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Doctor insights on: Ultrasound Vs Ct Scan Abdominal Pain

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Intermittent dully/achy left testicle and lower left abdomen pain. Ultrasounds and CT Scan show nothing. What else could it be?

Intermittent dully/achy left testicle and lower left abdomen pain. Ultrasounds and CT Scan show nothing. What else could it be?

Infection: Could be infection in the testicle, or in the cord, or it could be a varicocele, which is a large varicose vein in the cord.
it is not torsion otherwise the ultrasound will show something.
see a urologist for proper evaluation and treatment. ...Read more

Dr. Michael Gabor
2,272 Doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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CT Scan benefit outweigh the risk? I'm 23 with 3 CT scans already. Doctors concerned about chronic upper left abdomen pain radiating to back.

CT Scan benefit outweigh the risk? I'm 23 with 3 CT scans already. Doctors concerned about chronic upper left abdomen pain radiating to back.

Depends: It depends on what your dr is concerned about. CT scans do provide significant radiation exposure. Some causes of left upper abdominal pain can e assessed by ultrasound or endoscopy, depending on your other symptoms and risks. If however, your doctor can provide good reason why CT scan is necessary, then it is probably worth doing. You can always seek a second opinion. ...Read more

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Abdomen pain and suspicion, should I get a CT scan or mri?

Abdomen pain and suspicion, should I get a CT scan or mri?

Maybe: First exam should be a simple abdomen xray. If doctor thinks the gallbladder could be diseased, then an ultrasound is best.

Most other ailments best served with a ct scan. Mri can help if a patient can't have ct contrast because of prior reaction or poor functioning kidneys.

Mri scans take longer, cost more, and not readily available as ct scans. ...Read more

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Can a CT scan contrast cause abdomen pain and back pain all day long. My husband had a scan for abd nd pelvis. Havin this pain the preceding day.

Can a CT scan contrast cause abdomen pain and back pain all day long. My husband had a scan for abd nd pelvis. Havin this pain the preceding day.

Can.: Oral contrast can cause constipation which could lead to those symptoms. Should resolve with time as long as the CT did not demonstrate something that could interfere. Can use a laxative if necessary and not contraindicated. ...Read more

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Will ultra sound/sonogram work for evaluation of post hernia repair (on jan 2014), hard ball like seroma in abdomen as alternate to CT scan?

No need: There is no need to perform either test, as it sounds like it is obviously present based on physical examination. If it persists past 6-12 months and/or causes a problem, it may need to get drained. This is typically a procedure done by a radiologist using either ultrasound or ct scan, which are used to guide the needle. Can also be done by the surgeon in the office without those tests. ...Read more

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Female 32 lower left abdomen pain 6+ months MRI/CT scan normal pain worsens with coughing sneezing and laughing have IUD any suggestions?

Female 32 lower left abdomen pain 6+ months MRI/CT scan normal pain worsens with coughing sneezing and laughing have IUD any suggestions?

See a surgeon: A general surgeon does not necessarily mean you need surgery, but their training makes them experts in abd pains. A good History and physical may reveal possible causes, for example, if you ever had surgery, you may have adhesions in that area and when coughing, the "valsalva maneuver" is causing referred pain in the area, etc. Best wishes. ...Read more

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Had numerous abdomen x rays and CT scan also chest scan and x Ray and 2 ultra sound of liver and gallbladder could they have noticed a hiatal hernia?

Had numerous abdomen x rays and CT scan also chest scan and x Ray and 2 ultra sound of liver and gallbladder could they have noticed a hiatal hernia?

Yes, on chest ct: Hiatal hernia should be able to be visualized on a chest ct unless it is very small. It usually wouldn't be visualized on liver/gallbladder ultrasounds. It might be visualized on x rays if it is large enough. ...Read more

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Left lower abdominal pain for the past 6 months. I went to the er more than 20 time done all the text (cat scan, sonogram) but nothing show?

Left lower abdominal pain for the past 6 months. I went to the er more than 20 time done all the text (cat scan, sonogram) but nothing show?

Time for GI consult: Seems you had quite the ER workup after 20 visits. Any specific symptoms with the pain? Diarrhea? constipation? nausea? Vomiting? Blood in stool? Left lower abdominal pain, as a complaint by itself, is tough to work up unless you have some other revealing symptoms to go along with it. Did you change your diet recently? Do yo have gynecologic problems such as endometriosis? ...Read more

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I have been haveing lower abdominal pain with sharp virginal pain. I have had a hysterocotomy my gallbladder out & appendiacitieis. In the last couple weeks I have had a ultra sound and cat scan the doctors say everything looks fine. Would like to find ou

I have been haveing lower abdominal pain with sharp virginal pain. I have had a hysterocotomy my gallbladder out & appendiacitieis. In the last couple weeks I have had a ultra sound and cat scan the doctors say everything looks fine. Would like to find ou

It: It is important to know if you still have your ovaries, which sometimes are taken out or sometimes are left in with a hysterectomy. I am glad to know though that your ultrasound and ct scan were normal. Be sure you are using plenty of lubrication during intercourse. Be sure you have had a complete pelvic exam and that your pap smear is up to date. If your symptoms persist please see your gynecologist for another evaluation. ...Read more

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Epigastric pain, back and upper right quad pain for 6 weeks. Pancreas ct scan with contrast normal. Worried about pancreatic cancer. Ct reassuring?

Epigastric pain, back and upper right quad pain for 6 weeks. Pancreas ct scan with contrast normal. Worried about pancreatic cancer. Ct reassuring?

YES: The CT is reassuring however a lesion in your upper GI tract (esophagus/stomach) should be ruled out as well! Ask the Health Care Provider who ordered your CT scan...he/she probably can "take a look" (endoscopy)

Hope this helps/good luck/be well

Dr Z ...Read more

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I do not drink alcohol but I still have upper epigastric pain. Ct scan reported ascites. How can that be? I also have fluid on/in the liver. Is this why I still have the pain?

There are many: Causes of ascites, not just alcohol abuse.

Please see your doctor for additional workup, likely to include a number of blood tests as well as taking a same of the ascites and analyzing its composition.

You need to keep on this until you have a reason. Good luck, . ...Read more

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Have severe lower stomach pain diarrhia every time I eat had CT scan and blood work all normal been 3 weeks no change?

Lactose intolerance?: It is good that you had a normal CT scan and bloodwork as that can exclude many anatomical issues including appendicitis, colitis, infection or tumor. Are there certain foods that make this worse? Do you see a relationship to dairy products? What about wheat products? Should consider lactose intolerance or possibly celiac disease. I would consult with GI specialist at this point ...Read more

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Tep clear CT scan of ab, clear cxr, clear. Brief us, stomach pain comes and goes on upper left, spleen rupture, contrast in. Vein. Both times?

Tep clear CT scan of ab, clear cxr, clear. Brief us, stomach pain comes and goes on upper left, spleen rupture, contrast in. Vein. Both times?

Problably NOT: If on CT of abdomen had no splenic laceration and there 4 grades being 3& 4 degree surgical and 1-2 May be observed. I'd there was none originally they do not appear out the sudden AND all of rhem require severe trauma like falling twice the perso height, severe car accident essentially a severe traumatic mechanism, Most probably muscle strain take NSAIDS if not allergic and put her compress. ...Read more

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I recently had a CT scan for belly pain, which showed I have splenomegaly. I've had no injury. The ER doc suggested I have it out asap due to risk of hemorrhage if I were to have an injury. Should i?

I recently had a CT scan for belly pain, which showed I have splenomegaly. I've had no injury. The ER doc suggested I have it out asap due to risk of hemorrhage if I were to have an injury. Should i?

More complicated: Many causes of an enlarged spleen, and the first step is not spleenectomy. Though traumatic rupture is slightly more common if you have an enlarged spleen this is not an indication for it's removal except in very unusual circumstances. Start your work up with your doctor or a hematologist. ...Read more

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I have navel belly pain and it hurts when I walk. Is this something serious? I had an unknown infection about two weeks ago which caused by right side and lower back to hurt really bad. I had a pelvic exam and CT scan done and everything was fine. A week

Hello.: Hello. I don't know know the cause of your pain. However, appendicitis can sometimes present as pain near the naval and then can move about. When the abdomen is jostled the pain can increase. If you have severe abdominal pain, you will need to be re-evaluated for the source. ...Read more

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I have belly pain to the right of myh belly button since I had my colostomy takedown CT scan showed some abcess or micro leak in the colon repair. Colon has been repaired since 7/11 and about every two months I get extreme pain low fever in that area. I

I have belly pain to the right of myh belly button since I had my colostomy takedown CT scan showed some abcess or micro leak in the colon repair. Colon has been repaired since 7/11 and about every two months I get extreme pain low fever in that area. I

Uncertain: If your ct scan showed a colon leak after the colostomy take down surgery, you would need to see your surgeon to determine the clinical significance of the x-ray findings. Some degree of pain can be post-operative healing, but a chronic low low grade infection could cause pain too. Not all radiology findings are always meaningful, but also should not ignore until you are seen by your surgeon. ...Read more

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What can a CT scan show that an ultrasound can't show?

What can a CT scan show that an ultrasound can't show?

Better details: The resolution, details shown, on ct is more effective than that of ultrasound. Ultrasound shows liquids e.g. Cysts and effusion better and is cheaper but in obese patients ultrasound has limited penetration. Accordingly, ultrasound, in these patients, is usually replaced by ct that views fatty tissues better and penetrates as deep as needed for better resolution. ...Read more

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If I have CT scan and it was normal, do I need an ultrasound too?

OF WHAT? FOR WHAT?: Answer depends on what is being examined and what is being looked for. A normal ct of the chest would likely not provide information about the heart that an ultrasound could. A ct might miss some masses in the liver that an ultrasound could show and vice versa. ...Read more

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Why is an ultrasound better at detecting gallstones than a ct scan?

Less radiation: There is no radiation exposure from an ultrasound, while CT has moderate radiation risk. Usually, US gives the info needed with lower cost and no radiation. ...Read more

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Can ultrasound, ct scan or MRI detect cirrohsis of the liver?

Can ultrasound, ct scan or MRI detect cirrohsis of the liver?

Yes,: But sometimes the findings are not specific, and biopsy may be required if there is a question. ...Read more

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Which is more useful in determining wether an ovarian cyst is cancerous CT scan or ultrasound?

CT always better: CT is always better than ultrasound but for screening purposes the ultrasound causes no radiation effect. If multiple CTs were performed over time the RT could be significant. The ultrasound can tell whether a lesion is solid or cystic and whether the latter is simple or complex. The CT can show detail not seen on ultraound. ...Read more

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Can ct scan and ultrasound miss a hernia? I cant feel a lump but have symptoms like hernia pain.

What kind?: Of hernia are you talking about? Are you meaning a hiatal hernia? I think the idea of an inguinal hernia is what you are after. The CT might not show it if it is not protruding as well as the ultrasound. If you feel no lump and the doc cannot you may have made the wrong dx. See your local surgeon for a second opinion. ...Read more

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Hi dr! I want to ask. Is it possible that a kidney stones was seen in ultrasound but can't be seen in ct scan with contrast?

Yes, because: It had probably passed in the meantime. Small stones generally pass. Most important for you is to prevent recurrence of stones. ...Read more

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What's is the best test to find a liver tumor? I've had mrcp/ct scan/ultrasound & bw all negative still in pain and scared as hell. Upper abd pain

SEEMS LIKE YOU: Have had all the testing necessary to find a liver tumor, and it also seems that your pain is not from a liver tumor.
If there is nothing showing up, there is nothing to biopsy, which ultimately is the one and only definitive test to prove or rule out a tumor. ...Read more

Dr. Daniel Saurborn
1 Doctor shared a insight

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


Dr. Michael Gabor
1,876 Doctors shared insights

Ct Scan (Definition)

Computed tomography (ct scan) or computed axial tomography (cat scan), is a medical imaging procedure that utilizes computer-processed x-rays to produce tomographic images or 'slices' of specific ...Read more