Dr. Larry Wilf

Nuclear Medicine
Orange Park, FL
36 years experience male

Locations

Office

Jacksonville, FL

Address

5742 Booth rd, Jacksonville, FL
Directions

Phone

Insurances accepted

Blue Cross Blue Shield Of Florida

Aetna Life Insurance Company

Medicare

Medicaid

Humana Insurance Company

Cigna

About

Specialties
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.

Nuclear Medicine

Doctor Q&A

61 Answers
14 Agrees
The number of answers this doctor has agreed with.
A 58-year-old female asked:
Dr. Larry Wilf
36 years experience
Technically no: Technically no. But i would still consider getting one ( if you can afford one , or if your insurance will consent ) for piece of mind. Remember a pet... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old female asked:
Dr. Larry Wilf
36 years experience
Your MD: Your nuclear bone scan, from what you said, was most likey performed to evaluate for osteomyelitis / infection in your bone. It was oredred because yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Larry Wilf
36 years experience
No: Tc99 uses a different "uptake" mechanism to image the thyroid.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Larry Wilf
36 years experience
Not sure: Most likely want to compare images and the radiologic impressions to make sure they " match" , i.e., nothing is left out of the report
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old female asked:
Dr. Larry Wilf
36 years experience
Depends: As a radiologist we kive by the alara rule( as little radiation as reasonable / needed/required ) . With all radiation, we try to minimize a patient'... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 66-year-old male asked:
Dr. Larry Wilf
36 years experience
Can"t tell: Not enough clinical information. When was colonic resection? Any other areas of cancer ? What other therapies have you had ? Etc.?
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Larry Wilf
36 years experience
Infection: Clinical presentation of the patient and a confirmatory biopsy would be necessary if there was a question as to the diagnosis.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Larry Wilf
36 years experience
Not routinely: Normally the brain is not included unless specifically indicated. Also , when you scan the brain you use a slightly different imaging technique ( a lo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. Larry Wilf
36 years experience
MRI cervical spine : Mri cervical spine next to exclude referred pain from a cervical disc pressing on one of your nerves, .
Created for people with ongoing healthcare needs but benefits everyone.
A 58-year-old female asked:
Dr. Larry Wilf
36 years experience
Could be: Does it feel better if you take an anti-inflammatory medicine ( aspirin, motrin, tylenol (acetaminophen) ) for a week or more? Could get an MRI to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Larry Wilf
36 years experience
Takes about 30 min: You breath thru a tube for a couple of minutes and they take some pictures. You get a shot , and they take some more pictures.... Not a hard test. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old male asked:
Dr. Larry Wilf
36 years experience
Ask surgeon: A hot or cold nodule refers to the nuclear medicine itself. The surgeon send the removed tissue/thyroid to a pathologist who looks for a mass ( adenom... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Larry Wilf
36 years experience
Not sure: "sludge" is a non-specific term. Usually refers to viscous/thick junk , gravity dependent in the gall-bladder. Have you had an ultasound, that wou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Larry Wilf
36 years experience
It could: Gallbladder sludge is a mixture of bile, mucous and tiny bits of cholesterol-based and calcium-based particles. Without sludge, bile naturally passes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old female asked:
Dr. Larry Wilf
36 years experience
Maybe: There are several reasons your md may want to order a pet/ct scan. Most likely he is looking to see if there are other carcinoids or things to worry a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old female asked:
Dr. Larry Wilf
36 years experience
It depends: It could be a reactive/benign lymph node from an infection...Or it could be a malignant/metastatic lymph node. I need more information about you and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Larry Wilf
36 years experience
It depends: Pet/ct scan are very valuable in surveillance of certain types of cancers, but not all cancers. You should be able to google your type of cancer and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 62-year-old female asked:
Dr. Larry Wilf
36 years experience
Depends: For primary liver cancer , i would recommend ct or mr . For metastatic disease , especially a GI cancer, i would start with pet/ct.
Created for people with ongoing healthcare needs but benefits everyone.
A 61-year-old female asked:
Dr. Larry Wilf
36 years experience
No: The scan uses a different " drug" ( i123) to image the thyroid vs the "drug that is used to treat the thyroid ( i131) . The drugs have different ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Larry Wilf
36 years experience
No problem: The pet scan will not create any problems/complications
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. Larry Wilf
36 years experience
Very unlikely: You need to talk with your own md about this . It would take a lot of scans ..
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Larry Wilf
36 years experience
Physiology: A ct scan is a static picture of anatomy. A pet/ct scan also shows you how metabolically active the " anatomy" is ...
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Larry Wilf
36 years experience
Angiogram: Angiogram because depending on size of avm , may be able to treat at the same time.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Larry Wilf
36 years experience
No: Nuclear scans will have no impact on the severity or your disease.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Larry Wilf
36 years experience
Always a risk: Your body/thyroid will recieve a tiny quantity of radiation exposure. Thats the risk. Have your md explain why he/she wants the test.
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old female asked:
Dr. Larry Wilf
36 years experience
Degenerative changes: I assume the image you saw was white on black, which means that the white areas are where there is "uptake" of the radiopharmaceutical. If that is tru... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Larry Wilf
36 years experience
Age 40 but...: Thats if you have no strong family for heart disease , high blood pressure, diabetes, breast or colon cancer, non-smoker, normal bowel habits, no non-... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Larry Wilf
36 years experience
Not normally: U may feel some spasm like contractions in your right abdomen , maybe a little nausea..But since injection/infusion is slow... You should feel next t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old female asked:
Dr. Larry Wilf
36 years experience
Depends: If you haven't had a previous pet/ct , the scan is most likely to establish a baseline for your therapy response.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Larry Wilf
36 years experience
A granuloma: I assume from what you are saying that they was a density or "spot " on her lung during the ct portion of the pet/ct scan that did not lite-up on the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old female asked:
Dr. Larry Wilf
36 years experience
Unusual: There are several ways to tell if its esophagitis. First , look at esophagus with endoscopy ? Second, could try anti-acid oral medication and see if... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 58-year-old male asked:
Dr. Larry Wilf
36 years experience
IT could: There is a certain scan pattern that is "typical " of rsd but not all patient's scans will demonstrate this pattern.
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old female asked:
Dr. Larry Wilf
36 years experience
No: Cyst by definition are benign fluid collections. Cystic masses , if cancerous , would probably "lite-up" . But my need an MRI for further evaluation... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Larry Wilf
36 years experience
No: I assume your doctor is scanning you to establish a baseline for future comparisons.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Larry Wilf
36 years experience
NO: It is an inflammation of the bronchial tree, the airway tubes in your chest and lungs.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Larry Wilf
36 years experience
CT is good but: Diagnosis on ct takes specific anatomical changes which can be identified at earlier stages by bone scan and mri. Mri is probably best as you can see ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Larry Wilf
36 years experience
Maybe: If a pet/ct scan is medically indicated for the child , most commonly with a cancer diagnosis. All of radiology has some long term risks involved fro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old female asked:
Dr. Larry Wilf
36 years experience
Gallbladder ejection: Gallbladder ejection is measured as a percentage of the volume ejected when stimulated ( with a cck injection or infusion) . Usually 35% or greater is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Larry Wilf
36 years experience
Metabolic info/data: A ct scan is an anatomic , static exam of the anatomy. It is just a picture of your anatomic family. A pet/ct scan shows the same anatomy , but tells... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Larry Wilf
36 years experience
Not necessarily: Normal your doctor will just follow you unless he/she feels one dominant nodule. Then ultrasound and or nuclear scan of value.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old male asked:
Dr. Larry Wilf
36 years experience
Varies: There is a blod test that will determine your tsh. Tsh level increases over time the longer you are off your medications.
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. Larry Wilf
36 years experience
Yes, FDG PET/CT scan: A pet scan looks at the whole body for anatomic and metabolic potential metastases.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Larry Wilf
36 years experience
No symptoms: Early liver metastases have no specific symptoms . Rate of growth of clm is variable , particularly if in the process of traetment. Pet/ct is most ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old male asked:
Dr. Larry Wilf
36 years experience
Several things: 1. Reactive enlargement from stress 2. Benign mass called a thymoma 3. Less likely , malignancy.
Created for people with ongoing healthcare needs but benefits everyone.
A 57-year-old female asked:
Dr. Larry Wilf
36 years experience
A Pleural effusion: Fluid between the pleural and visceral lining of the lung. It is usually caused by a fluid inbalance. Do you have a bad heart? Second most common c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Larry Wilf
36 years experience
Yes: Hh ( hiatal hernia) can be sen on the ct portion of the exam , sometimes. Most hhs slide .... Come and go based on patient positioning , eating, etc. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old female asked:
Dr. Larry Wilf
36 years experience
Need more info: I would say unlikely if pet/ct liver was negative, but i need to know more about your mediacl history and other tests/treatments you may have had.
Created for people with ongoing healthcare needs but benefits everyone.
A 56-year-old female asked:
Dr. Larry Wilf
36 years experience
Not necessarily: A gamma camera ( nuclear medicine mdp) bone scan will not answer ? Need to actually see the bone anatomy in addition to lack of metabolic activity to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Larry Wilf
36 years experience
No: Only side effeect is a needle at the injection site.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Larry Wilf
36 years experience
How do you feel?: If you are having indigestion related to fatty food intolerance , pain or other symptoms , surgery may be indicated.
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
141
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Wilf is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Wilf is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Her parathyroid is normal. Vitamin d also high when ACE and calcium are elevated. Do you still lean toward parathyroid adenoma?
HealthTap member
This made me feel good. Thanks! Am indeed much grateful to hear all this, hope to gain more knowledge on health thanks.
HealthTap member
Thanks for your quick reply! Think I will get a 2nd doc to look over me as the one have is not that good

Education & Training

Medical/Graduate school

Medical College of Pennsylvania, Philadelphia
Graduated 1982MD

Awards

Top Nuclear Medicine Specialist, Third Place, National - Winter
2013
Top Nuclear Medicine Specialist, Second Place, Florida - Summer
2013

Affiliations

Duval County Medical Association
Clay County Medical Society
Society of Nuclear Medicine
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