Doctor insights on:
Can Mri See Fluid Versus Solid
Thyroid hyperechoic more cystic fluid filled? & hypoecoic more solid. I know both may need fna, but which would be better for ultra sound to show
Biopsy: is probably indicated and.... more indicated in the less uniform (multi cystic, hyperechoic) conditions. On the other hand, will need more stabs to see what is going on if it is non-uniform (more than one) ...Read more
Mri or magnetic resonance imaging is one of the more recently developed imaging modalities available to physicians. It uses powerful magnets to generate images. There is no ionizing radiation which is a major advantage over many other modalities. Mri is the best imaging exam that we have for most soft tissue and joint related problems. There are radiologists ...Read more
Is there a difference between cervical MRI and neck mri? For detecting mass or scar tissue, which is more useful - CT or mri?
Cervical spine MRI: Focuses on the spine and disks of the neck. Mri of the neck is designed to see all the soft tissues as well as the spine and is not as detailed a look at the spine. Mri contrast is often used for neck MRI and less so with cervical spine mri. Mri is usually better than ct looking at/characterizing neck soft tissues (masses, etc.). ...Read more
If pelvic MRI reveals an enhancing lesion in the thecal sac of L4 that is about .7 CM and radiologist recommends spinal MRI to further evaluate, what other evaluation is usually necessary?
Can a t-spine MRI differentiate among incidental findings of kidney cyst, abscess, and tumor? Or would each of these simply show as radio-opaque area
Varies: An MRI is a structural test and show structural changes that can occur in advanced inflammatory arthritis that has structural changes such as cartilage loss, it can also show an inflammatory pannus as well. These findings can be seen in a study without contrast. Contrast can be used in specific cases when more information is needed. Inflammatory arthritis is often first diagnosed with bloodwork ...Read more
Have 5-6 mm calcified lump in the posterior neck, doctor recommend imaging. Should do MRI with and without contrast or CT w/ contrast? Benefits/risks?
Neither!: If you know the lump is calcified, you're best off not doing any imaging. If you want to know what it is, go to a surgeon or pathologist who can manage a simple biopsy, probably in his office, to figure out what it is. A FNA (fine needle aspiration) may work out for you. If you REALLY need to know if it is solid or a cyst, then ultrasound is better. CT involves radiation. MRIs are $$. Avoid them. ...Read moreSee 2 more doctor answers
Mri showed excess fluid in hip joint. Needle aspiration as unable to obtain sample of fluid. Why and what does that mean?
Depends: A needle aspiration may not obtain any fluid if the needle was not adequately placed into the joint or if there is no fluid at the time of aspiration. Typically a hip joint aspiration is performed under fluoroscopy where needle placement is confirmed with injection of contrast medium (dye). For pediatric a hip aspiration may be performed under ultrasound guidance. ...Read moreSee 1 more doctor answer
What is a focal soft tissue mass? My child had X-ray to see progress for knock knee surgery and X-ray shows a focal soft tissue mass
Can there be a cyst and a exophytic solid mass lesion on a kidney? are the thge same? does the solid mass indicate cancer?
Need followup: Renal cysts are common. The majority are benign. Cysts can also be assoicated with malignancies and some malignancies have cystic areas. A solid exophytic mass may be more worrisome. YOu need a further workup and you may need a biopsy or surrgical resection to know for sure. Discuss imaging and surgical options with your doctors. ...Read more
Highly: Recommended to give contrast when evaluating for brain tumors, demyelinating disease, and other diseases too numerous to describe here. ...Read more
Ultrasound of liver shows a 2.4x1.5x3.2cm hypoechoic, avascular mass with internal debris may represent a complex cyst. Any cause for concern?
Some: Some, but not a whole lot. If indeed this is a complex cyst, these are common and benign. In cases where there's ambiguity (when you see the word "may,") then depending on symptoms and sometimes lab values, this study would either be repeated in time to assess for change, or a more detailed imaging technique such as CT or MRI would be used to evaluate the lesion in more detail without waiting. ...Read more
Can CT show images of perforated bowel abscesses large fluid collection with an air level, and be WRONG????
Unlikely: It is unlikely that a CT would be wrong. It is a very good test for assessing abscesses and an air/fluid level is an excellent indication of perforated bowel. It could however have been read incorrectly but most radiologists are expert in reading CT scans. You should ask for a second radiologist to read the CT if you suspect an error. ...Read more
Soft tissue swelling infectious? Do you know if a radiologist can diagnose soft tissue swelling as the result of an infection through an MRI scan?
Which organs and glands are visualized during a SPECT scan with sipnal dye for a suspected CSF leak?
Spinal column: Spinal canal, Seath and the cord.....Get a more detailed answer ›
Non contrast MRI was clear. No tumor or other issues found. Should I request an MRI with contrast or would the non contrast show issues?
Whi MRI in first pal: You need to tell us about your general condition as to why was the MRI done in the first place? Contrast is often used but it only enhances to show a lesion better. Most serious abnormalities will show up on MRI even without the use of contrast. Yet if your symptoms persist, a repeat MRI with Contrast may be necessary. What was your main symptom to do a MRI??? ...Read more
I have a growing presacral nodule that is nonhypermetabolic. Radiologist recommends mri. How could an MRI help diagnosis the nodule? Any rec on f/u plans?
More information...: Nonhypermetabolic is usually a good thing. Hypermetabolic is nonspecific ; could be infection, inflammation, or tumor. The nodule can be a lymph node or something else. Ct, pet, and MRI all provide complimentary info. Mri with contrast can show enhancement patterns which can help characterize the nodule. If it is growing it should be watched closely. Biopsy could tell what it is. ...Read more
What can be seen on a CT chest angiogram with contrast versus one without contrast? Does the one with contrast show more or just different things?
Cystic lesion, 4mm size, in anterior oropharyngeal walls, benign imaging characteristics, may be related to tiny retention cyst. My options to remove?
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