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Doctor insights on: V Q Scan

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Had CT scan w/ contrast in march & it showed no accessory spleen. Had recent scan w/o contrast that now shows an accessory spleen. Which is correct?

Had CT scan w/ contrast in march & it showed no accessory spleen. Had recent scan w/o contrast that now shows an accessory spleen. Which is correct?

No difference: One reader of ct may have overlooked accessory spleen or splenule which can be quite small or did not report it because of lack of importance. The major spleen does most of work for body. Accessory spleen has very minor function. It's only importance if interpreted wrongly as some other mass or if need splenectomy and accessory spleen is left behind. In most cases it is of little importance. ...Read more

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CT w/ contrast in March 2014 that showed 9mm cyst in each kidney.Had CT w/o contrast in Nov that says kidneys unremarkable.Can no contrast show cysts?

CT w/ contrast in March 2014 that showed 9mm cyst in each kidney.Had CT w/o contrast in Nov that says kidneys unremarkable.Can no contrast show cysts?

Possibly not: Due to various exposure factors and size of the patient , a CT without contrast may not reveal cysts, especially if they do not distort the adjacent structures or project beyond the kidney margins. ...Read more

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Q waves leads II, III, v4, v5, v6. ECG reads LVH. Went on beta blockers for sinus tachycardia. Q waves no longer on ECG. What does this mean?

Q waves leads II, III, v4, v5, v6. ECG reads LVH. Went on beta blockers for sinus tachycardia. Q waves no longer on ECG. What does this mean?

It means that the: quality of one or the other (or both) EKGs is not good. Most likely your body position changed (lying vs. sitting) or leads were incorrectly placed. Heart rate could potentially make a difference as well. At your age it is not concerning in anyway and is most likely an artifact. Don't worry. ...Read more

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Abdominal CT scan with oral contrast. What will this show?

Abdominal CT scan with oral contrast. What will this show?

Several things: Can be seen on ct scan. The oral contrast helps deliniate some of the intestinal findings. Other organs are also seen such as liver, pancreas, gallbladder, aorta, lymph nodes, kidneys, urinary bladder, uterus or prostate, vertebral column, etc. Some structures are seen better than others. ...Read more

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Wellens syndrome deep twaves v3 greater than 3mm more shallow t waves v4 with lexiscan new , EKG showed twave invert v1-v3 before stress test concern?

Wellens syndrome
deep twaves v3 greater than 3mm more shallow t waves v4 with lexiscan new , EKG showed twave invert v1-v3 before stress test concern?

Ask your own doctor: Please ask your own physician about these results. S/he knows you & your history, and can both interpret your study and advise you. ...Read more

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What exactly does CT scan with contrast show?

What exactly does CT scan with contrast show?

Read more about it: To learn more about ct scans with contrast and what they show, please check out: http://www.Conciergeradiologist.Com/ct-scan-with-contrast.Html. ...Read more

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Questions on a CT scan with contrast dye. Ok if pregnant?

Questions on a CT scan with contrast dye. Ok if pregnant?

Depends on the need: A ct can be used in pregnancy when absolutely necessary and when other options are not appropriate. A ct scan has a higher level of radiation exposure than other imaging methods so it is not the first choice. Mri, sonograms and even x-ray would be chosen first. In some medical conditions a ct is the best option in spite of the exposure. Make sure you discuss the reason for the ct scan with doc. ...Read more

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No contrast CT showed ill defined hypodense area on hepatic lobe. Ordered new CT w contrast w liver mass protocol not hemangioma protocol concerning?

No contrast CT showed ill defined hypodense area on hepatic lobe. Ordered new CT w contrast w liver mass protocol not hemangioma protocol concerning?

Get iv contrast CT: There are many reasons to have a liver mass, more often than not, they are benign, but clearly depending on past medical history, It is difficult without contrast to differentiate these lesions, there are various ways to give intravenous contrast. A hemangioma protocol is also known as a triphasic study, allows one to look at three phases of liver perfusion but more complex to do. ...Read more

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Nov 08 and march 09 us 1cm hypoechoic in liver dec 08 and march 09 MRI with contrast no focal lesion but fatty infiltration sub capsular. Us jul 09 liver normal. Dr said no further test needed?

Nov 08  and march 09 us 1cm hypoechoic  in liver  dec  08  and march 09 MRI with contrast no focal lesion but fatty infiltration sub capsular.  Us jul 09 liver normal.  Dr said no further test needed?

No more tests: Your doctor is right. Your liver is normal. Fatty infiltration in the absence of abnormal liver function tests or symptoms of liver disease does not require further investigations or treatment. ...Read more

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What does CT scan of head without contrast show?

Many things.: It can detect many conditions. Ct is particulaly good at detecting bleeding in the acute setting and hydrocephalus, and some masses. It's not nearly as good as MRI for looking at small structures and white matter disease. Both ct and MRI are usually more sensetive and specific when contrast is given. ...Read more

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I was injected with iodine IV contrast for cta 4 x. Does this damage kidneys?

I was injected with iodine IV contrast for cta 4 x. Does this damage kidneys?

It may: But at young age, good hydration, and some separation if timing of cts the risk is limited. Diabetes, some medications, preexisting renal disorders are known risks. ...Read more

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Had MRI w/ no contrast yesterday and it showed 8mm hyporintense lesion in inferior aspect of spleen. Ct w/ contrast three days ago noted small granulomus are noted. Which is more reliable?Concerning?

Neither finding: Is cause for concern. Mri is better at finding small cysts and benign hemangiomas than ct. Granulomas are also benign and usually result from prior exposure to histoplasmosis (very common). ...Read more

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Sodium low&cortisol highi& fatigue&weight loss. Clear CT scan in Apr15. Symptoms persisted CT scan in Feb 16 clear. Could CT missed SCLC. Repeat scan?

Look outside lung: Yes CT scans can miss SCLC, especially if the scan is not a 'high resolution' scan with sufficient overlap. However, with 2 negative scans, you should look outside the lung. Head & neck cancers and esthesioneuroblastoma (tumor of nerves that sense smell) can cause this symptom pattern. Though rarer, SCLC can occur outside the lung, as well. A PET scan or whole body bone scan could help. TTYD. ...Read more

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Ct scan 2013 no nodules-2 on CT scan 10/2014 ago-ct scan 11/2014 3 nodules-all around 5 mm-diagnosed w/stage 1b breast ca 9/2013 triple+ is this mets?

Suspicious for mets: Your doctor can verify and confirm it one of two ways. Do a PET scan now or do one more CT scan of chest in 6-8 weeks from now. Biopsy may be needed but the nodules are too small for a biopsy right now...they need to be close to 10-12 mm in size. Good luck. ...Read more

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My dr has ordered a spect scan of brain at columbia, i'd like an fmri instead.Can any dr order fmri?

My dr has ordered a spect scan of brain at columbia, i'd like an fmri instead.Can any dr order fmri?

FMRI: Any licensed physician may order an fmri. Unfortunately, insurance pre-certification can be difficult to obtain, even in cases where a more expensive examination is very useful or even necessary. If you are having trouble with precertification, notify your company's benefits manager of your difficulty. ...Read more

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Anxiety! 3.5cm arotic root anyerusm in heart. Having back pains. Had CT 4 valley fever w/ no contrast. If close to rupture wld CT no contrast show it?

Anxiety! 3.5cm arotic root anyerusm in heart. Having back pains. Had CT 4 valley fever w/ no contrast. If close to rupture wld CT no contrast show it?

Aneurysm: A 3.5cm aortic root is not really an aneurysm, it is the upper end of the width of the aorta at that spot. To call that small an aorta an aneurysm the wall would have to be abnormal and known to be. As far as rupture, generally we don't begin to worry until they are more than 4.5cm and start thinking surgery at 5cm or above. ...Read more

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What does "ct scan w/o contrast" mean?

It means: that the CT scan will be performed without the injection of intravenous contrast material. ...Read more