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Previous Volume 346:139 January 10, 2002 Number 2 Next

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To the Editor: The computed tomographic (CT) image of bilateral dermoid cysts (July 26 issue)¹ is indeed elegant and illustrative of the disease process. However, it also illustrates the unnecessary use of an expensive form of technology when a less expensive and just as accurate method (ultrasonography) is readily available. I think most authorities would agree that ultrasonography, not CT, should be the first-line test for pelvic masses and is often the only imaging technique needed. It is unfortunate that the knee-jerk reaction of many physicians, when confronted with a pelvic mass, is to order CT, which is often less . . . [Full Text of this Article]

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