Is a CT Scan Necessary After Four Ultrasounds?
At 23 years old, I've been monitoring a lymph node located in my left groin for over a year. To assess its status, I've undergone four ultrasound examinations, all indicating that the lymph node is reactive without any alarming signs. - The initial ultrasound, conducted in March 2024, revealed mild lymphadenitis. - The second evaluation in March 2025 noted that the largest node measured 0.7 cm and appeared benign. - In April 2025, the third ultrasound showed three nodes, with the biggest measuring 1.8 x 0.7 cm; it was still classified as reactive and its hilum was preserved. - Lastly, a comprehensive abdominal and pelvic ultrasound in May 2025 returned normal results, identifying only a few sub-centimeter nodes in the groin, which also displayed a fatty hilum. Importantly, I have not experienced any concerning symptoms such as fever, unintentional weight loss, or night sweats. My blood work shows normal results with the exception of a slight iron deficiency. Despite this reassuring information, my physician has recommended that I proceed with a CT scan using both oral and intravenous contrast for further investigation. However, I'm left questioning whether this additional imaging is truly warranted or if it might be excessive.
Answers (1)
6/20/2025, 4:40:49 PM
OpenHealth AI
It's understandable to question the necessity of a CT scan after having multiple reassuring ultrasounds, especially given your history and the findings so far. Here's a clear breakdown of the situation:
Main Points:
- Your previous ultrasounds show reactive lymph nodes without alarming features.
- CT scans provide more detailed imaging, but may not always be necessary after multiple ultrasounds.
- Discussing your concerns with your physician is essential to make an informed decision.
Explanation:
Reactive lymph nodes can often signify a response to infection or inflammation and typically do not suggest a serious condition, particularly when accompanied by normal lab results and the absence of worrisome symptoms like weight loss or night sweats. Ultrasounds are useful for monitoring lymph nodes, especially since yours have remained stable over time.
A CT scan delivers a more comprehensive view and can sometimes help rule out other issues, but it also comes with exposure to radiation and additional costs. The recommendation for a CT scan might stem from a desire for a more definitive assessment, but it's crucial to weigh its risks and benefits.
Next Steps:
-
Consider Your Concerns: Reflect on how you feel about the necessity of the CT scan. It's okay to be cautious and seek clarification.
-
Consult Your Physician: Schedule a follow-up discussion with your physician to express your doubts about the CT scan. Ask:
- What specific information do they hope to gain from the CT that the ultrasounds haven't already provided?
- Are there alternative monitoring strategies that might be just as effective?
-
Monitor Symptoms: Keep tracking any changes in your health, especially symptoms that might develop in the future. Documenting any new concerns can help during discussions with your physician.
-
Seek A Second Opinion: If still uncertain, consider getting a second opinion from another healthcare professional, particularly one who specializes in internal medicine or oncology.
Taking these steps will empower you to make an informed decision regarding your health while ensuring you feel comfortable with the plan moving forward.
Related Questions
Concerns About Telemedicine during a Drive
Hello everyone, I'm a 28-year-old woman with a background of thyroid cancer, necessitating routine check-ups every six months. Recently, a question came to my mind regarding the professional conduct of my primary care physician. I was taken aback to learn that she participated in my telemedicine appointment while driving. I've noticed her appearing somewhat distracted during our in-person visits and at times, she forgets the medications we discuss during our reviews, but this situation felt even more inappropriate. It’s challenging for me to comprehend why I’m spending $450 post-insurance for what feels like a casual video call when it’s clear she is multitasking. Although I've been under her care for about two years, I'm eager to find a practitioner who will genuinely take the time to understand my health history and build a long-term relationship. I appreciate any insights you can offer!
Concerns About a Recent Lump on My Shaft: Seeking Guidance
I’m a 20-year-old male with allergies primarily to wood, pollen, and grass, which used to cause me hives, but that issue has resolved. Now, to address the main concern. I found a lump on my shaft while showering yesterday morning, and it caught me off guard. Up until now, I haven’t experienced any discomfort, and I still feel largely fine. The size of the lump is similar to that of a pimple or possibly a cyst, but I'm unsure. I'm contemplating whether it would be wise to consult a doctor about this issue, as I want to be informed on how to proceed. Any advice would be greatly appreciated!
Should We Handle This Ear Issue at Home or Seek Medical Attention?
I’m sharing this on behalf of my husband, a 33-year-old male who is not currently taking any medications and has no known chronic conditions. The only relevant detail is that he has a significant issue with earwax accumulation. At times, this leads to noticeable deposits on his pillow when he sleeps on his side, affecting his hearing. For the past few days, his ear has exhibited symptoms similar to what is often seen in various ear conditions. He reports feeling a sense of discomfort, although there is no pain or itchiness involved. Touching or tugging on the tragus and surrounding areas does not elicit any pain. He’s uncertain why there are scabs around this area. He mentioned experiencing a sensation of fluid inside the ear yesterday, prompting him to use some over-the-counter peroxide drops to help clear it out. He described the output as a thick, opaque discharge resembling earwax, but darker and more liquid in texture. Today, while the fullness sensation seems to have diminished, the discomfort remains. His other ear appears normal, perhaps just slightly dry, but nothing more than what is typical for ears. Given this information, I'd like to know whether this is a situation he can manage at home or one that warrants a visit to urgent care. Additionally, what might be the underlying issue?
Distinguishing Between Norovirus and Influenza: Seeking Insights
I know I recently shared an update, but I realized I overlooked an important question. My 28-year-old husband has been feeling unwell since early this morning, although he seems to be on the mend. He experienced a single episode of vomiting and has had diarrhea 3-4 times today. Since he started expressing discomfort, we have been entirely apart to prevent any possible spread of illness. Given his symptoms, could this be Norovirus or Influenza? Currently, he is suffering from a headache, feels unusually warm (though we don’t have a thermometer, so I can’t confirm if he has a fever), and is experiencing soreness in his legs. Additionally, his throat was quite painful for much of the day, particularly after vomiting, which might be due to a globus sensation. He has taken a total of 12mg of ondansetron, administered in intervals of six hours. For reference, he weighs 230 pounds, seldom consumes alcohol, has Puerto Rican heritage, is a former smoker, and does not use any illicit substances.
Understanding Esophageal Polyps
I’m a 33-year-old woman who recently discovered a polyp located at the base of my esophagus. I’m wondering if anyone has insights on what the possible pathology results might indicate? Feel free to share your thoughts in the comments.