Will my nuclear scan detect bursitis inflammation?

Question

Hi doctor,

I am a 70 year old female. My height is 5'5" and weight is 155 lbs. My current medications are Quinapril-HCTZ 20-25 mg and Diltiazem 24HR ER 120 mg. I am experiencing discomfort in the right buttock for the past one year. I had a total body nuclear scan done recently and the narrative is attached. I am being sent for a computed tomography (CT) scan.

My doubts are, I got a total hip replacement in 2008. Would it be helpful to the CT scan radiologist to see theattached x-rayof the prosthesis since it shows a screw going into soft tissue?
As this screw incidentally has been in the same position since 2008 and it has not caused any problem. Would it be helpful to the CT scan radiologist to see the narration of the nuclear scan?
Is the CT scan capable of showing a possible bursitis inflammation?

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I have read through your query and reports (attachment removed to protect patient identity) in detail. Please find my observations below. The x-ray is always useful when reporting a computed tomography (CT) scan. It provides a two-dimensional picture of the screw which is seen to be partly in the region of soft tissues.

As a radiologist, I will always be happy to see an x-ray if available. The nuclear scan shows that there is no infection around the prosthesis. There is a small amount of suspected infection in the bowel or fallopian tube on the right side of the pelvis. This might help the radiologist to specifically look for bowel infection or fallopian tube pathology on the right side of the pelvis.

The narration is beneficial to the radiologist to have a detailed look through your CT scan pelvis. CT scan will show bursitis if it is severe. Recent studies have shown an magnetic resonance imaging (MRI) scan to be the investigation of choice for inflammatory bursitis. In your case, bursitis is less likely because the nuclear scan does not show any abnormality in the region.

I hope this helps.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Crohn's disease (CD) and ulcerative colitis (UC) are the two principal forms of inflammatory bowel disease (IBD) and many less common conditions are also there. Research has shown the role of intestinal bacteria as one of the causative factors in inflammatory bowel disease. Please note that acute bowel infection due to bacteria is a different condition but both the conditions might exist at the same time.

I hope this helps.

Thank you.