I was hoping maybe there’s a radiologist on here or a more experienced CT tech that could clarify this for me. I always thought that you need contrast for a possible mass in the lungs. I learned CT under a really old school radiologist who said that we always needed contrast as long as the patient was able to have it. We always did multiphase scans for masses. Last night at work a mass was seen on a patients CT abd/pelvis. CT chest with contrast was recommended by the radiologist who read the report. Since we had just contrasted the patient we had to wait 24 hours. When the lead tech came in this morning and saw the order she said that contrast isn’t ever needed for a mass in the lung because you can see it with or without contrast. She’s much more experienced than me so I doubted what I always thought. I was taught that you need contrast to see if it enhances to differentiate between an actual mass or maybe a small pneumonia or something.
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source https://www.reddit.com/r/Radiology/comments/mu017a/ct_chest_for_mass/
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