expert type icon EXPERT

Zachary M. Kilpatrick

Radiologist

Dr. Zachary Kilpatrick is a radiologist practicing in West Columbia, South Carolina. Dr. Kilpatrick specializes in diagnosing and treating injuries and diseases using medical imaging techniques such as X-Rays, magnetic resonance imaging and computed tomography exams. These techniques offer accurate visibility to the inside of the patients body and help to detect otherwise hidden illnesses so that they can be treated quickly and efficiently.
Zachary M. Kilpatrick
  • West Columbia, South Carolina
  • Mercer University
  • Accepting new patients

Ultrasound vs CT scan with contrast?

Ultrasound is more so of a screening test than CT…

Is it Is it normal to have diarrhea after a CT scan with contrast?

Not really, it depends on which oral contrast material you may have or may not have been given. The IV contrast material should not cause diarrhea, at least with any sort of frequency. READ MORE
Not really, it depends on which oral contrast material you may have or may not have been given. The IV contrast material should not cause diarrhea, at least with any sort of frequency.

Ct scan results?

No guidelines I'm aware of if CT was for a 'health check'. If you have a diagnosed condition, that's different. As you age, your colonoscopy frequency will likely increase, as READ MORE
No guidelines I'm aware of if CT was for a 'health check'. If you have a diagnosed condition, that's different. As you age, your colonoscopy frequency will likely increase, as in the recent past. If you wanted to do a CT at the same time as colonoscopy that may be a reasonable plan.

Imaging done?

Typically, Radiologists do not enter posed themselves between the patient receiving imaging and their primary care physician – referring clinician… Tends to muddy the water. Nevertheless, READ MORE
Typically, Radiologists do not enter posed themselves between the patient receiving imaging and their primary care physician – referring clinician… Tends to muddy the water. Nevertheless, you could certainly call the Radiologist and ask for clarification. Hope all is well.

Does a CT scan show sinus inflammation?

The short answer is yes.

Is this an aneurysm?

Not likely as you’re still conscious and alive. Possibly TMJ popping like popping knuckles. Can be quite painful. One can have venous ( opposed to arterial) subarachnoid hemorrhage READ MORE
Not likely as you’re still conscious and alive. Possibly TMJ popping like popping knuckles. Can be quite painful. One can have venous ( opposed to arterial) subarachnoid hemorrhage that usually has a benign course, but the clinical presentation would be more severe than what you described. Hope that helps… All the best.

Lung nodules?

Well, I'd think follow-up with your doctor should be routine after any imaging study, but those findings sound innocuous. Even if a patient has a known malignancy, the odds that READ MORE
Well, I'd think follow-up with your doctor should be routine after any imaging study, but those findings sound innocuous. Even if a patient has a known malignancy, the odds that a 3mm nodule is malignant are exceedingly low. Do you smoke? If indeed a liver cyst, it's benign, 3mm subpleural lymph node that doesn't really register, probably just another nodule. All sounds like no worries, but, yes, follow up with your doctor, but doesn't sound urgent.

My recent MRI?

Surgery to remove fragment and debride cartilage.....

Broken arm?

Don't go to the ER unless it's an emergency. Go to an orthopedist and get an MRI.

Should I be concerned about a lump in my neck?

Not seemingly, but follow-up is wise.

Covid and radiology (mammogram)?

I think those are mutually exclusive. Bigger question is, 'iIs it fine to take the booster'? Food for thought....
All the best...

Should I have a calcium scoring test?

I'd say ask your cardio. What the calcium score will help do is stratify your risk. More coronary calcium = more atherosclerosis = presumed greater risk. At your age, unless you READ MORE
I'd say ask your cardio. What the calcium score will help do is stratify your risk. More coronary calcium = more atherosclerosis = presumed greater risk. At your age, unless you undergo multiple CT exams per year, the radiation is very low and essentially negligible.
All the best.

Red dots across my chest?

If you think you should get checked out, then you should....all the best..

Possible pulmonary fibrosis?

Primary idiopathic pulmonary fibrosis not likely. Usually in men in their 60's and 70's. In addition to pulmonary, a cardiac work-up is indicated to ensure you don't have anomalous READ MORE
Primary idiopathic pulmonary fibrosis not likely. Usually in men in their 60's and 70's. In addition to pulmonary, a cardiac work-up is indicated to ensure you don't have anomalous coronary artery or some sort of cardiomyopathy. Don't know if you've had a COVID vax, but I'd be exceedingly careful with that until you know what your baseline is/should be...

Can I have coffee before a neck and chest CT scan?

That's typically facility dependent. If the scan is to be with IV contrast, the contrast material can cause nausea....unpredictable. I'd say call the facility and see what their READ MORE
That's typically facility dependent. If the scan is to be with IV contrast, the contrast material can cause nausea....unpredictable. I'd say call the facility and see what their guidelines are.

Is surgery needed for a distal rcl tear in pinky finger?

The short answer is likely, but it also depends on what you do for a living… If you are in a blue-collar type occupation, repair would likely be more needed.

Neck problem?

A vexing problem. If you haven't had an MRI of the brain and cervical spine, I'd recommend that. One question, have you had COVID vaccine? Your symptoms could be related.

Radiology report?

Sounds like there is uncertainty regarding osteoid osteoma. Pretty characteristic appearing. Could be an enchondroma/chondral rest....benign. Regarding navicular: https://www.foothealthfacts.org/conditions/accessory-navicular-syndrome-(1) READ MORE
Sounds like there is uncertainty regarding osteoid osteoma. Pretty characteristic appearing. Could be an enchondroma/chondral rest....benign. Regarding navicular:
https://www.foothealthfacts.org/conditions/accessory-navicular-syndrome-(1)

Cervical stenosis?

I apologize, but I cannot read the text of your photo. I'd say discuss with your rheumatologist and then possibly go see a neurosurgeon or orthopedic spine surgeon.