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D. S. Bachman, MD
931 Chatham Ln Columbus, OH 43221

Arch Neurol. 1977;34(11):723.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

I believe the implications in this article on abdominal x-rays after computerized tomographic (CT) scans (Arch Neurol 34:253, 1977) needs clarification.

Relative to the specific case reported, it might indeed be reasonable to obtain an abdominal flat plate roentgenogram after a CT scan with enhancement if the attending radiologist believes that an abnormality consistent with a metastatic tumor is noted. It also could be argued that similar studies after cardiac catheterization for congenital heart disease should be done because of the association of other anomalies with congenital heart disease.

However, it certainly must not be concluded that everyone who has CT with enhancement should be subjected routinely to the extra radiation of an abdominal roentgenogram when there is no specific indication. In the article in question, the comment that demonstration of two functional kidneys in itself could justify the procedure is clearly not an indication. With reasoning . . . [Full Text PDF of this Article]

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