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Virtual Pediatric Hospital: Paediapaedia: Approach to Abdominal Masses Paediapaedia: Gastrointestinal Clinical and Radiographic Presentations, DDX, Approach to Imaging

Approach to Abdominal Masses

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


DDX:

Approach/Discussion:
A plain film of the abdomen is the first imaging test to obtain, to look for calcifications. The next study to obtain is an abdominal ultrasound, in order to determine the organ of origin of the mass and to evaluate for vascular extension of the tumor. Next, a computed tomography or magnetic resonance imaging exam is obtained to determine the exact extent of the mass and whether there is metastatic disease. Finally, a nuclear medicine test is obtained to look for distant boney metastases.

References:
See References Chapter.

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