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MRI, Ultrasound, or CAT Scan?
Our eight year-old daughter was seen in September by a pediatric endocrinologist due to vaginal bleeding that she had on August. He reran some of the blood work, which he wanted done a couple of weeks later, at the beginning of October, with the following findings: Estradial was 9pg/ml; FSH was 0.79; LH was 0.04. A bone age xray was also done, which came back at about her age (actual reading said four months younger than she actually was). Because of these results, and the fact that she has no breast development or pubic hair, the endocrinologist has concluded that she is not entering early puberty.
A pelvic ultrasound was also done, with the finding of enlarged ovaries. Ovarian volume was 2.8 and 2.9, which were both more than two standard deviations from normal. As you can imagine, the enlarged ovaries are of GREAT concern to us. The endocrinologist recommended to wait three months (which brings us to now), and have the ultrasound repeated. He also gave us the option of having an MRI or a Cat Scan done instead of the ultrasound. (Our daughter didn't have a problem with the test procedure itself, but had a very difficult time holding her urine for the duration of the ultrasound, and only made it through by the skin of her teeth). The endocrinolgist did not give us much information, and no guidance, on which test would have what strengths. Obviously, at her age, a transvaginal ultrasound is out.
We would like your opinion on which test , MRI, ultrasound, or Cat Scan, would give the most definitive information.
Thank you.
A pelvic ultrasound was also done, with the finding of enlarged ovaries. Ovarian volume was 2.8 and 2.9, which were both more than two standard deviations from normal. As you can imagine, the enlarged ovaries are of GREAT concern to us. The endocrinologist recommended to wait three months (which brings us to now), and have the ultrasound repeated. He also gave us the option of having an MRI or a Cat Scan done instead of the ultrasound. (Our daughter didn't have a problem with the test procedure itself, but had a very difficult time holding her urine for the duration of the ultrasound, and only made it through by the skin of her teeth). The endocrinolgist did not give us much information, and no guidance, on which test would have what strengths. Obviously, at her age, a transvaginal ultrasound is out.
We would like your opinion on which test , MRI, ultrasound, or Cat Scan, would give the most definitive information.
Thank you.
MEDICAL PROFESSIONAL
Rightly so a follow up study has been advised to look at the ovarian volume again. Now to follow up the chocies are mainly between USG and MRI. I wouldnt recommend CT scan for her as CT doesnt characterize ovaries that well and there are radiation concerns, especially in childern.
If she can hold urine the ideal would be a repeat ultrasound (Transvaginal obviously cannot be done), followed by MRI if there is any doubts. thereafter a repeat gynecologist/pediatrician consult will help.
If she can hold urine the ideal would be a repeat ultrasound (Transvaginal obviously cannot be done), followed by MRI if there is any doubts. thereafter a repeat gynecologist/pediatrician consult will help.
Thank you for your response. We were concerned about the radiation from the CT scan, so we appreciate your careful advice.
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