MadMed wrote:I had a chest + Pelvis CT this morning. While there was no evidence of metastatic disease (awesome!) There was no mention of the organ itself. No mention of the rectum at all.
Why the hell not ? Presumably this was a restaging. Did that happen to anybody ?
No, I don't think this is odd at all. It probably happened that way because the prescribing doctor did not check the check-box for "
Treatment Monitoring" or for "
Radiation Therapy Treatment Monitoring", or he did not mention this in the box required for describing the
purpose of the CT exam.
I think that all CT request forms have a place at the top of the form for the prescribing doctor to specify the
purpose of the exam. In some cases, the doctor may even be required to specify the precise ICD-9 code or the precise CPT code for the specific type of exam requested.
It should also be noted that a pelvic CT scan can also show images of the bladder, prostate, ovaries, etc., but if these organs are not listed specifically in the
purpose of the exam, then the radiologist has no obligation to comment on them.