Incidentalomas: Reasons to Think Twice about Getting a CT Scan

Kenneth Lin

First published 4/24/11 on Common Sense MD

Mrs. Smith (not her real name) fidgeted in her chair in my examination room as I scanned the radiology report she had given me. She had visited the emergency room the previous evening with severe abdominal pain that had eventually been diagnosed as gastritis, or swelling of the stomach lining due to a virus. During her evaluation, the ER physician had ordered a CT scan of her abdomen and pelvis. Although Mrs. Smith’s liver and intestinesappeared normal, the radiologist had noted a tiny mass on one of her kidneys.

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