Dr. Gerald Klein

A 24-year-old female asked:

I had my hsg test done on 03/25/14 and my tubes are good. still having a hard time getting pregnant. been off depo-provera for 19 months, with short cycle?

Dr. Gerald Kleinanswered

Radiology 51 years experience

No anatomic abnormal: Don't understand your question completely but an hsg only shows patency of tubes which are required in order to get pregnant normally. I assume that y... Read More

4.3k viewsAnswered >2 years ago

A 24-year-old female asked:

8 weeks preggo based on lmp.but sure i ovulated on 24 th day of my cycle(long cycles)am i 8 weeks really? because in 7 weeks i couldnt see fetal pole

Dr. Gerald Kleinanswered

Radiology 51 years experience

Need more info: In a normal pregnancy fetal pole visible at about 5.5 to 6 weeks. Absence of fetal pole at 7 weeks problematic. You do not indicate whether fetal pole... Read More

4.3k viewsAnswered >2 years ago

A 23-year-old female asked:

Lump above ankle where calf muscle begins been there a year. soft and painless. doctor said it was just hypertrophy of muscle? could it be cancer?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Possible, not likely: You don't indicate how long the lump has been present or how well defined it is. Can you feel its margins distinctly or is it vaguely defined. In any... Read More

4.1k viewsAnswered >2 years ago

A 23-year-old female asked:

Am keep getting flutering in my chest what do you suggest i do?

Dr. Gerald Kleinanswered

Radiology 51 years experience

See your doctor: Fluttering in your chest may be caused by a cardiac arrythmia. Holter monitoring for 24 to 48 hrs will show this. You don't indicate how often this oc... Read More

4.1k viewsAnswered >2 years ago

A 23-year-old female asked:

Is a 9 week or 20 week ultrasound more accurate?

Dr. Gerald Kleinanswered

Radiology 51 years experience

20 week: 20 week study more accurate for fetal anatomy and structure. Both studies equally accurate for viability.

4.4k viewsAnswered >2 years ago

A 39-year-old member asked:

I had a cancerous tumor in my colon that was removed, is this common?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Yes: treatment for colon cancer is removal unless the tumor has spread beyond the colon. Apparently your had not and so it was removed

506 viewsReviewed >2 years ago

Dr. Silviu Pasniciuc and 3 doctors agree4 doctors agree

A 25-year-old female asked:

I am experiencing vaginal dryness, itching, burning, and abnormal vaginal discharge (itchy, cheesy discharge). my vulva is very tender and red from the irritation. it seems like another yeast infection, which i get very regularly. why would that be?

Dr. Gerald Kleinanswered

Radiology 51 years experience

See a gynecologist: sounds like vaginitis, possibly candida or less likely bacterial. He can do a culture and recommend appropriate treatment

506 viewsReviewed >2 years ago

Dr. Jovita Anyanwu and another doctor agree2 doctors agree

A female asked:

Im 40. period stopped for 2 consec mos. now right after abdominal ct scan w/ 3way contrast. i had regular monthly period b4. menopause or bec of ct?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Not because of CT: A CT of the abdomen will not affect ones period. Other etiologies must be considered and excluded: most likely hormonal. Pregnancy also not excluded

447 viewsReviewed >2 years ago

Dr. Susan Rhoads and 3 doctors agree4 doctors agree

A 31-year-old male asked:

I hurt the ball of my foot playing soccer on astro six weeks ago. it still feels bruised/painful. is it worth going for an x ray?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Yes: could have an occult or stress fracture

443 viewsAnswered >2 years ago

A 51-year-old female asked:

What is the difference between diffuse & focal pleural thickening? what are like causes of diffuse & focal pleural thickening?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Amount of pleura thi: diffuise pleural thickeneing involves most opf the pleural surface of both lungs. Focal plearal thickening is localized. Diffuse pleural thickening ca... Read More

447 viewsAnswered >2 years ago

A 38-year-old member asked:

Is there a good cure for cervical cancer without using therapy or operation?

Dr. Gerald Kleinanswered

Radiology 51 years experience

No: Cure requires either surgical excision if possible or radiation and/or chemo if not

506 viewsReviewed >2 years ago

Dr. Jovita Anyanwu and another doctor agree2 doctors agree

A 48-year-old female asked:

My urologist noted my kidney stones look dense b/c they show as bright on the kub. what does this mean? i'm scheduled for eswl soon. can it blast them

Dr. Gerald Kleinanswered

Radiology 51 years experience

Stone is made of cal: Stones are made of a variety of chemical compounds. Most have calcium within them which makes them bright on an x-ray. The more calcium or the larger ... Read More

4.2k viewsAnswered >2 years ago

A 29-year-old female asked:

I had an mri but i hit my head on car door 2 hours before the mri. . is 2 hours to soon for mri to show something from hitting my head 2 hours prior?

Dr. Gerald Kleinanswered

Radiology 51 years experience

No: No MRI depending on the sequences done, will pick up abnormalities which have occurred a few minutes earlier. I assume that your doctor was looking fo... Read More

4.2k viewsAnswered >2 years ago

A 30-year-old male asked:

I am 30 years old and have consistant knee pain. i had an mri that shows i broke my knee cap awhile ago. what can be done to fix it?

Dr. Gerald Kleinanswered

Radiology 51 years experience

How old an ionjury: You don't indicate whether this is an acute, subacute or old injury. If this is symptomatic, treatment will probably require either surgical repair or... Read More

4.1k viewsAnswered >2 years ago

A 36-year-old female asked:

Bone scan to check if a 6mm hemangioma in my t1. during the scan i saw white spots in my kidneys - one in each kidney. is there hope its nothing?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Yes: Bone scan radioisotope excreted by kidneys. Photopenic areas (white spots) in kidneys suggest a space occupying lesion which is blocking normal excret... Read More

447 viewsAnswered >2 years ago

A 47-year-old female asked:

Have history of pe took chest xray last week saw white spots on lung now having chest pains across my upper chest?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Need to view films: Normal and abnormal shadows are present on an x-ray. Actual viewing of films required to evaluate.

4.4k viewsAnswered >2 years ago

A 40-year-old member asked:

Could a doctor please explain the term "retrograde pyelogram" to me?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Study of kidneys and: Normally the kidneys and ureters are studied by IVP exam where contrast is injected into veins and excreted by the kidneys. Sometimes, visualizations ... Read More

4.1k viewsReviewed >2 years ago

Dr. Marina Glibicky agrees1 doctor agrees

A 31-year-old female asked:

I have a huge bruise on the inside of my arm. my wrist is very sore to the touch and has swelling. should i get an xray or just wrap it?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Depends: Did you fall or have other significant trauma. If so, x-ray probably prudent to exclude a fracture. Even if you don't remember, it sounds like you hav... Read More

4.1k viewsReviewed >2 years ago

Dr. Dercy Aranador and another doctor agree2 doctors agree

A 36-year-old member asked:

Is a brain mri the same thing as a head/ face mri?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Brain MR=head MR: Brain MRI is the same as a head mri. Parts of the face are covered on this study but if the area of concern is the face then a different set of imnage... Read More

4.2k viewsReviewed >2 years ago

Dr. Keshab Paudel and another doctor agree2 doctors agree

A 50-year-old member asked:

What are the differences between a radiation therapist and a dosimetrist?

Dr. Gerald Kleinanswered

Radiology 51 years experience

One is a MD, the oth: A radiation therapist( or radiation oncologist) designs radiation therapy usually for cancer. A dosimetrist helps him to calculate the actual dosage t... Read More

506 viewsReviewed >2 years ago

Dr. Jovita Anyanwu and another doctor agree2 doctors agree

A 34-year-old member asked:

I'm concerned because i have to have a ct scan how safe is the contrast dye?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Very safe: Assuming you are not allergic to the dye and do not have kidney problems, the dye is safe. People with dye allergies often are allergic to shellfish, ... Read More

4.2k viewsReviewed >2 years ago

Dr. Pamela Pappas and 3 doctors agree4 doctors agree

5 thanks

A 33-year-old male asked:

I am having very intense internal pain. battling to swallow food or even water. it feels like the path is too tight for anything to flow through.

Dr. Gerald Kleinanswered

Radiology 51 years experience

Go to your doc: Suggest ugi or endoscopy to exclude a problem in your oropharanx or esophagus

447 viewsAnswered >2 years ago

A 17-year-old female asked:

She had a barium x-ray but they said they didn't see anything but to the right of her throat it is still tender?? what is it?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Possibly sore throat: I assum,e from your question that you had a barium swallow which evaluates your esophagus in the neck. There are other structures in the neck: such as... Read More

4.1k viewsAnswered >2 years ago

A 36-year-old male asked:

Mass identified on ultrasound near intestines low/mid right side of abdomen. what would mri show vs ultrasound? had baby 12 weeks ago.

Dr. Gerald Kleinanswered

Radiology 51 years experience

Type and possibly or: An MRI would tell you the tissue type of the mass (muscle, fat, blood or whatever) and also possible origin of the mass (what structure it is coming f... Read More

4.2k viewsAnswered >2 years ago

1 comment

A 17-year-old female asked:

I'm 7 weeks pregnant, cervix closed, the embryo and sac stopped growing went for another scan and the sac started growing again, what does this mean?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Probably nothing: You don;t indicate the time between scans. If it was a short period, there may be overlap between values; for instance, if the us says 5w that could m... Read More

4.2k viewsAnswered >2 years ago

A 29-year-old male asked:

Can contrast used in chest ct stays in the body (lungs) and cause harm? worried about radiation risk from contrast.

Dr. Gerald Kleinanswered

Radiology 51 years experience

No: Contrast utilized in chest ct is usually iv, excreted by kidneys in normal person. Contrast is not radioactive.

4.1k viewsReviewed >2 years ago

Dr. Diane Minich agrees1 doctor agrees

A 39-year-old member asked:

What to do if i have a pelvic ultrasound they sent me to go drink more then come back at 12:45 ?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Do as they ask: A transabdomial pelvic ultrasound requires a maximally distended urinary bladder to perform adequately. Usually patients are instructed to drink a lar... Read More

4k viewsAnswered >2 years ago

A 32-year-old female asked:

What are the risks of radioactive tracers in bone scans? is there risk of nephrogenic systemic fibrosis, and should creatinine be checked before test?

Dr. Gerald Kleinanswered

Radiology 51 years experience

No: NSF is a rare condition sometimes associated with gadolinium administration (contrast) during an MRI exam in patients with renal disease. This is not ... Read More

4.1k viewsReviewed >2 years ago

Dr. Gerald Mandell agrees1 doctor agrees

A 55-year-old female asked:

4.7cm mildly complex ovarian cyst in postmenopausal woman mild discomfort.going to see gyn/onc for a consult. how high are the chances it's bad?worry

Dr. Gerald Kleinanswered

Radiology 51 years experience

Need futher evaluati: Large cysts, especially complex cysts in postmenopausal women are always of some concern and need to be evaluated further. Suggest you followup with y... Read More

4.3k viewsReviewed >2 years ago

Dr. Diane Minich and another doctor agree2 doctors agree

3 thanks

A 17-year-old female asked:

I have minimal anterolisthesis of c4 on c5 1mm or less. is this normal im only 17. how to fix this? also have 2 desiccated discs in neck&bulging l4-5

Dr. Gerald Kleinanswered

Radiology 51 years experience

Not normal: Not normal but would only require fixing by surgery if it is causing symptoms. Sounds unlikely. Dessicated discs and bulging unusual for someone your ... Read More

443 viewsAnswered >2 years ago

A 31-year-old female asked:

What is the possible cause of leg cramping? my dad experienced it lately at night and suffer painful cramp both legs. he's 59.

Dr. Gerald Kleinanswered

Radiology 51 years experience

Restless leg syndrom: If cramps are worse with exercise, arterial disease is most likely etiology. If cramps are worse at night, restless leg syndrome needs to be excluded.

4.3k viewsAnswered >2 years ago

A 31-year-old female asked:

Why would a pancreatic tumor not show up on spiral ct with contrast?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Should show usually: A small lesion in the pancreas might not show up if it did not alter either the contour of the gland or its density. This would be unusual but not imp... Read More

4.3k viewsReviewed >2 years ago

Dr. Herbert Hoover agrees1 doctor agrees

A 28-year-old female asked:

Sister has brain aneurysm. if it raputres do symptoms occur immediatelly or after hours, days? what are the symptoms?saw her lift a couch today.

Dr. Gerald Kleinanswered

Radiology 51 years experience

Severe headache: Usually if an aneurysm ruptures patient will complain of worst headache of her life. May also have stiff neck and other neurologic sytmptoms. Symptoms... Read More

4.2k viewsReviewed >2 years ago

Dr. Frederick Tibayan agrees1 doctor agrees

1 comment

A 57-year-old female asked:

After a nap or night's rest a high hissing sizzing sound in my head like a tv station in between programs, drives me crazy, do i need a ct scan ?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Depend: Is this sound in your ear or head? You don't say. If in the ear, see an ENT doc, if in the head, see a neurologist. The doctor will determine whether ... Read More

4.2k viewsReviewed >2 years ago

Dr. Marsha Davis and 2 doctors agree3 doctors agree

3 thanks

A 38-year-old female asked:

Left lobe of thyroid measured 5.8x1.9x1.5cm. does that seem large?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Yes: Any measurement greater than 5 cm generally considered enlarged.

4.1k viewsAnswered >2 years ago

A 32-year-old member asked:

I was wondering does the lead walls and windows prevent the escape of xrays in a xray room?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Yes yes: Lead in walls and windows absorbs x-rays thus preventing them from leaving the room. This is to prevent people outside the room from being unnecessar... Read More

4k viewsAnswered >2 years ago

A 85-year-old male asked:

What is advantage of laporascopic repair of inguinal hernia?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Shorter recovery tim: Laparascopic surgery ios performed thru a scope/ small hole and not thru an open incision. Therefore healing is usually faster as is recovery time

4.1k viewsReviewed >2 years ago

Dr. David Earle agrees1 doctor agrees

A 31-year-old female asked:

I broke the scaphoid about 15 years ago never got fixed now avascular nercosis an recently doctor said he thnks its fragmenting. is this bad?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Could be: Avascular necrosis means that a portion of the bone has no blood folw and therefore has died. Sometimes this piece may fragment. Thisi in turn may dam... Read More

4.1k viewsAnswered >2 years ago

A 33-year-old female asked:

I just had a hida scan done and my ef is 5%...will it have to come out? i have bad pain constantly now. i also have crohns, can gb pain mimic crohns?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Probably: Normal gb ejection fraction if greratere than 35% at 60 minutes. Your is way below normal indicating gb contractile dysfunction. Assuming your dr. Fee... Read More

4.3k viewsReviewed >2 years ago

Dr. Jovita Anyanwu and 4 doctors agree5 doctors agree

A 18-year-old male asked:

Hi, i've got kidney stones, and they hurt pretty bad. is there any way to get rid of them, and prevent them from forming? they're so annoying.

Dr. Gerald Kleinanswered

Radiology 51 years experience

Several ways: Stones can be removed surgically or sometimes through a scope. They can also be pulverized by ultrasound waves (eswl) if they are large enough. Then s... Read More

4.2k viewsReviewed >2 years ago

Dr. Bennett Machanic and 2 doctors agree3 doctors agree

A 23-year-old female asked:

I had an early ultrasound on 01/15/14 baby measured at 6 weeks. did i conceive nov 9th or 12th?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Either could be: Ultrasound is not accurate to the exact day but to a range of dates. It cannot distinguish a 3 day difference in age.

4.1k viewsAnswered >2 years ago

A female asked:

Have a hard rigid lump on outer thigh. can feel it but not see it. starting to affect mobility of leg . not lipoma according to doc, possibly sarcoma?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Get MRI: A tumor needs to be excluded. Suggest MRI to do that. Still could be a lipoma however. Need to see what this is.

443 viewsAnswered >2 years ago

A 40-year-old male asked:

I am experiencing foot numbness. numbness also affects my legs. im healthy & 40 yo.the following also describes me: leg numbness. what should i do?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Check with neurolo: sounds like a neuropathy. Check with a neurologist

447 viewsAnswered >2 years ago

A 50-year-old member asked:

Can you tell me how has radiology improved healthcare?

Dr. Gerald Kleinanswered

Radiology 51 years experience

In many ways: radiology allows your doctor to see inside your body without surgery. Thus results in diagnoses being made earlier allowing better results from treatm... Read More

4k viewsReviewed Nov 29, 2020

Dr. David Dinhofer and 2 doctors agree3 doctors agree

A 47-year-old male asked:

I went to jump up on a wall and it felt like something ripped apart in my groin theres a bruise on my inner thigh and testicals. the pain is terrible?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Torn muscle: Sounds like a torn or partially torn muscle. Suggest MRI of the pelvis to evaluate.

443 viewsAnswered >2 years ago

A 47-year-old female asked:

Elevated pth, sono showed swolken lymph nodes some had a red and blue color on the scan some didn't. what is that? is that a tumor?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Not necessarily: You indicate that the us showed swollen lymph nodes but you don't say how large they were or whether they had normal appearing anatomy. The red and bl... Read More

4.2k viewsAnswered >2 years ago

A 50-year-old male asked:

Just had mri w/contrast in left shoulder. is it normal for pain to be worse after an mri? contrast was injected directly into joint.

Dr. Gerald Kleinanswered

Radiology 51 years experience

Not from an ordinary: Sounds like you had an MRI arthrogram. Injecting contrast in joint may cause some pain from the injection, needle stick, or joint distension. Shold on... Read More

4.3k viewsAnswered >2 years ago

A 39-year-old member asked:

What to do if i have bright red blood in my stool, and the ct scan didn't find anything.what could it be.?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Something close to t: Bright red blood usually indicates bleeding close to the anus vs, further up in the colon where the stool would look black. Common causes include hemm... Read More

4k viewsAnswered >2 years ago

A 41-year-old member asked:

What to do if i recently had an mri done and got the results back but have no idea what they are saying?

Dr. Gerald Kleinanswered

Radiology 51 years experience

Ask the Doctor who o: Ask the doctor who ordered it to explain the results to you. If he cannot, ask the radiologist who read it to explain the result to you.

4k viewsAnswered >2 years ago