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Office
Media, PA
About
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
Nuclear Medicine
Languages spoken
English
Doctor Q&A
46 Answers
18 Agrees
The number of answers this doctor has agreed with.
A 34-year-old member asked:
Dr. Tina Steinanswered
Radiology 49 years experience
MRI more sensitive: Mammograms can miss up to 50% of cancers depending on the density of a woman's breasts. Mri's will miss less than 10% of cancers regardless of breast... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 41-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
No.: There are benign lesions which enhance and demonstrate washout - , for example, a normal lymph node in the breast or fat necrosis which may be cause... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Tina Steinanswered
Radiology 49 years experience
30-60-minutes: And the whole appointment should take no more than 90 minutes.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Tina Steinanswered
Radiology 49 years experience
W/radioactive iodine: Nuclear medicine is used to cure thyroid cancer and hyperthyroidism (sometimes caused by graves disease). Radioactive iodine (iodine 131) is given or... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Minimal to none: Radiation poses a minuscule risk, however the benefit of mammography is considered well worth this risk in women over age 40 . Rarely a woman can be ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Yes: Yearly mammography should be obtained beginning at age 40 whether a woman has implants or not. The standard examination adds two additional images wh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 22-year-old male asked:
Dr. Tina Steinanswered
Radiology 49 years experience
No, but read below.: The only preparation-remove metal items. A few conditions will effect whether or not to have the mri. Generally not recommended if pregnant (not kn... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 20-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
40: Most women should have a baseline at age 35 and yearly mammograms beginning at age 40. If a woman's mother has had breast cancer at an early age, tha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 36-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Yes.: If the MRI is negative the likelihood of cancer is less than 2%. If an MRI is not obtained, a follow up ultrasound examination should be obtained and,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 30-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Ultrasound wrong?: The detection of implant rupture on ultrasound is extremely operator dependent and your result may not be accurate. Mri is the most accurate imaging ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 56-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
To not miss a cancer: The needle biopsy pathology report may not explain the abnormality on the imaging studies and radiologists are trained to do additional studies or rep... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 28-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Yes.: Mri can find cancers long before they are palpable (able to be felt) and before they are visible on a mammogram (even a mammogram which is not dense; ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 37-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Probably nothing.: What is concerning is that "high density" is not usually used to describe a benign lesion which are more often described as low density. A lesion may ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 35-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Yes: Many women have a baseline at age 35. If that is negative the recommendation is to start yearly screening at age 40. It is especially a good idea if... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 30-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Sounds normal.: Radial fold are normal infolds of a breast implant seen on mri. An indentation may also be normal and is not a term used to describe a rupture. The... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 34-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
No: The technologist should be able to work with you to titrate the amount of compression so that it is not intolerable. But there is no examination now ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 48-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Not necessary.: Your breast tissue density on mammography of 25-50% is not considered "dense". Women with dense tissue density on mammography (greater than 50%) whi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Call ahead and ask: If the center will allow the patient to control the breast compression herself during mammography. Tell them ahead of the exam that you are very sens... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 19-year-old member asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Cyst unlikely: A cyst that you are aware of is easily visible on ultrasound. If there is a lump that does not show up on ultrasound it is presumed solid. If your ph... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Tina Steinanswered
Radiology 49 years experience
All mds,Radiologists: All doctors are taught how to examine breasts in medical school. All radiologists learn how to interpret mammograms. A radiologist can do a fellowshi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Probably safe: There are safety concerns about the effects of both the MRI (heat and noise) and of the contrast on the fetus although probably safe. Also, the test ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 39-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Probably not.: A focal asymmetry is one that is seen in 2 views on a mammogram (the top down view and the side to side). "low density" means if is more likely to be ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Absolutely: Nuclear medicine examinations can definitively make and rule out diagnoses in nearly every organ system and many times with less radiation to the pati... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Different imaging: Radiology is the study of images made by passing x-rays through the body to expose film placed against the body. Nuclear medicine creates images of t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Not really.: An injection is almost always given so there may be discomfort in placing the iv. Some patients find that maintaining the required position (arms up... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 17-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Nothing: Bi-rads 2 means that you had benign findings (benign means not due to cancer) on your mammogram, for instance cysts or benign tumors and nothing needs... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 39-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Sounds unrelated.: I am concerned about the breast thickening which should be evaluated by a doctor and ultrasound to make sure that it is not a solid breast mass. The ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 36-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Yes: And in a young female with no known heart disease it is probably all you need. But it is not as sensitive or accurate as a nuclear stress test and for... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 34-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Yes: Extremely little is found in the breast milk after an MRI injection and an extremely small amount of this is absorbed by the baby's gastrointenstinal... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Yes.: For most women with private insurance, the cost of screening mammograms is covered without copayments or deductibles. Medicare pays for annual screeni... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A male asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Yes.: In nuclear medicine a radioactive "tracer" (e.g. Technetium) is injected into a vein and the gamma rays are emitted from the body and detected by a ga... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Both: A breast MRI is always of both breasts (unless it is done to guide a biopsy).
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Yes and no.: It is the most sensitive breast imaging study (detects the greatest number of lesions) but is not the most specific (a lot of these lesions are not ma... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 48-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Don't wait!: Be a squeaky wheel. The next day, call your doctor or ask to speak to the radiologist. In my practice the studies are usually read the same day and t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 25-year-old male asked:
Dr. Tina Steinanswered
Radiology 49 years experience
No: Nuclear medicine uses radioactive materials primarily to diagnose illness. Radiotherapy is the treatment of illness with radioactivity. There is a s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 55-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Varies tremendously.: Glandular tissue (appears white on a mammogram) varies tremendously among women. Many women have very glandular (dense, white) mammograms which can o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 25-year-old male asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Primarily diagnosis.: There are only a few instances where nuclear medicine is used for treatment: radioactive iodine is given orally to treat thyroid overactivity (hypert... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Mam may prove it : An MRI cannot always tell a lymph node from a tumor, including cancer. A lymph node and some tumors light up intensely after contrast is injected. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 30-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Not risky: Implants routinely show folds on mri. This is not abnormal and not a cause for pain during breastfeeding. If you are just beginning breastfeeding, p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 26-year-old member asked:
Dr. Tina Steinanswered
Radiology 49 years experience
3D 41% better: 3D allows radiologist to "see through" the normal breast structures and uncovers 41% more cancers. Also, 3D allows a 15-30% decrease in recalls spari... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Age 40 : Most reputable medical institutions recommend beginning yearly screening at age 40 and continuing until no longer physically able.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Preop planning: Breast MRI should be performed before surgery for breast cancer. Mri finds additional cancer in the breast with known cancer up to 23% of the time (s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Yes: Some studies show that ultrasound only misses appendicitis 10% of the time however this depends on an experienced operator. If the ultrasound is nega... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 39-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Probably benign: The examination has a 97% likelihood of being benign (no malignancy in either breast.) the recommendation for a birads 3 report is to repeat the exam... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 45-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
They may go away.: Benign cysts may enlarge or resolve or stay the same for years. Some say that eliminating caffeine from your diet may help. If the cysts are painful,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 32-year-old female asked:
Dr. Tina Steinanswered
Radiology 49 years experience
Entirely black: With a smooth outline with increased sound transmission which shows up as white behind the back wall of the cyst. It does not contain any blood flow... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsReviewed >2 years ago
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.
45
Recommendations
87
Thank you notes
Dr. Hassan Vakil
Nov 27, 2012
I endorse this doctor. I have known Dr. Stein for a number of years. She is an excellent radiologist. Dr. Stein and her husband, Dr. Eric Stein, are a great asset to our medical community and to our i...Read More
Jun 1, 2013
Her posts regarding breast radiology are always informative and supportive to patient care. She is an asset to Healthtap
Nov 27, 2012
I endorse this doctor. Very good breast radiologist. Always conversant with latest methods.
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Education & Training
Medical/Graduate school
Medical College of Pennsylvania, Philadelphia
Graduated 1978MD
Medical/Graduate school
Pennsylvania State University
Graduated 1974MD
Residency
Hospital of the University of Pennsylvania
Awards
Top Radiologist, Second Place, Pennsylvania - Summer
2013
Top Radiologist, First Place, Pennsylvania - Fall
2014
Publications
Periostitis Due to Low Dose Fluoride Intoxication Demonstrated by Bone Scan.
Cold Lesions on Bone Scan in Pediatric Neoplasms
Unusual Appearance of a Highly Vascular Lesion on TC-99m Disida Hepatobiliary Scintigraphy.
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