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

What are the side effects of iodine contrast?

Upon injection, you have the definite sensation that you have wet your pants… No joke, it’s real. The most common adverse side effects are metallic taste in your mouth, nausea READ MORE
Upon injection, you have the definite sensation that you have wet your pants… No joke, it’s real. The most common adverse side effects are metallic taste in your mouth, nausea or headache. The worst side effect is anaphylactic allergy which is almost always minimal, but you may break out in hives and experience itching. If you do, inform your technologist
immediately. There is largely a theoretical risk to your kidneys (contrast induced nephropathy), but that is very uncommon. Most of the literature describing that is primarily from arteriograms where the contrast is much more concentrated.
All the best.

How long does radiation keep working after last treatment?

Quite variable….radiation treatments are very strictly protocoled. Sorry I can't be more specific.
All the best.

Does radiation affect your sleep?

It can affect your sleep, depending on protocol and body part involved.
All the best.

I have dizziness and neck pain for 2 years?

Sorry for your symptoms.....First, STOP ozone....it's a carcinogen.....You might want to consider going to an ENT specialist and get your inner ears tested. Do you have dizziness READ MORE
Sorry for your symptoms.....First, STOP ozone....it's a carcinogen.....You might want to consider going to an ENT specialist and get your inner ears tested. Do you have dizziness with loud noises?
Not really sure what else to say other than all the best.....

Liver nodes?

Your concerns are valid. If these are new lesions, they should be evaluated further. My advice would be MRI pre- and post-contrast. If your doctor disagrees, I would recommend READ MORE
Your concerns are valid. If these are new lesions, they should be evaluated further. My advice would be MRI pre- and post-contrast. If your doctor disagrees, I would recommend finding a new doctor.
Thank you and all the best.

Chest X-ray result?

Almost always, it means your heart may be enlarged. This can also be technical due to the X-ray technique.

RLQ pain?

You might want to get them to look at the CT scan again… It is possible that a small kidney stone may have been missed. In terms of your right upper extremity symptoms, you could READ MORE
You might want to get them to look at the CT scan again… It is possible that a small kidney stone may have been missed. In terms of your right upper extremity symptoms, you could either have them review your CT and your lumbar spine or get an MRI of her lumbar spine. Also, with your writer for extremity, you may have a condition known as Meralgia
paresthetica.
I hope everything turns out well… All the best.

Herniated disc T7-8?

It is not unusual for disc herniations to involute. The question is, can you tolerate it? In fact, most discriminations spontaneously involute.
Hope that helps. All the best.

Enlarged mesenteric lymph nodes in paraumblical region and RIF?

The fact that a fatty hilum is maintained is a good thing. You likely should undergo more imaging and lab work-up. 1.2*0.8 is not overly large. In fact, by convention, nodes are READ MORE
The fact that a fatty hilum is maintained is a good thing. You likely should undergo more imaging and lab work-up. 1.2*0.8 is not overly large. In fact, by convention, nodes are measured in the short axis and 0.8 is normal. Breathe, say prayers. and press on.
All the best.

Source of pain question?

A similar story of my life...I'm uncertain as to your underlying chronic condition. Diabetes? Auto-immune disease? I'm 55 and have always been bow-legged (varus knees). I've suffered READ MORE
A similar story of my life...I'm uncertain as to your underlying chronic condition. Diabetes? Auto-immune disease? I'm 55 and have always been bow-legged (varus knees). I've suffered bad knees for decades after being very athletic in high school and college. Looking at a left knee implant in January. Your body is like a house...bad foundation...bad house....all of your
ankle, knee, and spine issues are almost certainly related. Get second opinions, MRIs and nerve conduction studies.
All the best.

Mammogram results?

It could be an artifact, but don't be surprised if you get called back for additional/spot compression views and/or possible ultrasound.
All the best.

Severe nerve pain with no explanation?

You could have a variation of post traumatic neuropraxia. Have you had any nerve conduction studies? Have you had any MRI of the spine? May be time for a 2nd opinion....not to READ MORE
You could have a variation of post traumatic neuropraxia. Have you had any nerve conduction studies? Have you had any MRI of the spine? May be time for a 2nd opinion....not to cast aspersion on current doc, but fresh eyes and ears can help.....sorry you're suffering.
All the best.

CAT Scans?

CT gantry is very generously open… You might be thinking of M R I gantry…

Why do I get hot and itchy?

I would consider the possibility of hepatitis or possibly some sort bile duct abnormality....I'd recommend going to see GI, dermatology and immunology. I pray for you and your READ MORE
I would consider the possibility of hepatitis or possibly some sort bile duct abnormality....I'd recommend going to see GI, dermatology and immunology.
I pray for you and your condition...all the best...

MRI?

You can get MRI without arthrographic injection, but your surgeon is ordering for a very good reason. He cannot do exploratory surgery. I do arthrograms every day. The needle for READ MORE
You can get MRI without arthrographic injection, but your surgeon is ordering for a very good reason. He cannot do exploratory surgery. I do arthrograms every day. The needle for a wrist is tiny (25 or17 gauge), and I can assure you that afterwards, you'll agree that it was not bad. You can do indirect arthrography, which involves an IV injection, then wait 30 minutes and do it, but 1. it's not nearly as good, and 2. I'd say it hurts worse. The wrist injection is a bit uncomfortable, but it is not bad...if I were you, I'd go with it and get the best info for YOUR body possible....

How can doctors tell the difference between ALS and MMN?

As far as I know, this is a common clinical conundrum. To my knowledge, the diagnosis of either of these rest largely on clinical finding and electrophysiology studies. That being READ MORE
As far as I know, this is a common clinical conundrum. To my knowledge, the diagnosis of either of these rest largely on clinical finding and electrophysiology studies. That being said, there are imaging findings, for example:
https://radiopaedia.org/articles/amyotrophic-lateral-sclerosis-3?lang=us

I'd say find a neurologist at a large tertiary center with experience /training in movement disorders. I wish I could be more help.
I will pray for y'all. All the best....

CT scan appointment?

So sorry you're struggling. CT is the best way to look for what is called bony bridging and to see the internal and cortical architecture of your bone. So frustrating...I haven't READ MORE
So sorry you're struggling. CT is the best way to look for what is called bony bridging and to see the internal and cortical architecture of your bone. So frustrating...I haven't walked in your shoes, but I've seen a bunch. Might consider 2nd opinion...these situations can be so touchy. Dunno about where you're being scanned, but largely depends on wrangling with the insurance companies.
All the best.

What did the radiologist mean by : There is a prominent pattern of red marrow, representing chronic illness. There is no fracture or stress reaction?

If you smoke and/or are obese and/or anemic or any combination there of, your marrow will proliferate.

Cancer recurrence chances?

Oh dear. Bless you all. While it could be a recurrence, the pattern can indicate a new cancer, suspicious for pancreatic CA….based upon your provided information. Y’all are in READ MORE
Oh dear. Bless you all. While it could be a recurrence, the pattern can indicate a new cancer, suspicious for pancreatic CA….based upon your provided information.
Y’all are in our prayers. All the best.

Why is my sciatica pain on the opposite side of where the impingement is?

Tough to say....you could be compensating, or another cause of pain....
All the best.