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Doctor insights on: Ct Of Pelvis

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Dr. Lawrence Kessler
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Computed Tomography (Definition)

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


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Dr. Has gotten my results of CT abd/pelvis w/wo contrast. Message said nothing urgent found. What are examples of urgent vs non urgent results?

Dr. Has gotten my results of CT abd/pelvis w/wo contrast. Message said nothing urgent found. What are examples of urgent vs non urgent results?

Ct readings: Urgent are things that can kill you if you don't do something quickly, like a big aneurysm, a large stone obstructing the kidneys... Non urgent are things that can wait until you show up to the clinic for discussion. ...Read more

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I have had pain of my left side by ribs down to waist area on and off for 6 months. Constant now for 2 weeks. Ct abd/pelvis negative. Suggestions?

I have had pain of my left side by ribs down to waist area on and off for 6 months. Constant now for 2 weeks. Ct abd/pelvis negative. Suggestions?

Are you diabetic.: Diabetes can cause thoracic radiculopathe where pais sometimes non radiating. Some other causes other than diabetes in spine can cause. ...Read more

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Had CT abdm/pelvis found focal pleural fat in lt lung base posteriorly. Is there concern?

Had CT abdm/pelvis found focal pleural fat in lt lung base posteriorly. Is there concern?

No.: Simple fat is essentially never a problem. Prominent fat is often related to being overweight, but fat deposition is commonly seen, most often next to the heart, called epicardial fat pads. ...Read more

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My ct (abdomen & pelvis) results are: -hypodensity in the midline of prostate measuring 10 mm -suspicious osseous lesions what should I read from it?

My ct (abdomen & pelvis) results are: -hypodensity in the midline of prostate measuring 10 mm -suspicious osseous lesions what should I read from it?

May be stone...: Prostate stones of various size and amount are common, usually scattered in the vicinity between its central and peripheral zones, and usually carry no clinical significance such as not associated with cancer or infection. So, it may be just stone and leave it alone. But, if indeed highly suspicious for something unusual, follow the instructions of your doctor. Otherwise, don't worry for now. ...Read more

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On a recent ct, abd/pelvis w IV contrast, my right gonadal vein somewhat prominent 8.0mm diameter. Could this be contributing to my chronic pain?

On a recent ct, abd/pelvis w IV contrast, my right gonadal vein somewhat prominent 8.0mm diameter. Could this be contributing to my chronic pain?

Possibly: That diameter is 3-4 times normal. Possible causes include a portocaval shunt due to liver disease. Speak with your doctor about this and consider a consult with a gastroenterologist. ...Read more

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Had CT of pelvis and Abdomen- does that include bladder where the report says "urinary tract"?

Had CT of pelvis and Abdomen- does that include bladder where the report says "urinary tract"?

Yes.: Here is a helpful link which outlines the organs covered in a CT pelvis/abdomen.

https://healdove. Com/health-care-industry/CT-Scan-of-Abdoman-and-Pelvis-with-Contrast ...Read more

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What is the normal size range for period clots? I have some sometimes that are about 2in long. CT of pelvis and Pelvic exam Normal. Just curious

What is the normal size range for period clots? I have some sometimes that are about 2in long. CT of pelvis and Pelvic exam Normal. Just curious

Normal variation: What you described is within the normal variation in periods. However, clots usually mean more blood loss. You should consider taking oral iron supplement with multivitamins to avoid becoming anemic.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex. ...Read more

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Ct and/pelvis contrast for lymphadenopathy. They wrote multiple non enlarged retro peritoneal lymph nodes visualized. Is it normal to see them on ct?

Yes,: Lymph nodes are normal structures. If they are normal in shape and size, there is generally nothing to worry about. ...Read more

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Ct and/pelvis contrast for lymphadenopathy. Multiple non enlarged retroperitoneal lymph nodes visualized. Do you always see these nodes on ct? Normal?

These lymph nodes: May not mean anything, unless there is a readily diagnosed condition that will explain their existence, such as acute infection or tumor. Lymph nodes can pop in and out, without rhyme or reason. The existence of CHRONICALLY enlarging lymph nodes would be a red flag. Periodic followup CTs at intervals of 3 or 6 months would be recommended here. ...Read more

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If sepsis residue shows on CT in pelvis and patient dies, Will pathology pick up this sepsis residue in pelvis?

If sepsis residue shows on CT in pelvis and patient dies, Will pathology pick up this sepsis residue in pelvis?

Yesyes: I'm not sure what you mean by sepsis residue. But that when they do an autopsy or pathology and someone who died of sepsis that area will show white cells are pause and inflammation microscopically which confirms the infection ...Read more

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Several weeks llq pain on palpatation, obstruction series neg. Doc bent left leg pain was felt. Wants CT abd/pelvis w&w/o contr. What is suspected?

Diverticulitis: He most likely suspects diverticulitis. You should not need a scan with and without. The with portion is all that really matters. The without will just increase the amount of radiation that you get. ...Read more

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Had CT of pelvis, with and without oral and IV contrast... Ovaries normal- would something have shown if ovarian cancer? Also had annual OB pelvic nml

Had CT of pelvis, with and without oral and IV contrast... Ovaries normal- would something have shown if ovarian cancer? Also had annual OB pelvic nml

Yes: The fact that there is no ovarian mass is reassuring. However, there are rare cancers such as primary peritoneal cancer that may exist in the absence of a pelvic mass. ...Read more

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Had a CT abd/pelvis w iv/contrast, findings;4.6mm pulmonary nodule in right lower lobe wout mineralization. Diff diag inc benign & malignant etiologies?

CT SURVEILLANCE: Accp guidelines recommend 2 years of low dose ct surveillance. Repeat ct 3 months x 2 then 6 months x 3 for a total of 2 years. Probably nothing. ...Read more

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Had CT of pelvis &abdomen- doc said all nml- report says mild enlarged spleen 13cm. She said she isn't concerned - CMP, - nml - is 13cm bad?

Had CT of pelvis &abdomen- doc said all nml- report says mild enlarged spleen 13cm. She said she isn't concerned - CMP, - nml - is 13cm bad?

Mild Splenomegaly: Top normal linear measurement is 9.8 cm: http://www. Ajronline. Org/doi/abs/10.2214/ajr.184.5.01841510
3 dimensional measurement is more accurate, but 13 is likely a little juicy. Clinical importance is unclear and a medical work up seems advised, but may be unrewarding as this is non specific.
If this were me, I'd follow it with serial U/S (maybe repeat in 2-3 mos.) so you don't worry. ...Read more

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Pelvic ultrasound showed no cyst. But showed free fluid on right. Still having pain around right overy & back normal full pelvic exam/ultrasnd and norm pap, just yeast infct. Nrml CT abd/pelvis why pain?

Many reasons: Lots of things can cause pelvic pain. A cyst that ruptured may cause lingering pain for a week or 2 after it ruptures; infections including std's, and urinary tract infections and appendicitis can cause pelvic pain, endometriosis, i.Cgastrointestinal conditions also. If you had pain during the pelvic exam you may need to discuss diagnostic laparoscopy; if not then maybe see a different specialist. ...Read more

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Should I demand to c a neurologist. Sharp pain in iliopsoas, front of thigh, had ct+mri pelvis, CT spine (sl. Bulge l5s1)physio x4.Still get sharp pains?

Should I demand to c a neurologist. Sharp pain in iliopsoas, front of thigh, had ct+mri pelvis, CT spine (sl. Bulge l5s1)physio x4.Still get sharp pains?

Radiculopathy: Your symptoms aren't consistent with a 5 1 disc. Yes ask your primary care physician to refer to neurologist or spine surgeon and look for something higher in your spine. ...Read more

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8 months post c-sec and pressure in lower abd. Norm pelvic ult. Norm CT abd/pelvis & colonoscopy & norm pap, feels 'gassy' like pressure all the time?

8 months post c-sec and pressure in lower abd. Norm pelvic ult. Norm CT abd/pelvis & colonoscopy & norm pap, feels 'gassy' like pressure all the time?

Will get better: If all tests are normal most likely you developed adhesions, once settles you will get better, speak to your doctor. ...Read more

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Had 2 chest/1 abdomen xray and 1 CT abdomen pelvis scan within 2 days to diagnose abdomen pain. Is this too much radiation and should I be worried?

Had 2 chest/1 abdomen xray and 1 CT abdomen pelvis scan within 2 days to diagnose abdomen pain. Is this too much radiation and should I be worried?

Yes and no: Yes, that is quite a bit of radiation in a short period of time. However, there shouldn't be any significant near-term cause for concern. The main concern is your cumulative radiation dose over time. For future tests, it would be reasonable to talk to your doctor about your concerns, and ask if alternative imaging tests may be acceptable. ...Read more

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Results of CT abd/pelvis, 2 fatty inguinal hernias, fatty umbilical hernia and hiatal hernia. What are these & what is treatment and risks of treatmen?

Results of CT abd/pelvis, 2 fatty inguinal hernias, fatty umbilical hernia and hiatal hernia. What are these & what is treatment and risks of treatmen?

Surgery if pain: If the inguinal (groin) hernias and umbilical hernia are causing you discomfort, they should be fixed. A hernia is a bulge of tissue through a defect.

A hiatal hernia is where part of the stomach goes up past the diaphragm into the lower chest. There are different types. A surgeon would have to evaluate this to see if surgery is needed. He or she may also do an endoscopy (egd). ...Read more

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What causes anal pressure, right hip and lower back pain? Ct of pelvis normal bw normal. Can the CT of my pelvis show the cecum? Can it be sciatica?

What causes anal pressure, right hip and lower back pain? Ct of pelvis normal bw normal. Can the CT of my pelvis show the cecum? Can it be sciatica?

Spine Injury: This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist. ...Read more

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Does a positive magea4 melenoma antigen gene suggest that I do have cancer? Ct of lungs clear. Mamaagram clear. Ct of pelvis and abdomen clear.

Does a positive magea4 melenoma antigen gene suggest that I do have cancer? Ct of lungs clear. Mamaagram clear. Ct of pelvis and abdomen clear.

No one knows: Magea4 is an as of yet unproven tumor marker. I'm not sure why it was tested in your case. An elevated level does not mean that you have cancer. The test is simply not that sensitive or specific. ...Read more

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32 female. Had CT Ab/pelvis in Nov and CT Pulmonary Angiogram to rule out PE in late Dec. Scared of breast cancer/other cancer from radiation?

32 female. Had CT Ab/pelvis in Nov and CT Pulmonary Angiogram to rule out PE in late Dec. Scared of breast cancer/other cancer from radiation?

Not to worry: The reasons for the radiologic studies were sound ones and not doing these studies would have had much more risk than the radiation exposure to the breast. It is highly unlikely that you would get breast cancer from the CT or angiography. ...Read more

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Polycolonial gammapathy total protein 8.8 calcium 10.6 albumin 5.1, ANA 1:160speck, ESR 29- can this be lymphoma see oncologist thursday, 2 swollen nodes in neck, negative chest neg. Ct abd/pelvis?

Polycolonial gammapathy total protein 8.8 calcium 10.6 albumin 5.1, ANA 1:160speck, ESR 29- can this be lymphoma see oncologist thursday, 2 swollen nodes in neck, negative chest neg. Ct abd/pelvis?

Probably not: It sounds more like some type of viral infection, however, you should certainly keep the appointment to determine what is happening and how to evaluate it. ...Read more

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I have been cramping in pelvi for 2 weeks now pelvic ultra/pap/ct abdomen/pelvis/urine test (preg and urinalysis) all normal what else could it be? Had c-section 8 months ago, have yeast inf. That's it

I have been cramping in pelvi for 2 weeks now pelvic ultra/pap/ct abdomen/pelvis/urine test (preg and urinalysis) all normal what else could it be? Had c-section 8 months ago, have yeast inf. That's it

Pelvic pain: If you have had previous surgery this may be related to adhesion's or even endometriosis
if all workups are negative sometimes you need to have a diagnostic laparoscopy to help find the issue causing the pain. Consult with your ob-gyn and or local general surgeon. ...Read more