Hello. I'm Dr. Phil, licensed and practicing Internal Medicine Physician. Excellent service is my goal.
please enter chat mdoe
Hi. I'm Dr. PHil.
Can I ask your first name?
Hi Steve. Nice to meet you
Thanks. . I assume you have my question>?
Yes, I do.
Your CT is not normal.
Have you ever had a scope into the nose?
That is needed Steve.
I see evidence on that scan of possible obstruction like a polyp
Wouldn't the scan show that?
All it shows is blockages
is not detailed enough
If it is a polyp would the prendisone help?
It will decrease inflammation overall but it won't fix the underlying problem
Would it help in the meantime? Until I get a scope?
It should work immediately
Not yet. I just started taking it last night. Should I mention this to my provider or wait?
I would mention it.
Suggest a scope to look for polyps
5. Comparison with the previous examination dated 01/20/2009 reveals that the solitary opacified right ethmoid air cell and tiny adjacent osteoma were not present previously. Also not present on the prior examination is the mucosal thickening in the anterior right sphenoid sinus impinging upon the right sphenoid sinus ostium identified on the present study.
What does this mean?
It simply means that two different sinuses are blocked
Then how is that normal?
Oh. . .I misread that. Sorry.
Should I suggest sending this scan to a different ENT?
OK I think I have all the questions answered.
Any more questions Steve?
One last one. Should the ENT have done the scope after seeing the scan?
Yes, I would think so. It was definitely different from 2009 and you are having new symptoms. A scope is indicate
An you said this scan indicates blockage. . ?
yes, that correct
Thanks. . . .
You're welcome :)