Re: CT Scan vs. Ultrasound
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Mon, 10 Sep 2001 18:14:31 -0500 (CDT)
We see this all the time. A normal exam, a normal sonogram and a CT
that says something is enlarged. Get the exam first. You may find that
the exam is normal and the CT is, shall we say, overassessing the
normal.
HSM
At Mon, 10 Sep 2001, anonymous@obgyn.net wrote:
>
>I hope you won't mind but I have another question...I had the CT done at
>11 am today and my latest primary care dr called at noon to tell me that
>the CT Scan had shown my uterus was enlarged and he was going to contact
>OB/GYN today to get an appt set up to see me. I was so stunned that
>anything showed up,(especially since last ultrasound was normal, just
>painful) much less to have heard back from the dr so quickly that I
>didn't ask any other questions, such as why it might be enlarged...I
>would really appreciate any ideas at all, thanks once again!
>
>>At Sun, 9 Sep 2001, anonymous@obgyn.net wrote:
>>>
>>>I'm 38 and I've been having sharp pains for awhile now only on lower
>>>right and have also experienced fatigue,nausea,diarrhea,loss of
>>>appetite,stomach will harden occasionally, no matter what I've had to
>>>eat (even after just a glass of water), very heavy menstrual cycles with
>>>alot of clotting and the last few days have been dark brown bleeding
>>>each time. I've also had rectal bleeding recently with the diarrhea. I
>>>had an ultrasound several months ago, which didn't show anything
>>>abnormal, but was the first one I've ever had that was incredibly
>>>painful. The PCP has scheduled me for a pelvic CT Scan and I was just
>>>wondering what it might pick up that the ultrasound wouldn't have...I'm
>>>not looking forward to any testing that isn't necessary. They also put
>>>in a referral to the GI Specialist on the military base, but I haven't
>>>heard back regarding that appt yet. I know I had adhesions and moderate
>>>diverticulosis (which the dr said was likely to be genetic) and was
>>>wondering if it could just be that causing all this pain, etc. Also, if
>>>anyone could tell me what to expect from the pelvic ct scan, I'd really
>>>appreciate any advice. Thank you for your time.
>>
--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
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