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Doctor insights on: Why Did The Ct Not Show My Appendix

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I had a 4mm appendicolith show on a CT on feb.18, 2014. Can an appendicolith flush out of appendix? Right sided pain not typical.

I had a 4mm appendicolith show on a CT on feb.18, 2014. Can an appendicolith flush out of appendix? Right sided pain not typical.

Not really: Appendix is a small tube attached to a part of the colon called cecum
appendicolith is a hard stool gut trapped in the lumen of the appendix
can cause nothing or pain or acute appendix that could lead to rupture and infection that could be life threatening
depend on the symptoms the surgeon will decide if it need any intervention but no it does not flush out. ...Read more

Dr. Adam Lewis
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


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Will appendix fecalith shows in ultrasound because the recent showed no previous with CT showed yes?

Will appendix fecalith shows in ultrasound because the recent showed no previous with CT showed yes?

Less sensutive: A ct is like a high definition tv, wide screen. Ultrasound onus equivalent to 13-inch black and white tv with tinfoil on the rabbit ears. Ultrasound can pick up an enlarged appendix and inflammation. Not as sensitive for things like appendicilith a. ...Read more

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I had a CT done w/ IV & oral contrast w/a lil barium, but one thr scan my appendix did not show. I'm really thin too. Why? My ovaries showed though.

I had a CT done w/ IV & oral contrast w/a lil barium, but one thr scan my appendix did not show. I'm really thin too. Why? My ovaries showed though.

Thin: When you do not have a good amount of mesenteric fatty tissue the loops of bowel are close together. This will sometimes hide the normal appendix. If there are no secondary signs the appendix is inflammed, then it is less likely to be inflammed. The ovaries in young ladies and the pelvis in general may have more fatty tissue around and less bowel and can be seen. ...Read more

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I have kidney stones, but still having pain can it be my appendix? Ct tests show my appendix is good. I have no galbladder or overies full hyst.

I have kidney stones, but still having pain can it be my appendix? Ct tests show my appendix is good. I have no galbladder or overies full hyst.

Unlikely appendix: As an education for you, an appendix does not usually cause symptoms that last for days without becoming very problematic. When it gets inflamed it becomes a blocked tube and will continue to get bigger until it ruptures. Given this, a normal ct with more than a day of pain makes it unlikely the problem. That being said, the best diagnosis is a personal history and physical exam by a professional! ...Read more

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LRQ pain, nausea, mild fever. CT WO contrast show thickening bowel, transverse, sigmoid diverticula. Appendix normal. Where is this pain coming from?!

Other things: Where was bowel thickening? Thickening of bowel walls is often associated with inflammation/infection. Ovaries located in pelvis with cysts, inflammation and infection can also cause pain, particularly right ovary. Urinary system may be another source of pain, Consult your physician. ...Read more

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How common is it to have a CT scan with contrast and not find an appendix?

Uncommon: People that have appendicitis are more frequently having CT scans to dx this problem. It is not common to not find an appendix especially if there is one present. There are people that are born without appendix but is rare. ...Read more

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Had a CT scan to check my appendix. Said it was okay. Can I relax now? Is this test reliable?

About 85% sure: The CT scan is relatively accurate. About 85% of appendicitis appear on CT scan. But CT scans are often negative when the appendix is inflamed, so you have to take the results in context with clinical signs (abdominal pain, fever). If the CT scan is positive, that is generally accurate (about 95%) & helps make a diagnosis, but a diagnosis can be made other ways when the CT is negative. ...Read more

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If CT Scan results said appendix is visible and functioning normal, could there be something there mistaken for an appendix, because I don't have one?

Yes: A CT scan doesn't tell whether the appendix is functioning normally. (We don't really know what the appendix does!)
And certainly there is potential for error in any radiologic imaging test. If you don't have an appendix, then that's not what they saw on the exam. It is worthwhile to speak with the doctor who ordered the exam, and clarify what is happening. ...Read more

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Can a CT scan pick up an inflamed appendix?

Can a CT scan pick up an inflamed appendix?

Yes: Ct scans are routinely used to assist in the evaluation of possible appendicitis. ...Read more

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I have a copy of my CT scan and the report says normal appendix identified. I can't see it on the images. I'm no pro, but possibly wrong? I want proof.

No way: To confirm the appendix on a CT in this general Q & A section, but I am available for consult at my HealthTap virtual practice if you have the images in digital format and are able to upload or email them. ...Read more

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1 yr back u/s abd with CT screen showed 7mm appendix with feca lith. Recent u/s no CT showed 7mm appendix normal what happened to fecalith. Pain onoff?

Worry not: Your appendix is a tube that connects to your colon. Appendicilith can therefore move back into colon and be excreted with stool. ...Read more

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Can chronic appendix be diagnosed with CT scan,? Or only the acute appendix [It was suspected that I ve it in my case, but not sure if CT was suitable

Yes -CT is very good: CT scans or 'CAT' scans are very good at imaging the abdomen and other parts of the body. Ideally, these studies are done with CONTRAST -both oral (swallowed chalk like substance) and IV- which really helps distinguish the structures in the abdomen/pelvis. Chronic appendicitis should be visible this way, although if no contrast is used it might not be as good. I would ask exactly how they tested u ...Read more

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CT-Prominent appendix ill-defined enhance soft tissue at base of appendix & stranding of adjacent omentum. Colonscpy/gastroscpy-chronic gastritis. Mean?

Symptoms?: These results must be clinically correlated. I can explain what it means but ultimately no diagnoses can be made without a good history and physical. The CT basically- ill-defined ... means they see something at the base of the appendix but it does really have definition (does not resemble anything particular), stranding- often represents inflammation, chronic gast.- stomach inflamed but not new. ...Read more

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Appendix is inflamed for a week now. Slight pain/uncomfortable. MD said 4 days ago to wait to have CT only if pain gets worse. When will this go away?

Appendicitis ??: You make it sound like this is appendicitis. Such being the case, 4 days later sounds like you should have the CT. I would hate to have it rupture while we are waiting. See your doctor ...Read more

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Ct scan showed lower atelectasis and swelling around appendix. No one mentioned the atelectasis. Have seen it on past X-ray. Never mentioned to me why?

Ct scan showed lower atelectasis and swelling around appendix. No one mentioned the atelectasis. Have seen it on past X-ray. Never mentioned to me why?

If it was a very: Small region of Atelectasis or scarring it may not have been felt to be clinically significant, but without seeing the images it is impossible to say for sure. You can ask your doctor about it if you are concerned. ...Read more

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Could a CT scan miss in abscess on the appendix. Suspected appendicitis help?

Could a CT scan miss in abscess on the appendix. Suspected appendicitis help?

Not likely: Ct scan is generally quite sensitive for the diagnosis of appendicitis, and the additional finding of an abscess from appendicitis would usually be seen quite easily. ...Read more

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My doctors told me they could not see my appendix in a CT scan of my abdomen, is this normal?

Anatomy: Yes. Of course. If it is not inflamed, scarred or damaged it may not be prominent or obviously visible. ...Read more

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Would a CT scan be able to tell you if your appendix or lymph nodes next to your appendix are infected?

Probably helpful: A ct scan can help identify the appendix and/or nearby tissues. It can give an idea about swelling or inflammation. The only limitation is that it is possible for the appendix to not be visualized. Rare occurrence, but, leaves you wandering what to do next. It's worth being done. ...Read more

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What muscles are there near the appendix. I think I have appendicitis but CT scan said I don't but I still thonk I do!

It depends: Because the appendix is somewhat mobile (it can move around somewhat) inside the abdomen, the location of pain can depend on where the appendix is and what structures it resides next to. ...Read more

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Do you think I have appendicitis. Rlq pain started 12 days ago in the location of appendix. Non contrast CT scan apparently clear.

Unlikely : There are many causes for abdominal pain. If you have any other symptoms, like fever, loss of appetite, back or pelvic pain it might still be a consideration. It is best to see your doctor and be properly examined. ...Read more

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I had a CT scan during an ER visit. After reading the report it read: " the appendix is visualized and is unremarkable, except I have no appendix!?

I had a CT scan during an ER visit. After reading the report it read: " the appendix is visualized and is unremarkable, except I have no appendix!?

Maybe NOT visualized: I assume you had an appendectomy? It is certainly possible that the radiologist said not visualized in his/her dictation but not transcribed accurately. Mistakes do happen, even the best of us still make mistake. The world unremarkable is reassuring when it comes to ct/xray interpretation. If you have further concern, consult doc. Good luck. ...Read more

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Last time son had a CT and I was told he has an appendix stone, CT report says calcific debris, dr said it was nothing to worry about is that true?

Last time son had a CT and I was told he has an appendix stone, CT report says calcific debris, dr said it was nothing to worry about is that true?

Appendicolith: A stone in the appendix is caused an appendicolith and results from calcification of residue. These can sometimes block the opening of the appendix and cause appendicitis. Most commonly though these are just incidental findings and nothing to worry about if not associated with any inflammation. ...Read more

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Ct showed enlarged appendix.i have all symptoms of appendicitis. Was admit for 2 days but no removal. Why? High wbc.still symptomatic 3 days later.

Time to remove it: If the symptoms were such that a CT was needed, and it showed an enlarged appendix with secondary signs such as streak in the adjacent tissue, then hard to explain why not removed. Nonetheless, recent studies suggest that treatment with antibiotics much may not need surgery. Before perforation occurs you need to talk to your primary care doctor and get to the bottom of what is really happening. ...Read more

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Have pain under my ribs on my right side. ER did a ct scan and they said it was normal, enlarged appendix. Why didn't they take it out? More issues?

Because incidental: Finding not likely related to ribs since it is located in the right lower abdomen and was inceidental finding, er is for emergencies and they wanted to rule that out, you can schedule a surgeon to remove the appendix if you want since it can burst later but may not be necessary but you can have a surgeon ready when needed. If pain in the right lower abdomin and fever and vomiting it can be the ap ...Read more

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Sharp pain in lower right pelvic region. CT says no abnormalities, only thing is air in appendix (which isn't fully viewed) Could it be appendicitis?

Air: Seen in the appendix is generally a good & normal finding often indicating no appendicitis. But a complete evaluation by a doctor is necessary. Many things cause pain & would need evaluations for ovary cyst, urinary infection, kidney stone, etc. ...Read more

Appendix (Definition)

The appendix is a piece of tubing located at the bottom of the colon on the right lower part of the abdomen. It has no known function in modern humans, but was thought to possibly be a type of extra stomach back in our cavepeople days. Currently it's only purpose is to get infected ...Read more


Did (Definition)

DID is an acronym for "Dissociative identity disorder" or "Multiple personality disorder" (psychiatric disorders). It is also ...Read more