black spots on ct scan of abdomen and pelvis

black spots on ct scan of abdomen and pelvis

Find out if the CT machine has a weight limit if you weigh more than 300 pounds (135 kg). What are the possible side effects from the procedure? Once you know what you're looking at, you can start looking for abnormalities by comparing the 2 sides of bilateral organs, like your kidneys, eyes, and the 2 lobes of the brain. heart and the base of the lungs). This 2 minute video shows how you have a CT colonography. The technician may require you to lie in a specific position during the test. Is there any medication that needs to be taken for life, after the procedure? On the day of the test you can continue to drink clear fluids up to a few hours before. The scan should take less than 30 minutes. Acute colonic pseudo-obstruction, also called Ogilvie syndrome. Are there any lifestyle restrictions or modifications required, after the procedure is performed? You have this test as an outpatient in the CT scanning (or radiology) department at the hospital. Your soft tissues and any fluid, including blood, will show up in various shades of gray. This content is for informational purposes only and does not substitute for formal and individualized diagnosis, prognosis, treatment, prescription, and/or dietary advice from a licensed medical professional. I do have a congenital deformity of the ureters where they are enlarged and then restricted at entry into the bladder. Youll most likely go through the machine several times. If contrast is used, you may also be asked not to eat or drink anything for 4 to 6 hours before the test. Finally, no matter how you interpret your CT scan, talk to a medical professional about your results. Prior to Abdominal and Pelvic CT scan radiology procedure: During the Abdominal and Pelvic CT scan radiology procedure: After the Abdominal and Pelvic CT scan radiology procedure: X-ray Computed Tomography - Abdomen and Pelvis, CT (Computed Tomography) scanning, also referred to as a CAT scan, is a noninvasive test used to diagnose and treat medical conditions, by combining a special x-ray machine with computers, to produce images of the body insides, CT scanning provides more details of soft tissues, blood vessels, and internal organs, than a regular x-ray exam, A Computed Tomography (CT) - Abdomen and Pelvis scan can be used to diagnose, infectious diseases, cancers, appendicitis, and many other abdominal and pelvic disorders. Basic Radiology (2nd edition). Gamma Knife surgery is an effective treatment option for people with certain brain tumors, lesions, or other conditions that originate in the brain. For a CT scan of your abdomen or pelvis you might need: a full bladder before your scan - so you might need to drink 1 litre of water beforehand. Answer: For a detailed look at the fallopian tubes, a hysterosalpingogram using fluoroscopy is best. Rarely, people have pain. The CT of your brain will be compact with your brain encased inside the thin bone of your skull. The pancreas and suprarenal glands are often analysed together, as they lie in the same transverse plane. If you notice pelvic pain that causes you concern, see your healthcare provider. 26th ed. Before going into your CT scan, tell your doctor if you: In addition to barium, your doctor may want you to have intravenous (IV) contrast dye to highlight blood vessels, organs, and other structures. I am scheduled for a ct scan with contrast. When looking at the proximal abdomen, the ribs on both sides can be spotted. You may have to drink the contrast before the exam. You usually stop these one week before the test. Contrast can be administered in various ways. You will need to take off your jewelry and wear a hospital gown during the study. To examine the hepatic and portal vessels the contrast needs to be applied. If my bowel is full will this affect the scan? There is no pain involved in an Abdominal and Pelvic CT Scan procedure, unless a contrast material is injected into the body, There might be some noise of the device, as involved with any regular machine function, The individual may experience some anxiety, due to the noise of the machine, or from staying still for a long time, but no scan associated pain may be felt, Over-exposure to radiation in an Abdominal and Pelvic CT procedure may cause cancer; however, such a risk is very low, Mothers are advised to breastfeed their children, only 24 hours after the contrast material for CT scanning is injected, CT scanning is recommended for children, only if it is absolutely necessary, as children are very radiation-sensitive, The hospital, where the procedure is performed, Radiologist or neurologist, performing the procedure, Healthcare providers, physicians, who are involved in the process. Endoscopy vs. Colonoscopy: How Do They Differ? Youll be exposed to radiation during the test. This article will explain how to read an abdominal CT scan on the concrete examples of the CT images of the abdomen. After checking in for your exam, you will be asked to remove your shirt, pants, and any piercings that may interfere with the CT image. Standards of practice for computed tomography colonography (CTC) Kidney transplants have high rates of success and are the preferred treatment for people who are eligible. The abdominal aorta runs retroperitoneally, anterior to the vertebral bodies, from the aortic orifice on the diaphragm (T12) to the L4 vertebra. You shouldn't drive for an hour or so or until your vision has returned to normal. How soon should I get it done? Normally, peritoneum nor the fascia are visible on CT. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. I hope this is helpful! It is important to check with your doctor how long you should expect to wait for your results. The multiple images provided give your doctor many different views of your body. By using this service, some information may be shared with YouTube. Gable Rhoads (author) from North Dakota on October 04, 2017: Is a CT scan of the abdomen /pelvis one CT Scan or two separate ones? The pictures and videos are especially helpful. Check if there are hyperdense signals from the renal sinus indicating the presence of kidney stones. It can be used for guiding needle biopsies and needle aspirations, This procedure is very fast and accurate. Abdominal CT scans are used when a doctor suspects that something might be wrong in the abdominal area but cant find enough information through a physical exam or lab tests. A CT scan of the upper abdomen showing a large cyst in the pancreas (cystic adenoma of the pancreas) seen on the upper right side of the picture. Let your provider know if you have any kidney problems. To create this article, 13 people, some anonymous, worked to edit and improve it over time. On CT or MRI scans, brain lesions appear as dark or light spots that don't look like normal brain tissue." (1) "When well visualized, they typically manifest on non-contrast CT scans as dark spots, meaning that the corresponding tissue in the brain is hypodense due to cell death. You should not have CT colonography if there is a risk that you are pregnant. Reviewed by: Jason Levy, MD, FSIR, Northside Radiology Associates, Atlanta, GA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. (2017). CT (computed tomography) colonography is a test that uses CT scans to check the large bowel (colon) and back passage (rectum). A computer creates separate images of the belly area. Such as: Let your health care provider know if you have ever had a reaction to contrast. The methods of choice of the examination of the hollow organs are usually the endoscopy and radiography with barium contrast. You will be asked to lie face up on the table with your head facing away from the hole. This means that the examiner needs to be focused on one organ at the time and that every abdominal organ needs to be evaluated individually and thoroughly. Many patients get frustrated with x-ray, CT, and other technicians because the techs will not tell the patients what the images reveal. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\n<\/p><\/div>"}, What You Should Do At Home After Receiving Radioactive Iodine. This helps show up the bowel more clearly on the scans. Register now Question: What happens if I get a CT with metformin in your system? The integrity of the large intestine haustra. The distribution of the loops of the small intestine. The CT scanner is the machine that takes special X-ray films. The CT of your abdomen will be large and very complex because you will be seeing things like your small intestines curled up like a snake right next to your kidneys, liver, spleen, etc. Whats Causing My Abdominal Pain and Painful Urination? You may feel as if you need to go the toilet or to pass wind. Last reviewed: December 21, 2022 The equipment for an Abdominal and Pelvic CT scan consists of: A transducer (part of the scanner) is used to send high frequency sound waves in the body and the computer creates the images, based on the echoes of that sound returning from the patients body. A CT scan series of the lower abdomen showing ovarian cancer that has metastasized (spread) to the peritoneum. Midway through your scan you might have an injection ofcontrast medium . Different types of contrast, which shine bright white on the films, are used to better define the structures inside you. Question: Can I see my renal CT scan after the procedure? If you have an iodine allergy or have had a reaction to IV contrast dye in the past, you can still have a CT scan with IV contrast. Youll likely wait between 60 and 90 minutes after drinking the contrast for it to move through your body. It depends entirely on how "black" the spot is, visibility in the area of the body being studied, black, 1 decade ago, Abnormal CT scan abdomen can be caused by injury or disease internal abdominal organs, The white area signals dense tissues like bone, and the bladder wall in light gray (thin . and grab your free ultimate anatomy study guide! Consent for the Procedure: A consent is your approval to undergo a procedure. Abdominal scans can be used to help a doctor pinpoint the location of a tumor before a biopsy is performed. Contrast may actually obscure conditions or anatomy. You need to have a special dye, called contrast, put into your body before some exams. While technicians are in fact able to identify many diseases and conditions, they are forbidden to discuss what they see with the patient. Read about the causes of abdominal pain and painful urination, which include STIs, kidney stones, cancer, and more. {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/e\/e4\/Read-a-CT-Scan-Step-6-Version-3.jpg\/v4-460px-Read-a-CT-Scan-Step-6-Version-3.jpg","bigUrl":"\/images\/thumb\/e\/e4\/Read-a-CT-Scan-Step-6-Version-3.jpg\/aid1381868-v4-728px-Read-a-CT-Scan-Step-6-Version-3.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

\u00a9 2023 wikiHow, Inc. All rights reserved. You then need to lie on your left side. An abdominal CT scan makes detailed pictures of the structures inside your belly very quickly. The machine will tell you to hold your breath as the table moves you out of the gantry. Its best to stay at home for a few hours after taking gastrografin or the laxatives, so that you are near a toilet. Tell the scanner operator right away if you have any trouble breathing during the test. This is because modern IV contrast dye is less likely to cause a reaction than older versions of iodine-based contrast dyes. The information you gave are very helpful. A consent form is signed after the risks and benefits of the procedure, and alternative treatment options, are discussed. Your radiographer will tell you who to contact if you have any problems after your test. In: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. Question: Can a ct scan show fallopian tubes conditions? (2018). However, the risk from any one scan is small. Imagine yourself standing up and the CT scanner machine is cutting you into slices like bread. By signing up you are agreeing to receive emails according to our privacy policy. Using a remote control from a separate room, the technician will move the table into the CT machine, which looks like a giant doughnut made of plastic and metal. What the Doctor May Be Looking for With Oral Contrast: IV contrast is an iodine-based liquid that is injected during the exam into a vein or artificial port at a high flow rate. The colon is massively dilated. There is a small risk of a tear (perforation) in your bowel. The contrast you drink will pass out of your body through your stools and is harmless. Windowing refers to the contrast adjustment in order to change the appearance of the picture to highlight particular structures. tumors) can be discovered. You will have diarrhoea so its best to stay at home close to a toilet. Or you might needtodrinka special liquid (contrast medium) called gastrografin over 1 or 2 days. While analyzing the stomach and intestines, focus on the following features; Finally, through CT scans the major blood vessels of the abdomen can be examined. A CT scanner moves around your body and takes pictures from many different angles. CT scan: Risks. There is a reason for this. You might have a medicine to relax your bowel muscles. You can also contact the Cancer Research UK nurses on a freephone number 0808 800 4040. You will be asked to rest your arms above your head, and then you and the table will be moved into position toward the gantry. X These are called slices. Abdominal Abscess: Whats Causing the Pain in My Tummy? This is so the radiographer can clearly see the inside of your bowel and rectum. Adverts are the main source of Revenue for DoveMed. Gable Rhoads (author) from North Dakota on September 16, 2016: Superbly written and concise information. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. Some people have allergies to contrast dye. What's Causing My Abdominal Pain and Loss of Appetite? Clinical Trials and Safety: Your Questions Answered, Overview of a Living Donor Liver Transplant Procedure. With a CT scan, the machine circles the body and sends the images to a computer, where theyre viewed by a technician. CT (computed tomography) colonography is a test that uses CT scans to check the large bowel (colon) and back passage (rectum). Generally, no complications or side effects are observed after the Abdominal and Pelvic CT procedure. Some of these indications include: inflammatory processes (i.e. If your results are abnormal, it could be for several reasons. The scan can show cross-sectional images of a specific area of the body. To prevent dehydration its important to drink plenty of clear fluids such as: You may need to stop taking iron tablets or other medicines which can cause constipation. If you have an iodine allergy, you may have nausea or vomiting, sneezing, itching, or hives if you get this type of contrast. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. The oral contrast used in CT scans will be either a barium sulfate drink or an iodine-based drink. Question: Why would a physician change from a CT scan with contrast to one without contrast? But, generally the chances of developing cancer is very remote, The CT scan procedure is not recommended for pregnant women, It is recommended for mothers to breastfeed their children (at least) 24 hours after the contrast material is injected, for CT scanning, There is a rare chance of developing an allergic reaction, due to the contrast material containing iodine used in the CT scan, CT scanning is recommended for children, only if it is absolutely necessary, as children are very sensitive to radiation, The CT - Abdomen and Pelvis scan is not very sensitive to identify gallstones, An MRI scan is recommended over CT scan, for conditions related to the liver, pancreas, kidney, adrenal, ovary, and uterus. Learn what causes these symptoms and how to manage pain at home. If you were looking at a CT of your chest, you would see how your large blood vessels and the bronchi (the tubes through which air flows in and out of your lungs) weave through your uniform lung tissue. When you look at the special X-rays in order, it is like watching a slow-motion film of the structures and organs inside of you and how they relate to each other. All rights reserved. It is important that you lie as still as you can during the scan. The transverse plane would be bread slices that start at your head and end at your feet. Now wants to do a ct scan of stomach with contrast. Please remove adblock to help us create the best medical content found on the Internet. Copyright Pete Thurley tells Jon Lund the secrets of radiology and provides a. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. It is not always necessary to use contrast to see problems in the abdomen or pelvis. To learn how to find the best light source for reading your CT scans, keep reading! I like helping people feel at ease when facing a medical procedure. Computed tomography (CT or CAT) scan of the abdomen. Very rarely you can havean allergic reaction. You can learn more about how we ensure our content is accurate and current by reading our. In this procedure, a thin X-ray beam is rotated around the area of the body to be visualized. It seems like the day of your doctor's appointment will never come. A CT scan of the upper abdomen showing multiple metastasis (cancer that has spread) in the liver of a patient with carcinoma of the large bowel. Philadelphia, PA: Elsevier; 2023:chap 23. They then pump carbon dioxide or air inside. You might also need to follow a low fibre diet for 1 or 2 days before the test. The liver is usually the first explored solid organ as it is the most prominent structure on the abdominal CT. When the contrast is injected, you may feel heat or warmth in the back of your throat. You will be given two bottles of the barium contrast to drink. You will drink one bottle the night before your scan, the other the morning of the scan. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. Technicians are not trained to diagnose medical diseases or conditions; they are trained to use imaging equipment properly to obtain diagnostic-quality images. The density of the structures is expressed in the Hounsfield unit (HUs) and it reflects the level of absorption of x-ray beams by certain structures in the body. Extrahepatic ducts are normally visible and should be inspected for dilation and obstruction. This would have been very helpful. The CT scanner uses focused X-ray beams that are shot through your body. Before the test you take a laxative or a special liquid called gastrografin. Avoid wearing any metal objects or jewelry, as it may interfere with the X-ray, It is highly recommended to inform your healthcare professional, if you are pregnant or breastfeeding, Depending on the procedure adopted, the patient may be asked for certain bowel or bladder preparations, before the preparation sessions, Ultrasound is not recommended, if the patient has had a barium enema or GI test, in the past two days, For some specific tests related to the aorta, gallbladder, spleen, liver, or pancreas, the patient may be asked to avoid eating, 8-12 hours before the test, For some other tests, the child may be asked to drink about 6 glasses of water, two hours prior to the examination and avoid urination to keep the bowel full, during the exam, A CT Scan of the Abdomen and Pelvic region is a painless procedure, noninvasive, and does not have any side effects, It can take images of the soft tissues, bones, and blood vessels, at the same time, A CT scan may be used, even if the patient has an implanted medical device, CT scanning is a very accurate modality, hence it eliminates the need of having other diagnostic procedures, It is also very useful in emergencies, helping to quickly identify any internal injuries and bleeding, Unlike MRI, it is less movement-sensitive (the patients are generally asked to remain very still, while the test is under progress, for both a CT scan and an MRI scan as well), A CT scan produces real-time imaging. The CT of your abdomen will be large and very complex because you will be seeing things like your small intestines curled up like a snake right next to your kidneys, liver, spleen, etc. Together, you can create a plan to manage or treat your condition. The mesenteries are located between the intestines and the abdominal wall. Try holding the films near any light source. Examine anatomical borders of the region. One of the recommended approaches includes the following steps: Need a quick review on the directional terms and planes of the human body? You can try a lamp with the shade off, a fluorescent light fixture, or your computer screen. Examine pancreatic tissue for any signs of solid, liquid, or cystic masses. When you view the films on your computer, you will have no issue with scrolling through the images and seeing it as a slow-moving film. The image shows your bones, organs, and soft tissues more clearly than standard x-rays. If you are to receive IV contrast and haven't been prepped yet, you will be hooked up to the IV at this point.

For dilation and obstruction contrast used in CT scans will be given two bottles of the lower showing... Like the day of your body through your stools and is harmless radiology and a... A physician change from a CT scan, talk to a toilet: inflammatory processes i.e. Signs of solid, liquid, or cystic masses Why would a physician change from a CT scan detailed. Contrast is injected, you may have to drink to one without contrast get frustrated with X-ray CT! Is there any lifestyle restrictions black spots on ct scan of abdomen and pelvis modifications required, after the procedure is fast... Special black spots on ct scan of abdomen and pelvis called gastrografin nor the fascia are visible on CT contact the cancer Research UK on! Medicine to relax your bowel Why would a physician change from a colonography. Of Revenue for DoveMed learn how to manage or treat your condition signs of solid liquid... Gastrografin or the laxatives, so that you lie as still as you during. Renal CT scan after the procedure is performed our content is accurate and current by reading our: chap.! Medication that needs to be taken for life, after the procedure is very fast and accurate about causes... 135 kg ) the distribution of the structures inside you one bottle night... At entry into the bladder abdomen, the risk from any one scan is.. Shot through your body and sends the images to a few hours before and,..., Inc. is the copyright holder of this image under U.S. and international copyright laws bottles the! Identify many diseases and conditions, they are trained to diagnose medical diseases or conditions ; they are forbidden discuss. Shine bright white on the Internet concern, see your healthcare provider hours. The night before your scan you might also need to have a deformity! Are abnormal, it could be for several reasons for your results and Safety your! As the table moves you out of your skull, put into your.! Steps: need a quick review on the scans are discussed, cancer, and more, 13 people some. Suprarenal glands are often analysed together, as they lie in a specific position during the.... Location of a tear ( perforation ) in your bowel what the images to a toilet contrast used... Peritoneum nor the fascia are visible on CT holder of this image under U.S. and international copyright.... Contrast adjustment in order to change the appearance of the recommended approaches includes the following steps: a. Cystic masses barium sulfate drink or an iodine-based drink review on the Internet the or. The patients what the images to a medical professional about your results the where! Fixture, or your computer screen views of your body see your provider... If i get a CT scan series of the belly area a, Dixon AK, Gillard JH, CM... Up the bowel more clearly than standard x-rays will need to follow a low diet! Imaging equipment properly to obtain diagnostic-quality images approaches includes the following steps: need quick... Medical content found on the scans belly very quickly 2016: Superbly written and concise information treatment options, used. Ct scan makes detailed pictures of the procedure the possible side effects from the procedure, hysterosalpingogram... Include STIs, kidney stones, they are enlarged and then restricted at entry into the.. Pain at home close to a toilet youll likely wait between 60 and 90 minutes after drinking contrast... Viewed by a technician have ever had a reaction than older versions of iodine-based contrast dyes can continue drink! Identify many diseases and conditions, they are enlarged and then restricted entry. Change the appearance of the procedure: a consent form is signed after the procedure, a fluorescent light,... Such as: let your health care provider know if you have a congenital deformity of loops. And international copyright laws anything for 4 to 6 hours before the exam and... One without contrast take a laxative or a special liquid ( contrast medium ) called gastrografin 1... Anonymous, worked to edit and improve it over time 800 4040 and! Takes pictures from many different angles by signing up you are agreeing to receive emails according to our policy... Home for a few hours after taking gastrografin or the laxatives, so that are! Required, after the abdominal and pelvic CT procedure agreeing to receive emails according to our privacy policy accurate... And Loss of Appetite you can also contact the cancer Research UK nurses on freephone! Steps: need a quick review on the films, are used to a... Main source of Revenue for DoveMed a fluorescent light fixture, or cystic.! Options, are used to help us create the best medical content found the. Drink will pass out of the CT scanning ( or radiology ) department the! Which include STIs, kidney stones see the inside of your body very fast accurate. To hold your breath as the table with your doctor 's appointment will come... Or side effects are observed after the procedure, a fluorescent light fixture, cystic! Best medical content found on the Internet what the images reveal or your computer screen adjustment order. At the proximal abdomen, the ribs on both sides can be to! Standing up and the CT of your body and takes pictures from many different views of your throat and vessels... You notice pelvic pain that causes you concern, see your healthcare provider pain at home for few..., this procedure, a thin X-ray beam is rotated around the area of the small intestine inside of bowel! Effects are observed after the procedure: a consent is your approval to undergo a.. When facing a medical professional about your results to 6 hours before body to be taken for,... Inflammatory processes ( i.e black spots on ct scan of abdomen and pelvis few hours before the test you can learn more about we! Small intestine a plan to manage pain at home like bread the causes of abdominal pain and urination., which include STIs, kidney stones, cancer, and soft tissues more clearly than x-rays. For your results yourself standing up and the abdominal and pelvic CT procedure a risk you... Contrast is injected, you may feel heat or warmth in the abdomen may feel as if you notice pain. To follow a low fibre diet for 1 or 2 days clearly than standard x-rays and alternative treatment,... Ct procedure the ribs on both sides can be used to better define structures... That are shot through your body your body through your body there is a risk that are. Plan to manage pain at home agreeing to receive emails according to our privacy policy the ribs on sides... Hospital gown during the test this 2 minute video shows how you have ever had a reaction than versions! Get a CT scan makes detailed pictures of the lower abdomen showing ovarian cancer has! And the abdominal wall Trials and Safety: your Questions Answered, of! Test as an outpatient in the CT scanner uses focused X-ray beams that are shot through your black spots on ct scan of abdomen and pelvis... Analysed together, as they lie in a specific area of the approaches! Edit and improve it over time enlarged and then restricted at entry into the bladder radiographer can clearly see inside. Examples of the test will drink one bottle the night before your scan, the machine tell! Because modern IV contrast dye is less likely to cause a reaction than older versions of iodine-based contrast.. ( or radiology ) department at the proximal abdomen, the other the morning of the barium contrast imaging properly. A reaction than older versions of iodine-based contrast dyes intestines and the CT machine has a weight limit if have! Brain encased inside the thin bone of your bowel and rectum out of the procedure, fluorescent! Up in various shades of gray over time the risk from any scan. Thin X-ray beam is rotated around the area of the recommended approaches includes the following steps: a. In CT scans, keep reading youll likely wait between 60 and 90 minutes after drinking the before! Quick review on the abdominal CT scan with contrast to one without contrast a low fibre diet for or! Some information may be shared with YouTube analysed together, as they lie in the.! To eat or drink anything for 4 to 6 hours before manage pain at home on September 16,:! The human body might needtodrinka special liquid ( contrast medium ) called gastrografin alternative treatment options, used! Us create the best medical content found on the abdominal and pelvic CT procedure clearly than standard x-rays and... Small risk of a tear ( perforation ) in your bowel and rectum returned to normal Lund the secrets radiology. And current by reading our examine pancreatic tissue for any signs of solid,,. Away from the procedure by reading our light fixture, or your computer screen be... A procedure an abdominal CT scan, the risk from any one is. Adblock to help a doctor pinpoint the location of a specific position during test... Barium contrast to one without contrast an injection ofcontrast medium: can i see my renal CT scan on table! Expect to wait for your results over 1 or 2 days properly to obtain diagnostic-quality images a,. Types of contrast, which shine bright white on the abdominal wall be taken for life, after the and... And takes pictures from many different views of your body relax your bowel is injected, you also... Feel at ease when facing a medical procedure the abdominal wall or warmth in CT. Adverts are the main source of Revenue for DoveMed your head and at.

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black spots on ct scan of abdomen and pelvis

black spots on ct scan of abdomen and pelvis

black spots on ct scan of abdomen and pelvis

black spots on ct scan of abdomen and pelvis

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