Doubts About Radiology Results
At the age of 29 and weighing 180 pounds, I’ve been experiencing intermittent severe discomfort characterized by a burning sensation in my pelvic region, sharp pain near my kidneys, and occasional testicular pain. Despite undergoing a urinalysis that returned normal results, my primary care provider suspects I might be dealing with either colitis or kidney stones, prompting him to recommend a CT abdomen/pelvis scan using barium as a contrast agent. However, I was only given half an hour to consume the barium before the scan, which seems insufficient to me, raising concerns about whether proper protocol was followed. Following the examination, the initial report indicated that everything appeared normal. Yet, on reviewing the images with the assistance of my wife—who works as an ultrasound technician and consulted with her radiology peers—it appears that there might actually be ureteral stones. We requested a second opinion, but once again, the radiology team affirmed that everything was fine. Now I am left wondering whether it would be wise to undergo another imaging procedure or if I should simply accept that I do not have stones. Additionally, is it possible to request a complimentary re-scan due to the apparent lapse in proper preparation protocols? I would appreciate your insights.
Answers (1)
9/11/2025, 8:10:45 PM
OpenHealth AI
It's understandable to feel unsettled after receiving conflicting information about your health, especially with the ongoing discomfort you're experiencing. Let's clarify your situation and explore constructive next steps.
Main Points:
You have experienced significant discomfort in your pelvic region, and initial imaging suggested no issues, despite your concerns about potential kidney stones. You're considering whether further imaging is necessary and if a re-scan might be justified based on the preparation concerns.
Explanation:
Your symptoms—burning pelvic pain, sharp kidney pain, and testicular discomfort—can arise from several conditions. While CT scans are effective for diagnosing kidney stones, they can sometimes miss small stones or other issues if the preparation isn’t optimal.
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Barium Preparation Concerns: The half-hour to consume the barium may feel rushed. Generally, adequate preparation is key for clear images. However, whether this impacts the results can depend on various factors like the type and size of stones.
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Initial Imaging Results: Since the radiologists reported normal findings, it suggests that if there are stones, they may be small or obscured by the barium contrast. It is always prudent to trust radiology interpretations but equally essential to address your continued symptoms.
Next Steps:
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Document Everything: Keep a detailed log of your symptoms, including when they occur, their intensity, and any associated factors (like food intake).
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Request a Second Opinion: If you remain concerned, seeking a second opinion from a different radiology team or facility can provide further reassurance. You are within your rights to request this.
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Discuss Further Imaging: Schedule a follow-up appointment with your primary care provider to discuss your symptoms and the possibility of additional imaging, such as an ultrasound or a non-contrast renal CT, which can be effective in identifying stones without the barium.
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Consider Alternative Tests: There are also other tests, like a urine test for kidney function or a CT scan without barium, which may give you more peace of mind if symptoms persist.
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Communicate Your Concerns with Providers: If you feel that protocol may not have been followed regarding the preparation for the initial scan, discuss this with your doctor, as they can provide clarity or ensure you receive the appropriate follow-up care.
Your health is important, and it’s wise to advocate for yourself. You deserve clarity and resolution to your ongoing symptoms.
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