celiac disease diagnosis thru CT enterography!!!

[Jimc13]

I was diagnosed with celiac disease in 1993.  With the onset of celiac disease type symptoms I recently underwent an endoscopy and CT enterography.  Here are the confusing results...

Endoscopy - macroscopic few folds. Pathology shows intact villous 

 

CT radiologist impression. Grades 2, 3 and 4 villous atrophy seen on slides of areas in small intestine.

How can a CT scan show condition of villous?  Is this radiologist a quack?  

 

 

 

 

[kareng]

16 minutes ago, Jimc13 said:

I was diagnosed with celiac disease in 1993.  With the onset of celiac disease type symptoms I recently underwent an endoscopy and CT enterography.  Here are the confusing results...

Endoscopy - macroscopic few folds. Pathology shows intact villous 

 

CT radiologist impression. Grades 2, 3 and 4 villous atrophy seen on slides of areas in small intestine.

How can a CT scan show condition of villous?  Is this radiologist a quack?  

 

 

 

 

It looks like the villous atrophy is seen on slides,,, meaning the biopsied samples under a microscope?  Obviously, I don't know exactly what written, so I don't know.

I am curious, have you been gluten-free for 25 years ?

[Jimc13]

Yes I have been gluten-free for 25 years.  The slides I refer to were from the CT scan. I should have called them images.  The radiologist only saw the CT images.

Thank you for the quick response.

[kareng]

19 minutes ago, Jimc13 said:

Yes I have been gluten-free for 25 years.  The slides I refer to were from the CT scan. I should have called them images.  The radiologist only saw the CT images.

Thank you for the quick response.

So, I think the resolution of these things has gotten better and better.  It is quite possible that the GI doctor missed the damaged areas when he biopsied.  I am assuming the 2 procedures were not done together?  Or did they use the Ct to guide the biopsies?  And how are your blood antibodies? 

this is definitely a discussion to have with the GI doc.  write down all your questions and ask until you understand.

[Jimc13]

The procedures were done separately.  Yesterday I met with a GI Dr who specializes in celiac disease.

I am currently arranging to have the CT images and pathology reports from the previous MD's sent to this well respected celiac disease doctor.  The blood antibodies were not performed yet!!!

 

Thanks again for your guidance.