Dr. Steven Chmielewski

Diagnostic Radiology
Reading, PA
32 years experience male

Locations

JM Winston Radiology Associates

Reading, PA

Address

2500 Bernville Rd., Reading, PA, US
Directions

My office hours

Thursday: 12am - 1159pm
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Insurances accepted

Aetna

AmeriHealth

Capital Blue Cross

CIGNA Health Care

Geisinger Health Plans

Medicaid

CHAMPUS

Medicare

About

Bio

I am active in my community, serving on our local school board and as a cub scout den leader for 7 years. I enjoy fishing, reading and the shooting sports as well as many aquatic activities.

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.

Diagnostic Radiology

Nuclear Medicine

Doctor Q&A

280 Answers
543 Agrees
The number of answers this doctor has agreed with.
A 32-year-old female asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Need more info.: Many things can cause the pai you're describing. My best guess is it might be related to your spine or nerves. Have you had an MRI of your spine?
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
DO: Do know your exertional limits. Don't exceed them!
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
It can be.: It could be many things from bladder or kidney cancer to excessive physical work. Sometimes "blod in the urine".
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
An exam and an xray: Most patient's with kidney stones that have passed will have a follow up urinalysis, a guided physical exam and some sort of imaging study. It may be ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Not always: There are many reasons to order an xray, ct or even both. The cystoscope only sees the lining of the bladder. Ct will show virtually all renal or blad... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Annual: Annual mammography starting at age 40. http://mammographysaveslives.org/.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Maybe.: Left sided abdominal pain certainly. Diarrhea...Probably not. Vomiting is often seen in association with kidney stones, but not diarrhea. "sounds" mor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Ibuprofen and rest.: Bruised ribs, or worse and intercostal muscle tear are very painful. You're active, but you must give yourself a chance to heal.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Radiation therapy!: Although there is much concern about radiation exposure in diagnostic imaging, the doses received by a ct exam are miniscule compared with the doses o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old female asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Probable tear.: It "sounds like" a description of a meniscal tear. I'd need the images to be certain, ask your doctor, if there is still confusion, ask him to review ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Always: Always bring a bright colored bandana. Touriquest pressure dressing, sling and distress signal.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
It can, but call doc: Sometimes bladder infections cause back pain, but so can kidney stones, infections of the kidney and other things. I'd call your doctor especially if ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
No.: At your age, the liklihood of having any problem from a single ct scan is extremely low. As a radiologist i receive about that dose every year.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old female asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Maybe.: Degenerative joint disease or osteoarthritis can hurt all the time or wax and wane. Mri can detect early changes of this better than any other test. T... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
An infarct.: When a complete stroke occurs or cerebral infarction, the blood supply to a part of the brain is stopped, usually by a blood clot in the artery supply... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Bllod clots: Increased levels of estrogen and Progesterone can cause the blood to become "thicker" and more likely to clot. Both stroke and heart attack are caused... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
UPJ stenosis: Ultrasound may detect early obstruction better than ct, and sometime the other way around. It depends. Anyway, left flank pain with mild hydronephrosi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Yes. But water is: Best. Only drink in moderation. After a ct with contrast it's best to drink water to help clear the contrast from the blood stream.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old male asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Return: To your doctor or emergency department. Your symptoms could be serious. However many non life threatening issues such as anxiety can present similarl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Sometimes.: Occaisionally women will have pain during ovulation called 'mittleschmertz'.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Increased activity: Where it shouldn't be. All organ systems have some metabolic activity, but active organs, such as the heart, kidneys and brain are normally very activ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Yes.: There are typically 2 scans done on normal pregnancies. It's not uncommon for women to be scanned more frequently if the are clinical concerns. There ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Usually 6 hours.: It can vary with the individual, but that's about the average.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Kind of: Ultrasound is accurate to within a few days of when the ovum was fertilized when performed early in the first trimester. However, sperm can survive fo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old male asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
CT is better: For the diagnosis of acute appendicitis, particularly in adults. The "inflammation" noted on the ultrasound was most likely an artifact.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Extremely unlikely.: Your cumulative dose is not enough to be concerned about.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Absolutely.: Even with protected sex, there is always a small chance of pregnancy. The only 100% birth control is abstinance.
Created for people with ongoing healthcare needs but benefits everyone.
A 61-year-old female asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Repeat ultrasound.: It is possible to have a false negative exam. If the u/s is still negative, your doctor might want to order other tests such as ct or mri.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old male asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Probably not: The gall bladder. The likelihood of significant gallbladder disease with a normal hida scan is small, unless you have gallstones. Probably something e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
The short story...: Xrays are images obtained by passing a beam through a detector to simply generate and image of which xrays did or didn't hit the detector. Ct uses th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Ultrasound (U/S): Works similarly to sonar. Sound wave are sent through tissues and the changes in their waveforms are recorded by the transducer. Because sound travels... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Certainly can!: Not uncommon symptoms. If you don't improve in a few days, i'd call your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Could be normal!!!: At 5 weeks 5 days, you don't always see a fetal pole. There is some leeway here. You need to correlate with your beta-hcg. Reference this site for lay... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Yes.: Small hiatal hernias may not be visible. Also many hiatal hernias are "sliding" so they may not be apparent when you're laying flat on your back. The ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Dilated air: Spaces due to destroyed lung tissue. Bronchiectasis means dilated airways due to infection. Cysts are formed from destroyed lung tissue.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
No.: Transvvaginal ultrasound is usually the best way to evaluate the femal reproductive system. Ct is not as good for looking at the uterus, ovaries and e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Probably.: It would be extremely unusual to have epidymitis in the setting of a normal exam and ultrasound.
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Bad plan!: Uncontrolled graves' increases your metabolism, heart rate and oxygen requirements! you need to get your thyroid under control before you jump out of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Yes.: Both are fairly sensitive for detecting diverticulits. Ct colongraphy is used primarly to detect polyps and masses.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Sometimes. : It depends on many factors, the size of the cancer, the organ it involves, technical factors with the study, etc. There are many variables. Remember ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Probably not.: Your cervical length is normal and the funneling is minimal. Your doctor might reccomend a follow up exam.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Need more info.: A 2 mm nonobstructing stone should be asymptomatic if in the kidney. However in the ureter it can cause quite a lot of pain. Unfortunately, you didn't... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Ligaments tendons: Mri is the best way to look at the tendons or ligaments. Also, bone bruises and even subtle fracture can be seen with MRI that are not detected with x... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Probably not: Heart rate is very variable that early. Your u/s dates are fine relative to your lmp. All you can do is wait, and worrying is going to make the time p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Highly unlikely...: It's conceivable that severe muscle spasm in the neck/shoulder could cause vertigo by vagal stimulation but highly improbable.
Created for people with ongoing healthcare needs but benefits everyone.
A 72-year-old female asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Probably not.: They're quite common in older people. If they're asymptomatic, it's not usually a concern, provided blood pressure, cholesterol etc. Are controlled. A... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Most likely: The only way to tell for sure is to repeat the pregnancy test in a week or wait for your next period.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old male asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
That's a long answer: COPD is chronic obstructive pulmonary disease and is a clinical diagnosis. Emphysema is the destruction of alveoli, the small lung sacs. Asthma is nar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
Ultrasound first.: A hida scan is a functional test. It should be performed after u/s which is a first line imaging tool for biliary disease. In the setting of a negativ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. Steven Chmielewski
Diagnostic Radiology 32 years experience
DJD: Or osteoarthritis is the likely cause of your symptoms. It will not likely improve without intervention.
Created for people with ongoing healthcare needs but benefits everyone.

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

4
Recommendations
318
Thank you notes
Oct 12, 2013
Dr. Chmielewski has an excellent knowledge base that far exceeds the scope of radiology. He is providing an excellent service to the public. I endorse Dr. Chmielewski.
Sep 30, 2013
Outstanding knowledge!
HealthTap member
Mar 30, 2015
Dr. Chmielewski is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you :-) I called them and they said they hadn't got results back and they were getting mailed and should have by Wednesday.
HealthTap member
Thank you, your answer was very helpful! thanks theres a lot more,but I have a start now,and with help from you
HealthTap member
Thank you, your answer was very helpful! I already have been diagnosed with asthma and allergies but wondering

Education & Training

Medical/Graduate school

Jefferson Medical College of Thomas Jefferson University, PA
Graduated 1991MD

Residency

PENN PRESBYTERIAN MEDICAL CENTER

Awards

Hare Hobart Award, Radiologic Pathology Correlation Award
Top Doctor, First Place, Reading Region, PA - Summer
2013
Most Influential, Third Place, Reading Region, PA - Summer
2013

Affiliations

American College of Radiology, American Roentgen Ray Society

Publications

Cardioverter-defibrillator systems implanted without thoracotomy: radiographic findings.
Aortic emergencies.
Association Between Inhaled ß-Agonist Therapy and Ventilation Perfusion Reverse Mismatch
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