Small Calcifications In The Pelvis On X-Ray

Perhaps one of the more common findings is small little white spots or calcifications in the pelvis on X-ray.  Your radiologist will often call these phleboliths.   They will often be found in the body of the report and usually not within the impression.  They are usually less than 1 centimeter in size, smooth, round, and sometimes have a little dark spot within.

They are calcifications within a pelvic vein.  They can occur in both men and women.  They are benign and almost certainly of no consequence to your health.  They can safely be ignored.   They are mentioned by the radiologist sometimes so that if someone else looks at your x ray, they will know what they are.

It is important to remember that not all white spots or calcifications in the pelvis are phleboliths.  There are many causes of calcifications in the pelvis on X-ray, some are much more significant.  Sometimes when a person is passing a kidney stone for example, it will look similar to a phlebolith.  In rare cases, even cancer can have some calcification or white density within.  It is therefore important to have the x ray results reviewed by your physician.

Sometimes, further testing may be needed.  This can happen when the radiologist is not sure what the cause of a calcification is.  A cat scan is more definitive for evaluating a cause of a pelvic calcification.    Your physician may order this as part of testing for your condition or for findings on your x ray. So having small calcifications in the pelvis on xray often means a benign condition which can be left alone, but not always.  Only your doctor can determine whether this finding needs further testing or treatment.

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