Doctor insights on:
I was recently diagnosed with mild hydronephrosis by an ultra sound. Scheduled to have avCT Urogram. How accurate was the ultra sound? I tested posit
Mild hydronephrosis: Usually requires no further investigation that follow-up US in 3 - 6 months, unless you have symptoms such as pain or suspected mass. Mild hydronephrosis, if found incidentally, has likely been there all your life & requires no treatment. CT urogram is very expensive & likely unnecessary unless a reputable specialist explains why it is. Many PCPs do not understand grades of hydronephrosis! ...Read moreSee 1 more doctor answer
On a recent urogram, it came back as 11mmx8 mm a ureteral malignancy can not be excluded. Could a prior uterine reflux procedure be the cause of this?
Unlikely: The ureter runs from the kidney to the urinary bladder. It is not connected to the uterus. "Cannot exclude a malignancy" only means that there is an "indeterminate" abnormality, the radiologist is not sure what it is. Your doctor will probably want to look further into this, but it is not likely to be related to the reflux procedure. ...Read moreSee 1 more doctor answer
Everyone has: lymph nodes in that region, so yes, it is common. The question is whether they look abnormal/enlarged or not. Did the report provide any more details on the lymph nodes? ...Read more
I had a cystoscopy, the doctor said everything is normal but we will have CT urogram, if everything is normal why the CT urogram should be done?
Evaluate other areas: Cystoscopy and cystoureteroscopy are very good at looking at the inside of the bladder, ureters and renal collecting systems. Ct urogram looks there as well, but also evaluates the "outsides" (the parts that cannot be seen with a scope) of these structure and the other structures in the abdomen and pelvis. ...Read more
Had routine ct's with contrast and without, for kidney stones. Now they want to send me for a CT urogram. What is the difference?
Contrast: A plain ct looks for stones. A ct urogram uses IV contrast (dye) to better evaluate the renal pelvis and ureter (the "tube" connecting your kidneys to your bladder). These structures are not well seen without contrast. A greater amount of contrast is used in a urogram than normal contrast ct to better fill these structures. ...Read more