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A member asked:

could an abdominal/pelvic ct scan without contrast (ordered for ureteral stones) detect ovarian cancer also?

4 doctor answers6 doctors weighed in
Dr. Luis Gonzalez
Obstetrics and Gynecology 39 years experience
Sometimes: A ct scan will show the ovaries in the pelvis. Only significant and sometimes advanced changes of ovarian cancer such as excess fluid in the pelvis may be noticeable.
Dr. Elisabeth Goodall
Emergency Medicine 19 years experience
MAYBE: Although a contrast-enhanced ct--or, better still, a pelvic ultrasound--are preferred methods for visualizing the ovaries, a non-contact ct would likely show nonspecific irregularities of the ovaries. Bottom line: pelvic ultrasound is the best choice for visualizing ovaries.
Dr. Carlo Contreras
A Verified Doctoranswered
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Not usually: A much better test to detect ovarian cancer would be a transvaginal ultrasound.
Dr. James Lin
A Verified Doctoranswered
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Not necessarily...: Seeing ovarian cancer or not from ct without contrast is less desirable and accurate. But if an ovarian cancer is big and calcified, it can be easily suspected as how it may look. But, following the specific ct protocol for a specific suspected tumor so to have better visualization and diagnosis is highly recommended. Detail? Ask radiologist.

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A male asked:

Can a CT scan properly diagnosis a hernia or abdominal pain?

2 doctor answers4 doctors weighed in
Dr. Gerry Tolbert
Family Medicine 13 years experience
Sometimes: Like any test, a ct scan is incomplete without a history and physical exam from a patient. Most of the time the story from the patient narrows the causes of abdominal pain considerably. Often the ct is used to *confirm* a diagnosis. Abdominal pain has so many causes that a ct scan alone is typically not sufficient for any useful diagnosis.

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Last updated Apr 16, 2016

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