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Medical Forum / Diseases and Disorders / Sinusitis / November 2007

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Does a CAT scan show pockets of infection?

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AR - 10 Nov 2007 00:40 GMT
I was just wondering if a CAT scan would show if an infection were
present without contrast dye. Would pockets of infection show on the
scan? I just had one done and there wasn't a mention of infection on
the report, and my white count was normal. The allergist told me I
didn't have an infection. The ENT I went to told me he didn't think I
had an infection from the scans and just had mild sinus disease, and
didn't even want to do a culture. I've had a staph aureus infection in
there for many years, since I gave up on antibiotics, and the doctor
thought I might not have it now. I requested the culture anyway,and it
came back with many staph aureus again. I just started Cipro as
amoxacillan, and Levaquin didn't work. My only symptoms are a post
nasal drip, a mild headache, and feeling like I have a low grade
fever.

The ENT said I definitely didn't need surgery, but wouldn't I need it
if the antibiotics won't clear it? Is it different surgery than
adjusting the sinus anatomy and is it an in office procedure done with
an endoscope. Would appreciate any help. Thanks!
Steven L. - 10 Nov 2007 02:41 GMT
> I was just wondering if a CAT scan would show if an infection were
> present without contrast dye. Would pockets of infection show on the
[quoted text clipped - 14 lines]
> adjusting the sinus anatomy and is it an in office procedure done with
> an endoscope. Would appreciate any help. Thanks!

CT scans have about a 5% rate of false negatives--you can have sinusitis
even though the CT scan doesn't detect it.  That was my experience.

I had to consult *four* different ENTs before I finally found one who
would trust a patient's history and symptoms over what the CT scan
showed.  And that third one diagnosed me with chronic sinusitis based on
my history and symptoms even though my CT scan "didn't look too bad," as
they say.

Too many ENTs think that these medical tests are the gold standard, when
in fact they're just a guide for a physician to use his own judgment.

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Steven L.
Email:  sdlitvin@earthlinkNOSPAM.net
Remove the NOSPAM before replying to me.


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