 years experience

Imaging Artifact: Soft tissue attenuation in the breast is a common artifact in myocardial perfusion imaging. It may artifactually affect the depiction of activity in t... Read More

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5.1k viewsReviewed >2 years ago

Dr. Steven Koos agrees1 doctor agrees