Doctor insights on:
Ct Of Joint
Is MR arthrography of the hip joint a fancy way of saying MRI of the hip with contrast media (Gadalinium)?
Ct uses xrays taken an 360 degrees combined with a computer to see"inside" the body. The table moves as the xray tube and detectors spin around the patient 10 times a second or more! the image shows excellent soft tissue detail, enhanced with injection of intravenous contrast or oral contrast. This way the body is shown in slices, in any plane, usually axially, but ...Read more
My CT scan of the abdomen and pelvis showed sclerosis on both sides of the SI joints, indicating sacroiltis. Is this indicative of multiple sclerosis?
Of course not: "Sclerosis" is a general term that refers to pathological hardening of tissue due especially to calcification or overgrowth of fibrous tissue. In the CNS, where there is no fibrous tissue, it refers to an analogous process of tissue degeneration. Multiple sclerosis by definition occurs only in the CNS, not in joints. This sort of information is readily obtainable from a quick web search. ...Read more
My dad had a nuclear bone scan. Nuclear bone scan findings:
there are several focal areas of isotope accumulation in the region of the
sacroiliac joints bilaterally which correspond to lesions noted on the CT pelvis consistent with bony me
Possibly metastases: Nuclear bone scans usually demonstrate areas of increased bone metabolism, the bone reacting to a stimulus, such as tumor, fracture, infection, etc.Bone scan is very sensitive but not specific. Ct and MRI are cross sectional imaging that can more specifically identify the pathology and characterize the abnormalities on bone scan. ...Read moreSee 1 more doctor answer
MRI of right hand shows perforation of the triangular fibrocartilage and degenerative changes of the triquetrum pisiform joint. Surgery only option?
Not necessarily: I don't treat imaging studies but rather the clinical symptoms. Are you having pain in the wrist at times or is the pain continuous in nature? Is this your dominant hand? Also, does your wrist lock up on you or makes painful noises? If there is limited ROM, unbearable pain, and locking of the wrist, then surgery should be considered. Otherwise, consider PT, NSAID, and intrarticular wrist shot ...Read more
What is moderate joint effusion, joint space narrowing "lateral" of the patellofemoral joint and bones slightly osteopenic and signif. Vascular calcif?
Osteoarthritis: Your description suggests that you have moderate osteoarthritic damage to the knee. The effusion is the joint fluid which has been produced by the arthritic inflammation. The vascular calcification is arteriosclerotic changes in arteries. Ask your doctor to review the films with you. ...Read more
Mri shoulder marked synovitis with patchy areas of subchondral bone marrow edema at the glenohumeral joint; findings of a hill-sachs deformity. Help!
Mri shows bone marrow edema of pisiform, trigger thumb, mcp capsulitis and mild distension of first cmc joint capsule. What does it all mean?
Head ct: On year ct the contrast between structures is not that great. Ct is good to see bleeding in the brain or skull, a shift due to a mass can see a stroke a couple if hours old. Also good to see boney structure. Mri has better contrast differentiation but has other trade offs. ...Read moreSee 2 more doctor answers
A slight loss of anterior stature of the L1 vertebra is unchanged, compared to the CT scanogram of 2009. Other lumbar vertebrae are normal in stature. There is no lumbar spondylolisthesis. Axial images suggest a nondisplaced fracture of the L4 facet (imag
Need more info: Not sure what your question is, but how old are you and what are your symptoms? Have you had any trauma lately? All these factors help determine the significance of any radiographic abnormality. Also, when the radiologists use a term like "suggest", it means they can't tell for sure if an abnormality is really present or not. ...Read more
Interpreting the MRI report on the ankle - bony injury involving the talus primarily but also portions of posterior calcaneus. Indicative of bony cont
Contusion: bone contusion or bruise can result from injury. It does take time to heal ...Read more
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Chronic pain? Mri, scarring of the deep layer of the deltoid subcortical bony oedema at the fib attach of the pos talo ligament, synovitis ankle joint
MRI of hips show osteoarthritis, joint effusion, gluteal tendonipathy (all bi-lateral) and free pelvic fluid. Is there treatment for this?
Multiple findings: These multiple findings would be best explained and treated by an orthopedic surgeon. ...Read more
Best diagnostic imaging (x-ray, ct, mri, etc.) for snapping scapula syndrome or inflammation of the scapulothoracic region?
CT Colongraphy: A special ct with bowel cleansing and gentle inflation of the colon can provide an excellent view of the inside of the colon. This specific protocol is called ct colonography, and not every imaging center or hospital can perform it well. Ask about special reviewing software, and how many ct colonographies performed per week. ...Read moreSee 1 more doctor answer
It combines: the high sensitivity of PET with the high level of anatomic detail of CT, so an abnormality on PET can be accurately localized. ...Read more
Would calcification of the soft tissues show clearly on xray, or mri, for example stiffness in thoracic spine due to spondylitis?
Usually but always: Calcifications will show up on x-ray if there is enough of them. MRI doesn't show calcifications well. In the case of spondylitis, depending on the cause, there could bone erosions (loss of calcification), no calcifcation or abnormal calcificaion. A radiologist is trained to look for these things especially if spondylitis is listed in the diagnosis. ...Read more