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Dr. Larry Wilf

Nuclear Medicine
Orange Park, FL
35 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 61-year-old female asked:
Dr. Larry Wilf
35 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
A 35-year-old male asked:
Dr. Larry Wilf
35 years experience
Very unlikely: You need to talk with your own md about this . It would take a lot of scans ..
A 25-year-old male asked:
Dr. Larry Wilf
35 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
A 46-year-old female asked:
Dr. Larry Wilf
35 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
A female asked:
Dr. Larry Wilf
35 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
A 25-year-old male asked:
Dr. Larry Wilf
35 years experience
Angiogram: Angiogram because depending on size of avm , may be able to treat at the same time.
A 32-year-old female asked:
Dr. Larry Wilf
35 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
A 58-year-old male asked:
Dr. Larry Wilf
35 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.
A 49-year-old female asked:
Dr. Larry Wilf
35 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.
A 35-year-old member asked:
Dr. Larry Wilf
35 years experience
No: I assume your doctor is scanning you to establish a baseline for future comparisons.
A 28-year-old male asked:
Dr. Larry Wilf
35 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
A 48-year-old member asked:
Dr. Larry Wilf
35 years experience
No: Nuclear scans will have no impact on the severity or your disease.
A 33-year-old female asked:
Dr. Larry Wilf
35 years experience
No problem: The pet scan will not create any problems/complications
A 43-year-old member asked:
Dr. Larry Wilf
35 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
A 62-year-old female asked:
Dr. Larry Wilf
35 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.
A 31-year-old member asked:
Dr. Larry Wilf
35 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 ...
A 31-year-old member asked:
Dr. Larry Wilf
35 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.
A 27-year-old female asked:
Dr. Larry Wilf
35 years experience
NO: It is an inflammation of the bronchial tree, the airway tubes in your chest and lungs.
A 55-year-old female asked:
Dr. Larry Wilf
35 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
A 50-year-old female asked:
Dr. Larry Wilf
35 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
A 34-year-old member asked:
Dr. Larry Wilf
35 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
A 56-year-old female asked:
Dr. Larry Wilf
35 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
A 32-year-old member asked:
Dr. Larry Wilf
35 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.
A 29-year-old member asked:
Dr. Larry Wilf
35 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
A 44-year-old member asked:
Dr. Larry Wilf
35 years experience
Nuclear, MRI scans: Hida is a nuclear medicine scan which looks at the functioning of your biliary system and and mrcp is an mr study that shows the anatomy of your bilia... Read More
A 26-year-old female asked:
Dr. Larry Wilf
35 years experience
Maybe: Most people say stomach when they mean any area in the abdomen. If the cck is infused/injected too quickly ...You can get a muscle spasm ... Which ma... Read More
A 42-year-old member asked:
Dr. Larry Wilf
35 years experience
I'd wait a day: Pet scans use radioactive fluorine. It has a halflife of about 2 hours and is effectively "dead"...Non-radioactive in 10 half-lives... Or 20 hours.
A 47-year-old male asked:
Dr. Larry Wilf
35 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.
A 57-year-old female asked:
Dr. Larry Wilf
35 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
A 35-year-old female asked:
Dr. Larry Wilf
35 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
A 55-year-old female asked:
Dr. Larry Wilf
35 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.
A member asked:
Dr. Larry Wilf
35 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
A 52-year-old female asked:
Dr. Larry Wilf
35 years experience
Poor preparation: Most likely answer is that you may not may fasted long enough the first time
A 32-year-old female asked:
Dr. Larry Wilf
35 years experience
How do you feel?: If you are having indigestion related to fatty food intolerance , pain or other symptoms , surgery may be indicated.
A 42-year-old male asked:
Dr. Larry Wilf
35 years experience
Several things: 1. Reactive enlargement from stress 2. Benign mass called a thymoma 3. Less likely , malignancy.
A 22-year-old male asked:
Dr. Larry Wilf
35 years experience
No: Only side effeect is a needle at the injection site.
A 51-year-old female asked:
Dr. Larry Wilf
35 years experience
Yes, FDG PET/CT scan: A pet scan looks at the whole body for anatomic and metabolic potential metastases.
A member asked:
Dr. Larry Wilf
35 years experience
Different tests: Cisternography is used to determine if there is normal pressure hydrocephalus. It looks at the flow of CSF fluid. Pet scans are for looking at th... Read More
A 32-year-old female asked:
Dr. Larry Wilf
35 years experience
CCK helps: Cck tells your doctor how well your gallbladder contracts when stimulated. Cck is normally secreted by your body when you eat "fatty" foods and tells ... Read More
A 51-year-old female asked:
Dr. Larry Wilf
35 years experience
Kidneys lite up: Kidneys lite up normally on pet scan. What your body doesn't use ...You pee out
A 40-year-old member asked:
Dr. Larry Wilf
35 years experience
Maybe MRI: I can't examine you but , do you play any sports ? To you jump alot ? The little bump/bone of the top of your shin is your tibia tubercle and beco... Read More
A 30-year-old member asked:
Dr. Larry Wilf
35 years experience
No: You could see secondary signs , such as obstruction ( an airfluid level in the esophagus) , lymphadenopathy ( enlarged lymph nodes ) , etc. But not t... Read More
A 35-year-old male asked:
Dr. Larry Wilf
35 years experience
Quantity is the ?: Radiation exposure is cummulative and partly time interval of exposure related . I don't want to avoid your ? , but what do u mean by continuous ? ... Read More
A 55-year-old female asked:
Dr. Larry Wilf
35 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
A 68-year-old male asked:
Dr. Larry Wilf
35 years experience
Not necessarily : Pet scans can prevent lymph node biopsies when they are positive, but when staging disease a negative "scan" does not exclude metastasis ( particularl... Read More
A 44-year-old female asked:
Dr. Larry Wilf
35 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
A 39-year-old member asked:
Dr. Larry Wilf
35 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
A 51-year-old female asked:
Dr. Larry Wilf
35 years experience
MRI cervical spine : Mri cervical spine next to exclude referred pain from a cervical disc pressing on one of your nerves, .
A 32-year-old female asked:
Dr. Larry Wilf
35 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
A 45-year-old member asked:
Dr. Larry Wilf
35 years experience
Infection: Clinical presentation of the patient and a confirmatory biopsy would be necessary if there was a question as to the diagnosis.

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

2
Recommendations
140
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
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less