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    Old 12-21-2005, 04:44 PM   #1
    twizliz
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    cat scan of sinuses

    my dr called me back today after suffering from a sinus infection for nearly 2 months. They did an xray that came back fine, no impaction of the sinuses, but now I have to go to an ENT and get a cat scan. What does the cat scan entail? Anyone had it done of their sinuses? Is it anything like an MRI? I've had that done before. Thanks in advance. Liz

     
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    Old 12-21-2005, 07:27 PM   #2
    Hockeygirl26
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    Re: cat scan of sinuses

    Hi! I had a cat scan done of my sinuses. It is a lot like having an mri. Except at least with the one I had done, the tube they put me in was a lot more open for the cat scan than the mri one was. And they only stuck my head in. Also, I don't think they strapped me down for the cat scan like they did for the mri. You basically just have to lay still. You don't feel anything or anything. I can't remember how long it took (it was a number of years ago) but its totally painless! Good luck and I hope you feel better soon!

     
    Old 12-21-2005, 08:30 PM   #3
    twizliz
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    Re: cat scan of sinuses

    Glad to hear that the cat scan isn't so bad. Do you know why they have to do one after the xray came back clear? My face is actually swollen from the infection and I've been on antibiotics for nearly 3 months!

     
    Old 12-21-2005, 09:13 PM   #4
    Murphy
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    Cool Re: cat scan of sinuses

    Twiz: You're doc is doing the best thing. Make sure U R getting a Coronal CT.
    U lay stomache dwn & go 'nose in' to the CT machine. It fine tunes the
    imaging & can determine air space, fluid, cyst, polyp or a benign tumor
    that is interrupting the flow. A lay-dwn w/ face up CT will image all sinuses
    but can overlook blockage. I know from experience. My face & eye swelled
    off/on for yrs. & antibiotics didn't help along w/ the Dr's. I insisted on a
    Coronal CT & unfortunately a tumor was found when the other CT didn't
    show it. They kept treating me w/ Rx's. I'm sure you'll be fine once they
    get clearer image. Some docs will with-hold info & refer U to a specialist.
    Be sure to get a copy of your report either from lab or ofc. Say U R starting
    a home-health-file. Get all copies of CT's, etc.. The ENT should do an
    endoscopic check too. Could U ask your Dr. to order the Coronal CT? That
    would save time & U can take films in for ENT appt to evaluate fast! Check
    out ENT (Otolaryngologist), w/ State Board. Augmentin is a top line rx for
    sinuses but the CT is now the best thing. I'm fine now & hope U get the
    right help. Face swelling is the 1st tip to order an immediate CT. Dr's
    insurance stays dwn if they keep tests dwn. U R coded for sinus problem &
    so he has the go ahead. Ask & maybe you'll get! Why be miserable. U need
    sleep & answers. My case was severe w/ many surgeries to cure. Yours
    may be just extensive infection. Good luck.

     
    Old 12-21-2005, 09:33 PM   #5
    BioAdoptMom3
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    Re: cat scan of sinuses

    I layed down with my chin in a chin rest and my head pointing up. It was kind of an uncomfortable position, but took all of five minutes and there was nothing else involved in it. It is totally worth it!

    Nancy

     
    Old 12-21-2005, 09:47 PM   #6
    twizliz
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    Re: cat scan of sinuses

    Murphy: thank you so much for your in depth explaination of what to expect, as well as the others that posted. I'm so sorry to her about your tumor. I'm pretty sure if I had one it'd show up on the xray they took on friday though, right? I am currently on clarisiplan (SP). I have a retired ENT as my allergist and I get my shot tomorrow so I'm going to ask him about it and see what he sees. So the face swelling isn't a good thing? I know that sounds lame, but I didn't think it was that bad. Thanks for your help

    Last edited by twizliz; 12-21-2005 at 09:48 PM.

     
    Old 12-22-2005, 11:18 AM   #7
    Murphy
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    Cool Re: cat scan of sinuses

    Twiz: I have know idea what med U R on. If your ENT is retired, then he is
    doing shots illegally. If he knew the updates of reading films, he would know
    that a basic xray doesn't show zip abt soft tissue conditions. A very slight
    shadow would be over-looked & even an MRI or CT can't tell the difference
    between a cyst, polyp or tumor (benign or cancerous). Swelling means
    tissue injury & long term means it's getting worse. I went to 18 Dr's + the
    Mayo clinic over 8 yrs. listening to dumb explanations. My Internal MD saw
    my bloodwk getting worse & felt his colleagues were not doing their job. I
    wk'd for Dr's over 25 yrs & knew I was going to die even though 1 said "no
    one dies from a sinus infection." I did my research. Had my reg. MD order the
    Coronal & review film. He found a surgeon in 3 days to do pathology test &
    discovered bone fragments had melted from infection & spread towards the
    brain. Yes, U can die from a sinus infection out of control. Obviously the
    antibio's aren't killing things off. Shots aren't controlling allergy. Most ENT's
    R guessing & they should be ruling out. Infection can break through to the
    blood stream. My problem mutated into cancer & I'm on lifetime fol/up. There
    R good dr's out there but U need to know, most R busy & can over-look
    something. I guess U R trusting like many. I had the background to buck the
    system. I hope things turn out to be a simple allergy for you. Good health
    to U in 2006.

     
    Old 12-22-2005, 12:01 PM   #8
    manchak99
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    Re: cat scan of sinuses

    question...i had a sinus infection back in october and was treated with two courses of antibiotics. went away but still my main symptom was dizziness/lightheadedness. So...in late nov, i had a catscan done. Came back clear. Should i have an MRI? Is it possible somehting was missed or is this something an ENT should look into since my catscan came back clear. I'm just worried that somehting could have been missed with me NOT having an MRI...tumor causing my dizziness? No headaches.......just don't want to deal with this issue anylonger!

     
    Old 12-22-2005, 02:29 PM   #9
    twizliz
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    Re: cat scan of sinuses

    Murphy: I don't think my allergy dr is retiring, sorry if that seemed misleading. He just doesn't do the surgery or other ENT things, only the shots. He's been practicing here in town for more than 30 years. The ENT that I am going to see in Feb. referred me to him because he is so well respected for his knowledge of allergies and shots. I just got my shot today (bi weekly) and I usually don't have any reaction aside from some swelling and itching where the shot was, but today I felt really sick after and feverish. I don't know, maybe it's from just being sick in general.

    Manchak: Do you still have a lot of congestion? Because that can cause dizzyness.. or you may have low iron. I would doubt that it would be a tumor, I'm pretty sure that would show up on a cat scan. Ask your dr to check you iron. I have anemia and it makes me really dizzy. And anxiety does that for me too. Best to call/see your doctor to put your mind at ease!

     
    Old 12-22-2005, 04:03 PM   #10
    manchak99
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    Re: cat scan of sinuses

    hi.....no more sinus symptoms..just dizziness and feelsing off....can't tell if i panic that i will become dizzy when i'm out or if it's the dizziness that causes the panic. told my doc that i thought it could be anxiety but he didn't think so since i don't have a feeling of doom......there are so many other symptoms though....i've done the research. i'm having a blood test to run lots of info so hopefully something will show up so i can get rid of this....is there a pill to take if it is just anxiety to stop the main and only symptom of dizzy? are you sure that there's no chance that the scan could miss a tumor? does anyone know the difference of a catscan to an MRI?

    thanks..helps tlaking to you guys.

     
    Old 12-23-2005, 02:22 PM   #11
    Murphy
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    Cool Re: cat scan of sinuses

    Man: If no more sinus symptoms, then how R your ears? A lo dose Xanax
    helps w/ anxiety quite well, except U told doc that U easily get dizzy. Most
    won't try it since it is a hypnotic & some get light headed till U R use to it.
    I get ear spasms/pops in my ears at night & it works great. Re: imaging,
    a face-up CT will show a 'generalized' image of 'all' sinuses & sometimes
    infections. It won't show starting cysts/tumors unless the radiologist is
    really good. Most do a quick look & a quick report. I have copies of first
    filming & tumor didn't show. A Coronal CT is nose-in & looks deeper into
    maxillary sinus where trouble usually starts. A small cloudy area showed &
    was dismissed as slight infection & nothing more. After that, the report
    stayed w/ me & Dr's/Neuro's/ENT's wrote me off as nuts & needs mental-
    help. They didn't notice my face swelling or listen to info abt stabbing temple
    pain w/ ear-fullness. A brain MRI is just that. They look 'only' at the 'brain'.
    My tumor had filled my entire rt. maxillary, broke thru, spread infection into
    skull. A brain tumor will show up w/ gad-dye imaging. My cloudy image of my
    rt. maxillary was tossed out as just infection again. Neuro-ENT said, 'what U
    see isn't'! I took films to another for review. He said exact same thing. My
    doc knew they were off so he found me a surgeon to do pathology. Report
    came back as: long term tumor of rare type. Sent on to a panel of Paths. &
    type was determined. Every one was wrong. Radiologists were sloppy.
    Dr's were doing a cover up or just lazy. They exchange 'dictations' w/ ea.
    other. They R reports of any stupid thing they want to right abt U. Most
    will stick to 'colleage-code-of ethics', means stick to 'my' Dx! I was able to
    recently get files & read abt myself. "imagines things" was frequent. I can't
    report anyone or the 'code' will stop my fol/up. No one wanted to step up.
    There R good docs but I wk'd for many bad ones & left because I refused to
    listen to there patient put-dwns. There is a website they can join to get
    help on how to 'scrub-files' if they think a lawsuit is coming. Since I was a
    professional, I was able to find it & get in. It's a site that would make U
    scream. Retired MD's/lawyers operate it for a fee. We R stuck. Best to know
    when/to/how to bring up your condition. "I feel off sometimes" is better than
    dizzy. Dizzy goes in file & now they won't give U Rx that relates to anything
    causing drowsiness. If U really R dizzy, is it off/on, occasional, laying dwn or
    sudden? It doesn't sound like a brain tumor or u would have many other
    symptoms like vomitng/dbl-vision. Many patients exagerate a condition &
    then that's the only focus & not the whole picture. I've been there. Write a
    short list & hand it to doc ea. appt. U really need to talk careful & bond w/
    Dr's on their playground. I was very lucky to have my MD in my corner. He
    was retiring & not a player so his patients came first. As it should be.

     
    Old 12-24-2005, 02:34 AM   #12
    Madam Captain
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    Re: cat scan of sinuses

    I had a cat scan on my sinuses about 6 years ago. I had to lay on my stomach with my face up, laying on my chin. It was a very uncomfortable position and it took about 15 minutes. They thought I had excess fluid in my sinuses but there was nothing there.

     
    Old 12-24-2005, 03:25 PM   #13
    Murphy
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    Cool Re: cat scan of sinuses

    Captain: U had a Coronal CT like I was speaking abt. Yes, it's not too
    comfortable & it pinched off a nerve in my upper neck. Get a copy of the
    report. Usually it will comment on ethmoid, maxillary, etc. sinuses. If they
    were suspecting fluid in sinus, it would be mentioned as slightly in the
    ethmoid or clear. If it just says 'no findings or no inflammation', it was a
    sloppy reading. U must have had a serious problem for doc to order. It was
    a good idea though to have done. Sometimes it's the 'nerves' that block a
    signal to work things right. That doesn't show up & a Neuro couldn't find
    the problem either unless U had a C-spine mri & it showed a bulge at C2
    disk. Hope U are doing better.

     
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