Re: Misleading Imaging exams

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Fri Jan 9 21:51:44 2004


Agree, and I see a fair number of patients who have a CT from another doc (FP or internist) with an ovarian mass. Generally, that leads to an ultrasound for characterization (simple, complex) and size.

Garry

At Fri, 9 Jan 2004, Efrain Ramirez wrote: >
>A good history, physical and pelvic exam plus a good US is good enough
>in the vast majority of cases - CT's tend to confuse things - at least
>to me it does..
>
>>At Fri, 9 Jan 2004, Joanne Bulley, MD wrote:
>>
>>Speaking of misleading imagining exams ...
>>
>>Recent case of woman with a Pelvic US (including transvag) and a CAT
>>scan - read as fibroid uterus and small ovarian cysts. several month
>>history of pelvic pain. Abdominal exams and pelvic exams by more than
>>one doctor (including primary doc and ObGyn) and second opinion with me
>>and ER visit as well.
>>
>>No signs of acute abd etc.
>>
>>Went to surgery for presumed fibroids with torsion or necrosis.
>>
>>Findings:
>>Major pelvic abscess - everything socked in the pelvis. No significant
>>fibroids.
>>
>>Walled off so well - that she doesn't recall the vaginal probe US and
>>being a problem!
>>
>>JEB
>>
>>--
>>Joanne Bulley, MD
>>Keene, NH, USA
>>
>>-----
>>Work to create peace everywhere you go and with everything you do.
>>-----
>>Let us accept truth, even when it surprises us and alters our views.
>>-George Sand
>>
>--
>"The opposite of a correct statement is a false statement.
>But the opposite of a profound truth may well be another profound truth."
>
>Niels Bohr (1885 - 1962)
>

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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