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Re: Misleading Imaging examsFrom: Braun, R. Daniel (rbraun@iupui.edu)Fri Jan 9 04:24:48 2004
Speaking of misleading imagining exams ... Exactly. I have to keep reminding our residents that imaging studies are helpful in showing that something is wrong in the pelvis, but not necessarily very good at telling us what it is. I don't know how many ovaries have really turned out to be fibroids and vice versa over the years. Dan -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joanne Bulley, MD Sent: Friday, January 09, 2004 1:04 AM To: Multiple recipients of list OB-GYN-L Subject: Misleading Imaging exams 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
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