Analyzing DXA’s with Soft Tissue Artifacts - Part II
Submitted by Maureen Costello, RT, CBDT. Division of Endocrinology, University of Chicago Medical Center.
Sixty-nine year old post natural menopause black female, without
personal or family history of prior fractures. She is hypothyroid
currently on replacement with normal TSH,
and a history of lung cancer in remission for +10 yrs. The patient
was properly gowned and gave no history of abdominal surgery or recent
contrast studies, that could explain
the present of this dense mass in the left lower quadrant. Addition
imaging if clinically indicated was suggested in the final DXA report,
but the findings or a definite etiology of
this mass were not available at the date of this submission.QUESTION
- Would you accept the current analysis of this lumbar spine scan?
- Was the calcified mass in the left lower quadrant adjacent to L3 properly identified by the software and excluded from the soft tissue baseline calculations? How can you tell?
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