Radiology/Questions Answered by Expert Jason C.Birnholz, MD

SubjectDate Asked
MRI artifact1/24/2007
  Q: I have severe degenerative disc disease, and have had multiple back surgeries and fusions, including ...
  A: Artifacts are fake structures that appear on an image and have to do with the way that the image is ...
MRI conclusions11/29/2006
  Q: Over the past 10 years I have had several MRI's of my lumbar and cervical spine. Eash of those ...
  A: I regret that I cannot help you in any specific way. I just wanted to say that linking image ...
Pancreatic lump shown in ultrasound11/26/2006
  Q: Approximately 6 weeks ago I ended up in the emerg dept with severe upper abdominal pain. The emerg ...
  A: Firast of all, be very happy that the MRI and CT did NOT indicate a pabcreatic cancer. That is a ...
College11/22/2006
  Q: I live in Orlando, Fl. What is the best school in Florida for becoming a radiologist. Also, being ...
  A: There are three medical schools in Florida, in Miami, Tampa, and Gainesville. There are residency ...
5MM NODULE11/20/2006
  Q: RECENTLY WENT TO DR WHO ADVISED ME THAT XRAY I HAD IN FEB WHEN I HAD BRONCHITIS SHOWED A POSSIBLE ...
  A: CT scans tend to be much more sensitive for identifying lung nodules than X-Rays, so I would not be ...
splenule11/9/2006
  Q: My son just had a CT scan done and one of the findings was a 7 mm splenule anterior to the spleen. ...
  A: A splenukle, little spleen, or more correctly an accessory spleen is a common normal finding in ...
contrast allergy11/3/2006
  Q: In regard to testing for cancer spread/ recurrence, I have an allergy to the CT contrast dye. Is ...
  A: For questions about lymph nodes in the neck, ultrasound is very helpful, and it requires no contrast ...
X-ray radiation exposure10/28/2006
  Q: I recently had 3 x-rays done within a week. One for the kidneys, a CT-Scan and an IVP because I had ...
  A: The simplest answer is that this is a very low radiation exposure and should not be concern. Each ...
Phlebolith in the left gonadal vein10/26/2006
  Q: Where is this vein and is this dangerous?
  A: The left gonadal vein goes runs the left ovary in women and from the left testis in men, alongside ...
phleboliths10/20/2006
  Q: A recent x-ray of my kidneys showed "multiple small pelvic calcifications likely representative of ...
  A: Phleboliths are calcifications in small veins that have been closed of for a long time. They are ...
CT Lumber Spine10/20/2006
  Q: My mom had a scan done on her lumbar spine recently and here is the report, which I hope you can ...
  A: Diagnostic reports need to be placed in the context of the symptoms that prompted the study in the ...
breast ultrasound10/7/2006
  Q: so they sent me 1 hour later for a ultrasound that showed the original suspected cyst that the OBG ...
  A: Breasts are often a little unequal in size, which becomes more marked late in the menstrual cycle. ...
MRI Results - Lumbar9/29/2006
  Q: I'm a 72 year old woman who's had back pain for years. Since 1989 I have had xrays and an MRI in ...
  A: Please excuse my making a short response to your long and involved description. The spine is ...
CT Scan Abdominal Mass9/29/2006
  Q: I recently had a CT Scan in July, this descriptions was that of a 16mm soft tissue denisty nodule ...
  A: I understand your concern, but there is nothing a could possibkly add with this little, second hand ...
radiation exposure from multiple Cat/MRI/Pet9/28/2006
  Q: I am 29 1/2 years old and I've had some tests throughout my life that now give me concern after ...
  A: If you need to know the cumulative radiation expsoure, that can be calculated by a Radiation ...
mild bilateral facet arthropathy9/27/2006
  Q: I recently had an MRI done due to me having constant back pain from an incident at work. It was ...
  A: The spine is outside of my field of interest. In general, the report from a Radiologist is a ...
phlebolith9/27/2006
  Q: On allexperts.com a phlebolith is well described as a small local, usually rounded, calcification ...
  A: There is an extensive plexus of veins in the pelvis, particularly along the deep surface of the ...
PA to MD in Radiology?9/26/2006
  Q: I am currently a physician assistant in a busy sports medicine/orthopedic practice. I enjoy my job, ...
  A: You will have a distinct advantage from an admissions committee standpoint in applying to medical ...
What is a Bilateral Disc Osteophyte Complex9/25/2006
  Q: I was in a car accident in April. Since the accident, I have had a constant headache in the base of ...
  A: It is the job of your doctor to interpret and explain findings in the context of other clinical ...
Volume/Circumference9/25/2006
  Q: Can CT measure the circumference and/or volume of targeted human body parts?
  A: CT and ultrasound are cross sectional imaging methods. Planar measurements - diameters, areas, and ...
Is this a boy or a girl9/23/2006
  Q: I am in New Brunswick Canada.... in my city they don't tell you the sex of the baby.... but in ...
  A: As for the study, I wondered if the ultrasound exam had been done in a hospital unit or specialty ...
Disc dessication9/23/2006
  Q: I have been living with severe backpains for the last 10 years. In April 2004 I had an MRI done at ...
  A: I regret that there is not enough information here to come to any conclusion about the cause of pain ...
BRACHIAL PLEXUS9/22/2006
  Q: No, nothing about the rotator cuff or shoulder. I haven't been able to abduct my left arm for over 2 ...
  A: I really don't have enough information to comment. It does seem surprising, though, that there is no ...
KUB RESULTS9/22/2006
  Q: I HAD A KUB TO EVALUATE OLD KIDNEY STONES TO LEFT KIDNEY FROM 20 YEARS AGO WITH NO PROBLEMS ...
  A: There are a variety of calcificastions that can be seen in abdominal films that are of no ...
BRACHIAL PLEXUS9/21/2006
  Q: Trying to decipher my MRI. Please help. The Findings say: There are prominent cords, trunks, and ...
  A: I do not think I can help you. This section of the report describes some anatomic structures, but ...
Mild Hepatomegaly and Adenomyomatosis of gall bladder9/21/2006
  Q: I had got ultrasound for whole abdomen done in Dec 05. The ultrasound findings were: a) Mild ...
  A: Mr Agarwal, The mild enlargement of the liver in two exams may be important. Neither report notes ...
Interpretation of MRI9/19/2006
  Q: My MRI results state the following in brief: L4-5 left paramedian small disc extrusion, which ...
  A: I am not sure that I understand your question. It seems to me that the issue is whether the MRI ...
Is this a boy or a girl9/16/2006
  Q: We have just received our ultrasound pictures (I am currently 20 weeks) and at the hospital where we ...
  A: Even if the picture you posted were not blurred beyond recognition, it would not be helpful in ...
Lumbar MRI9/7/2006
  Q: I have had chronic lower back pain for several years. I recently had a Lumbar MRI, but have not yet ...
  A: I am not sure, and it is pointless to speculate. Your doctor should know and inform you, and he or ...
Radiology9/7/2006
  Q: What is subcentimeter calcification or calcified phlebolith? What is distal ureterolithiasis?
  A: Sub- centimeter means less than a centimeter, usually in diameter, i.e. less than a half inch. ...
gallbladder9/6/2006
  Q: i just recived the results for an abdominal sonogram(complete),it read as fallow , gallbladder wall ...
  A: I thuink the report must have said NO wall thickening or fluid around the gall bladder, otherwise ...
questions about radiology9/5/2006
  Q: My name is Courtney Wilson and I am a student in Florida. For a school project, I have to interview ...
  A: The best way to have all of your questions answered completely and have the option for asking some ...
X-Rays8/29/2006
  Q: Just wondering whether ultrasounds can harm the mother or baby at all? Do you know whether x-rays ...
  A: 1. Prior to 1950, fluorescent tubes were manufactured with berrylium. Breaking one of those tubes ...
Small lump on lower inner calf of left leg?8/25/2006
  Q: One day when shaving in the shower I noticed my lower left leg felt number than usual. It still ...
  A: This is a Radiology area, your question does not involve any imaging procedures. It sound like ...
phlebolith8/24/2006
  Q: I have a 3mm hemipelvic calcification slightly to the superior to the medial spine on the right ...
  A: If you do a all-experts search under phlebolith you will find a number of similar questions ...
Sinus Cancer?8/19/2006
  Q: My husband had a mri with and without iv contrast and a ct scan. Imprssions of Ct head w/o ...
  A: You did exactly the right thing in getting an appointment right away with an ENT specialist. Cancer ...
PET Scan8/15/2006
  Q: They suspected cancer due to a extreme unintentional weight loss of 50+ lbs, nausea and fatigue. I ...
  A: Unintentional weight loss is a serious matter. The PET scan reports notes an incidental finding ...
Career in Radiology - Huh?8/15/2006
  Q: Ok, so.. I'm in ninth grade this year, and I was hoping for a career in the medical field. To be ...
  A: Your inclination to use the internet for your questions will work when you learn enough more to ...
MRI of the lumbar spine8/11/2006
  Q: I just got my results back from an MRI. I had an accident 6 years ago and am forever having back ...
  A: The report is a technical description intended for your doctor. It needs to be reviewed in the ...
PET Scan8/10/2006
  Q: For the last several months dr's have suspected my husband to have a "cancer" of some sort but can ...
  A: There is no one test that identified or excludes cancer completely. The lack of findings in all of ...
radiology technician8/8/2006
  Q: How much do radiology technician make yearly and also an ultrasound tech? If an estimation can be ...
  A: Salaries vary greatly depending on job responsibilities, education, seniority, and other factors as ...
Phlebolith8/5/2006
  Q: Some time ago I had an ABDO SCAN and a phlebolith was identified in a branch of the middle hepatic ...
  A: If you are as forthcoming with information to your doctor, the two of you should have no trouble in ...
spinal canal8/1/2006
  Q: i been having midback and lumbar pain for month. my Mri report stated my spinal canal was ...
  A: You will of course want to go over all of your diagnostic studies and lab reports with your ...
Myelogram7/31/2006
  Q: years of left leg pain. Myelo: Mild disk bulge at the L3-4 and L4-5 levels, predominantly within ...
  A: There are several causes of chronic leg pain. The meylogram is just one test. It is likely that a ...
MRI OF LUMBAR SPINE7/31/2006
  Q: MRI OF LUMBAR SPINE. SEQUENCE: SAGITTAL SE T1 AND FSE T2, TRANSVERSE SE T1 AND FSE T2. FINDINGS IN ...
  A: These are all questions that you need to discuss with your physician or with the orthopedic ...
my husband's results7/28/2006
  Q: Mild facet arthropath noted. There is a congenitally small spinal canal at this level and is it is ...
  A: I regret that I cannot help you. All of the findings have to be viewed in the context of other ...
phleboliths7/28/2006
  Q: I just had a CT scan & it says that I have multiple phleboliths seen within the pelvis. Then no ...
  A: Your confusion is that you are trying to understand a technical report without speaking toyour ...
phlebolith7/28/2006
  Q: I was told I have phlebolith in my pelvic area. I also have alot of pain there. I was wondering what ...
  A: I have just answered another question on AllExperts about phleboliths a few nminutes ago. Have a ...
MRI of Lumbar Spine7/27/2006
  Q: Can You put these terms in English for me...1.L3-L4 SEGMENT DEMONSTRATES POSTERIOR ANULAR BULGE. ...
  A: As much as I would like to help you, I really cannot. The report is in technical language for ...
Doctor conveys discogram result7/23/2006
  Q: Birnholz, MD, I have all my pain on my left side but the neurosurgeon states that the MRI shows all ...
  A: I regret that I cannot help you with this. You need to discuss this with your doctor. If you need ...
MRI Results7/22/2006
  Q: Birnholz, MD, Could you please interpret this for me? I was involved in a car accident on July ...
  A: I regret that I cannot help you. The report is a technical document between physicians. The ...
thyroid ultrasound7/21/2006
  Q: Birnholz, I had a thyroid ultrasound last week. Three thyroid nodules were found. The sizes were ...
  A: There is no easy answer. Cysts and hormon inactive benign tumors are much, much more common than ...
x-rays7/21/2006
  Q: The x-rays were done at a major hospital in Boston, and were of my knees, but at least one x-ray (of ...
  A: I am sure that you have no cause for concern, however, there are other issues that need to be ...
Majors?7/9/2006
  Q: Please help me with this, I was wondering what would be a good subject to major in when wanting to ...
  A: This does not haver a simple answer. If one is intending to become a Radiologist, the the college ...
ultrasound question ~ Please Help!6/27/2006
  Q: I really appreciate your feedback. I will discuss this with my OB/GYN. With this aside, would you ...
  A: Sorry for the delay in responding, I did not realize that you had written back. I really prefer ...
ultrasound question ~ Please Help!6/27/2006
  Q: I am 29 weeks pregnant and I have had 6 ultrasounds due to a low lying placenta. In all of these ...
  A: It sounds to me that you should have your ultrasounds at a facility that concentrates on fetal work ...
dental Radiology6/21/2006
  Q: What should be the standard or range for the radiograph machine to be set at according to the MA and ...
  A: Milleamperes and Kilovolts are power and energy settings for the X-ray source. In application, ...
Obstetrical ultrasound at 25 weeks6/21/2006
  Q: I am 28 wks pregnant with my second child and I am curious about my ultrasound at 25 weeks. At the ...
  A: It is usually pretty easy to distinguish external genitalia by ultrasoundany time after 14 weeks or ...
Thickenening of the wall of gall bladder5/11/2006
  Q: My niece was born at 33 weeks with a vovlulus without malrotation. She has had 3 major surgeries to ...
  A: This is obviously a complicated problem that the child's parents are no doubt following closely with ...
LUMBOSACRAL SPINE5/11/2006
  Q: Question I had an X-ray done on my back and I don't understand most of my report. Please explain ...
  A: The report does not seem to indicate any serious problem with the spine, however I cannot provide ...
kidneys5/7/2006
  Q: What is hydronephrosis? What is the significance of granulomas within the liver and spleen?
  A: Hydronephrosis is a term that describes urine distention of the collecting system of a kidney, which ...
Need Article About Radiology5/2/2006
  Q: Need Article About Radiology Dear sir, It's happy to inform you that Radiology Today, South India's ...
  A: It was a pleasant surprise, since allexperts is a forum for medical questions. You will need to ...
abouth ultra sound3/27/2006
  Q: can u tell me that endo anal ultrasound benefits is it detect anal infection or any kind of disease ...
  A: With ultrasound imaging, the closer the probe gets to something, the better the detail and the more ...
amnio risks3/26/2006
  Q: Birnholz, I just turned 36 and am 9 weeks pregnant (GA as you say) with my second child. My ...
  A: I would like to express my gratitude for your understanding that we do live in a marvelous time with ...
Kidney Scare11/28/2005
  Q: Dr. Birnholz, I had an ultrasound done at approx. 17 weeks and they were unable to see the kidneys. ...
  A: It doesn't seem as if there is any problem. Amniotic fluid is almost entirely fetal urine. If the ...
Uses of Sonography3/17/2005
  Q: Birnholz, I am a licensed acupuncturist. With my Master of Science in Oriental Medicine I can become ...
  A: This is the first time I have been asked this question, and I don not have an answer for you. ...
Soft-tissue density?2/10/2005
  Q: I recently had a CT scan for pain I am having in my left side going into my back and in my left to ...
  A: I don't think I can answer the question, which I am sure you will put to your doctor next week. He ...
Ultrasound10/14/2004
  Q: I just went with my wife to have an ultrasound of our baby (19 weeks). I was a little concerned ...
  A: Fetuses are really well protected by amniotic fluid, which is a great shock absorber, and by the ...
What is the truth about Mammograms & Premenapausal women...?6/8/2004
  Q: I am 37 yrs old & have always tried to do everything & anything to lesson my Exposure to X-rays. ...
  A: There are many facets to your note that may be best handled by consulting with a physician who ...
fetal ultrasound expert3/29/2004
  Q: Dr. Birnholz, I was wondering if you know of a radiologist specializing in OB ultrasounds in the ...
  A: We are in the Chicago area, so I should be able to help you. I will be out of the country until the ...

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