expert type icon EXPERT

Zachary M. Kilpatrick

Radiologist

Dr. Zachary Kilpatrick is a radiologist practicing in West Columbia, South Carolina. Dr. Kilpatrick specializes in diagnosing and treating injuries and diseases using medical imaging techniques such as X-Rays, magnetic resonance imaging and computed tomography exams. These techniques offer accurate visibility to the inside of the patients body and help to detect otherwise hidden illnesses so that they can be treated quickly and efficiently.
Zachary M. Kilpatrick
  • West Columbia, South Carolina
  • Mercer University
  • Accepting new patients

Colorectal stool burden?

Give it whirl….

We have been married 63 years and are on the verge of divorce?

I think that the key question there is in what specific location in the brain was the tumor located. That being said, since it seemed quite small and peripheral, I'd say the likelihood READ MORE
I think that the key question there is in what specific location in the brain was the tumor located. That being said, since it seemed quite small and peripheral, I'd say the likelihood is very small. Since you're 87, it is possible that dementia could be rearing its ugly head. I don't know you, but at your age, these things happen.

Forgiveness is a tricky thing. I have been divorced with my 1st wife unfaithful. The divorce was bitter and she detests me to this day. While your wife's actions brought hurt, you obviously still care, having been married for 63 years. I had a pastor who gave a wonderful sermon on forgiveness which basically said that the old saying "I may forgive, but I'll never forget' is a trap. In order to forgive, you essentially must forget. We are all flawed and broken and it is only through God's grace that we find peace. Neither you nor I are perfect, and while moving on can be tough, moving forward is imperative.
All the best.

What happens if radiotherapy doesn't work?

Then other options of chemotherapy surgery or another radio therapy modality will be pursued.

I am 4 years post pituitary tumor surgery through nose?

In terms of "adrenal fatigue," he could have adrenal insufficiency that may or may not be due to surgery/pituitary condition. Is his testosterone normal? I'd presume that he has READ MORE
In terms of "adrenal fatigue," he could have adrenal insufficiency that may or may not be due to surgery/pituitary condition. Is his testosterone normal? I'd presume that he has regular follow up MRI after this type of surgery. I read them every day. I'd say reach out to endocrinologist....this is what they do.
All the best.

How long does the fatigue last after radiation?

Highly variable. I wish I could be more specific, but everyone's different.....could be days or longer...
All the best.

What about radiation tests?

The short answer is yes......take the fight to the cancer.

Can you explain my MRI results?

The short answer is, yes, you can, but you may not want to....having had several knee scopes due to meniscus tears, I can tell you that recovery is not bad.....chat with your ortho READ MORE
The short answer is, yes, you can, but you may not want to....having had several knee scopes due to meniscus tears, I can tell you that recovery is not bad.....chat with your ortho doc...

Are radiation treatments painful?

No, but you may have pain afterwards

What is this knee pain?

Then the spectrum of abnormalities of the knee, more so than men, women can be prone to patellofemoral disorders that can be broadly categorized as patellofemoral maltracking. READ MORE
Then the spectrum of abnormalities of the knee, more so than men, women can be prone to patellofemoral disorders that can be broadly categorized as patellofemoral maltracking. Could be any combination of developmental and or acquired. Try to find ways to, while minimizing pain, strengthen your quadriceps and hamstrings. Also, take maximum dosage of over-the-counter Motrin for two weeks (if you can). If no better after that, go see Orthopedics.

Should I be worried about my chest x-ray?

This is a very common finding… Imagine when you wake up in the morning parts of your lungs are partially collapsed.… If your symptoms persist, I would recommend a CT scan.

Do I have cirrhosis?

Seems like you have moderate steatosis 34-66% of your liver with fatty change. Since sobriety, you should expect these numbers to decrease. Your fibrosis score is also low meaning READ MORE
Seems like you have moderate steatosis 34-66% of your liver with fatty change. Since sobriety, you should expect these numbers to decrease. Your fibrosis score is also low meaning scarring either minimal or unlikely...

What is the difference between ectasia and an aneurysm?

Basically a semantic continuum along the same spectrum… Aneurysm is typically defined as 50% over a normal baseline value… ectasia is below.

I have pain in the right and left shoulder and neck?

A good home therapy regimen is to take NSAIDs for about 2 weeks regardless of how you feel and see where that takes you. After that, may wanna go see ortho and/or neurosurgery.... READ MORE
A good home therapy regimen is to take NSAIDs for about 2 weeks regardless of how you feel and see where that takes you. After that, may wanna go see ortho and/or neurosurgery....

Need help finding out what's wrong with me?

1. MRI without is fine
2. Radiation from CT is minimal with modern scanners....sometimes as little as an X-ray

I have dizziness, numbness, pain, dropping things, and balance is off?

Hemangioma not likely causing symptoms unless large and resultant pathologic fracture...quite uncommon. Spondylosis could certainly cause your symptoms. Have you been jabbed with READ MORE
Hemangioma not likely causing symptoms unless large and resultant pathologic fracture...quite uncommon. Spondylosis could certainly cause your symptoms. Have you been jabbed with the covid vax? Neuropathy is common.

What does all of this mean?

Fatty liver (steatosis) can be genetic and/or acquired due to diet and/or alcohol abuse. It can lead to cirrhosis and cancer, but can also be treated. In western society, it's READ MORE
Fatty liver (steatosis) can be genetic and/or acquired due to diet and/or alcohol abuse. It can lead to cirrhosis and cancer, but can also be treated. In western society, it's a likely cause for hepatitis. Alpha 1 likely pertains to alpha one antitrypsin. It's an enzyme disorder that can lead to chronic lung disease and vascular problems.

All the best,

My shoulder MRI report?

It would sound like you have a high-grade partial thickness tear of the supraspinatus, called David laminating tear. It is likely a surgical tear, although I cannot view the images. READ MORE
It would sound like you have a high-grade partial thickness tear of the supraspinatus, called David laminating tear. It is likely a surgical tear, although I cannot view the images. You will likely be sent first to physical therapy, but surgery will likely be the ultimate endpoint.
All the best.

Why am I a medical mystery?

I am uncertain… Perhaps B12 deficiency or idiopathic Guillian-Barre syndrome. I wonder if you could have a vascular malformation in your brain… Did they do an MRI of the brain? READ MORE
I am uncertain… Perhaps B12 deficiency or idiopathic Guillian-Barre syndrome. I wonder if you could have a vascular malformation in your brain… Did they do an MRI of the brain?

What does all this mean and what are the treatment options?

....in other words, is sounds like you have developed scar tissue or what's called epidural fibrosis.....a common cause of 'failed back'. At 6 months, your fusion should be nearly READ MORE
....in other words, is sounds like you have developed scar tissue or what's called epidural fibrosis.....a common cause of 'failed back'. At 6 months, your fusion should be nearly complete....IF it happened.....as the name implies, the goal of the surgery is for the bone of L5 & S1 to fuse together into a solid contiguous column of bone.....aka...arthrodesis.....it usually works, but sometimes for various reasons it may not.....obviously, I have'nt seen your images, but those are a couple of common post-op complications to look out for....in addition to recurrent disc herniation.....if you were infected, you'd likely know it...fever etc....
All the best...

Does iodine contrast affect your thyroid?

Per the ACR: Thyroid and iodine contrast Contrast medium injection does not affect thyroid function tests (e.g., T3, T4, TSH) in patients with a normal thyroid. Routine monitoring READ MORE
Per the ACR:

Thyroid and iodine contrast
Contrast medium injection does not affect thyroid function tests (e.g., T3, T4, TSH) in patients with a normal thyroid. Routine monitoring of thyroid function tests before contrast medium injection in patients with a normal thyroid is not indicated even in areas where there is dietary iodine deficiency.