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Re: Ultrasound as part of the normal exam From: Elrod Darryl G MAJ 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL) Mon Mar 14 18:00:10 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: Ultrasound as part of the normal exam" Previous message: R. Daniel Braun: "Re: Ultrasound as part of the normal exam" Maybe in reply to: Garry E. Siegel, M.D.: "Ultrasound as part of the normal exam" Next in thread: R. Daniel Braun: "Re: Ultrasound as part of the normal exam" Reply: R. Daniel Braun: "Re: Ultrasound as part of the normal exam" I just had one of that very scenario and it took 5 months for a 23 yo with a 18cm adnexal mass to hit my doorstep from the first time it was identified (as an enlarged uterus). Ultrasound inconclusive, recommend CT. Ct inconclusive, recommend MRI. Unfortunately for her, her ovaries were both normal by ultrasound, CT and MRI. The urologist and I are operating this week, still not exactly sure what we are dealing with. Anyone ever seen a paratubal cyst be that large? It is complete simple and fluid filled. Glen -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R. Daniel Braun Sent: Monday, March 14, 2005 11:41 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Ultrasound as part of the normal exam No that is :"A CT Scan may be helpful." Then the last line of the CT Scan report is: "An MRI may be helpful." Dan On Mon, 14 Mar 2005 17:19:39 -0600, RModugno@aol.com <RModugno@aol.com> wrote: > > In a message dated 3/13/2005 10:47:40 PM Eastern Standard Time, > dahmd@cfl.rr.com writes: > Joe- > > Good points. A different, and in my experience more common, scenario is > that a patient has a sonogram done in the radiology department after > seeing her primary physician. The report was one of those "it may be > this and it may be that, so please correlate clinically, because we > can't exclude any of the following conditions." The patient is > terrified. You repeat the sono on the spot in your office, and find a > 4cm simple cyst correlating with her menstrual dates, thus saving her > from unnecessary surgery. I'll bet that insurers would save a bunch of > money if pelvic sonograms were done by gynecologists instead of > radiologists, since we are able to provide clinical correlation > immediately. > > Ashley > > Ashley, you forgot to add to the radiologist's report "an MRI or CT scan > may be helpful" > :+) > > Robert Modugno MD MBA FACOG > Marietta, GA > http://www.novaobgyn.yourmd.com -- R. Daniel Braun Kinky for Governor Next message: R. Daniel Braun: "Re: Ultrasound as part of the normal exam" Previous message: R. Daniel Braun: "Re: Ultrasound as part of the normal exam" Maybe in reply to: Garry E. Siegel, M.D.: "Ultrasound as part of the normal exam" Next in thread: R. Daniel Braun: "Re: Ultrasound as part of the normal exam" Reply: R. Daniel Braun: "Re: Ultrasound as part of the normal exam"

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