A member asked:

I have a f/u chest+abdomen+pelvis ct w/contrast scheduled in 3mos. will that routinely pick up abnormalities in breast & axillary lns if any? do i need to tell radiologist about unilateral tender lns?

12 doctors weighed in across 9 answers
Dr. Reid Blackwelder answered

Specializes in Family Medicine

Tell Physician: Obviously you have some important concerns as this is an extensive follow-up imaging plan. For specific questions about breast and lymph nodes, however, these may not be the right studies. A swollen or tender node likely needs biopsy rather than a scan. And breast problems need mammograms, ultrasounds or even mri.Best to discuss with the primary physician to help direct testing.Do not wait 3 months.

Answered 2/22/2013

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CT: Yes, but the doctor that ordered it will often put pertinent clinical information that will lead the radiologists eyes where they need to look the closest.

Answered 2/22/2013

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Dr. Thomas Rayson answered

Specializes in Pathology

No: Telling the radiologist will not change the diagnosis.

Answered 2/22/2013

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Radiology: Hi! imaging for breast abnormalities includes mammography, ultrasound, and mri. The chest ct scan is not the optimal exam for your breast or axiliary nodes, so you should inform your primary physician or your specialist about your symptoms so they can perform a physical exam before ordering the imaging test.

Answered 3/4/2013

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Maybe: This may evaluate what you are concerned about. Yes tell the radiologist about your tender nodes.

Answered 2/22/2013

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Tell radiologist: You want to be sure they cover the areas involved. Not clear what you are following up, but if you have tender lymph nodes you should also go back and see your doctor asap. Good luck, .

Answered 2/22/2013

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Why CT is done: Routine ct will not reveal breast pathology, if your fear is about breast need exam mammogram sonogram if needed MRI of breast not ct . Speak to your doctor.

Answered 6/10/2014

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Dr. Jerome Zacks answered

Specializes in Cardiology

Wrong person: If you have tender lymph nodes, the radiologist is the wrong person to consult. Take your complaints immediately to your doctor to enable a proper examination.

Answered 2/22/2013

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Tender lymph nodes: Yes, mention the tender ln's . Ct is certainly a very good test to visualize abnormal lymph nodes in the axilla and in the chest , abdomen and pelvis. Ct is not the best test to visualize abnormalities in the breasts. Why are you having a follow up scan? Do you have a history of cancer? Tender lymph nodes are important to follow up with your doctor. This could be sign of infection or malignancy.

Answered 7/4/2013

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