Conversation: The conversation between human and AI assistant.
[|Human|] Hi I am 55yrs old. 64 kgs and 175 cm tall. I have had severe reflux with throat spasms for a couple of months. I am taking nexium 40 Mgs 1daily and not having much improvement. Today I had a gastroscope and they said an ulcer / esophagitis he has ordered a ct scan of chest and abdomen as well as biopsies taken I have had h pylori with triple therapy Why is he ordering ct scans. Is he considering cancer ? I did have a duodenal erosion. 15 yrs ago Belinda
[|AI|]  Hi, Thanks for writing in. CT scanning, similar to chest radiography, is not a part of the standard radiologic workup of patients with HERD. CT scans can provide information regarding the anatomy (i.e., presence and size of a hiatal hernia) but do not provide information regarding the presence or absence of reflux. Even aspiration pneumonia can be better seen in CT scan. Cancer can be ruled out through biopsy. Hope this helps