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Upper Abdominal CT Scan

An Upper Abdominal CT scan is an imaging test that allows detailed visualisation of the organs and structures located in the upper part of the abdomen (upper abdomen). It is an essential technique for diagnosing inflammatory, oncological, infectious and traumatic conditions, providing highly accurate images of vital organs and the blood vessels in this region.

What is an Upper Abdominal CT Scan and what is it for?

An Upper Abdominal CT scan is a computed tomography scan focused on the assessment of the upper abdomen. It is used to evaluate organs such as the liver, gallbladder and bile ducts, pancreas, spleen, part of the kidneys, and other vascular and lymphatic structures. It is a quick, safe and highly reliable exam for investigating multiple diseases, especially when the clinical focus is on the area above the navel.

What is the price of an Upper Abdominal CT Scan?

The private price of an Upper Abdominal CT scan is €120.

However, you may have an Upper Abdominal CT scan through several agreements, including:

  • SNS / ARS: When the Upper Abdominal CT scan is performed through the SNS, the patient does not pay any amount (you must bring the prescription from the Health Centre);
  • ADSE: If the Upper Abdominal CT scan is performed through ADSE, the patient only pays the fee of €15;
  • IASFA, ADM GNR, SAD PSP;
  • Insurance providers: Médis, Multicare, Advance Care, Allianz, Saúde Prime, Future HealthCare, SS CGD, SAMS Quadros, SAMS, Montepio, RNA, Generali, Mudum, MGEN, Aegon, Vitória, Una Seguros, other insurers. In this case, the price of the Upper Abdominal CT scan varies depending on the insurance you use;
  • Health plans: Medicare, Saúde Prime, Future HealthCare, Continente Wells, ACP, other health plans. In this case, the price of the Upper Abdominal CT scan varies depending on the health plan you use;
  • Protocols: NRD has protocols with several clinics and institutions that allow you to have the exam at very competitive rates. For the Upper Abdominal CT scan, the protocol price is €80.

How is it performed?

The exam is performed with the patient lying on a table (bed) that moves smoothly through the CT scanner. Depending on the clinical indication, iodinated contrast may be administered intravenously and/or oral contrast may be given to enhance certain structures. The exam takes, on average, 10 to 20 minutes.

NRD has a latest-generation Philips 128-slice scanner, which provides sharp images with a low radiation dose, ensuring safety and effectiveness in every exam.

Upper Abdominal CT Scan

What does it detect?

An Upper Abdominal CT scan can detect several abnormalities in the organs and structures of the upper abdomen, such as:

  • Liver disease, including tumours, cysts and inflammatory changes;
  • Gallbladder and bile duct conditions (for example, bile duct dilatation and inflammatory complications);
  • Pancreatic and splenic disease (such as inflammation, lesions or masses);
  • Changes in lymph nodes and in blood vessels in the region;
  • Trauma with suspected internal bleeding;
  • Vascular abnormalities, such as aneurysms and thrombosis;
  • Among others.

In which cases is it indicated?

An Upper Abdominal CT scan is generally recommended by the doctor in situations such as:

  • Persistent or acute upper abdominal pain with no clear cause;
  • Suspected pancreatitis, liver disease or biliary abnormalities;
  • Diagnosis or staging of tumours of the liver, pancreas or other upper abdominal structures;
  • Follow-up of chronic liver or pancreatic disease;
  • Assessment of bleeding or injuries after abdominal trauma;
  • Surgical planning or post-operative assessment;
  • Among others.

Upper Abdominal CT Scan with Contrast

An Upper Abdominal CT scan may be performed with or without contrast, depending on the type of assessment required.

  • Intravenous contrast: used to study the vascularisation and morphology of organs. The injection may cause a temporary warm sensation or a metallic taste. In these cases, a 4-hour fast is usually required (you will be informed at the time of booking).
  • Oral contrast: in certain CT exams, for better visualisation/study of the gastrointestinal tract and/or by medical indication, it may be necessary to drink an oral contrast agent. In that case, you should arrive at the clinic 1 to 2 hours before the scheduled exam time to complete the oral preparation (you will be informed at the time of booking). A 4-hour fast is required.

It is essential to inform the team if you have known allergies (to medicines, foods, etc.), asthma, allergic rhinitis, or previous reactions to contrast agents, as these situations may increase the risk of adverse reactions.

Preparation for an Upper Abdominal CT Scan

Topic Guidance
Exam prescription (paper copy) You must bring the exam prescription in paper format.
Fasting If the exam is performed with contrast, you should fast for 4 hours. If the exam is performed without contrast, fasting is not necessary.
Arriving early Generally, you only need to arrive 15 minutes before the exam, except in cases where oral contrast will be used. In this case, you should arrive 1 to 2 hours before the exam (you will be informed at the time of booking).
Previous exams Bring any relevant previous exams.
Previous medical history Be aware of your previous medical history regarding allergies, cardio-respiratory and kidney disease, and your usual medication.
Water If needed or if you wish, you may drink water.

NRD will provide you with all instructions at the time of booking.

Instructions during the exam

To ensure the best image quality and that the exam is completed quickly, it is important to:

  • Remain still during image acquisition to avoid artefacts in the images;
  • Follow the technologist’s instructions, who may ask for small position adjustments and, when necessary, to hold your breath for a few seconds.

When and how do you receive the results?

You will receive the CT results within up to 7 days after the exam, by email or on paper at the clinic. On the day of the exam, you will take the CD with the images with you.

Where to have it done?

The Upper Abdominal CT scan can be performed at NRD, at the following address:

Avenida Columbano Bordalo Pinheiro, nº 11-B, ground floor, 1070–060 Lisbon (near Praça de Espanha).

Does an Upper Abdominal CT Scan hurt?

No. An Upper Abdominal CT scan is completely painless.

Can an Upper Abdominal CT Scan be covered by the SNS?

Yes, the CT scan may be covered by the SNS, with a prescription and according to clinical criteria.

Can I have an Upper Abdominal CT Scan if I am pregnant?

During pregnancy, CT is only performed when absolutely necessary (subject to clinical criteria). If you are pregnant, inform the team before the exam.

How long does the exam take?

An Upper Abdominal CT scan may take between 10 and 20 minutes.

Can I drink water before an Upper Abdominal CT Scan?

Yes. If needed or if you wish, you may drink water.

What are the contraindications for an Upper Abdominal CT Scan?

A non-contrast CT scan has few absolute contraindications. Most limitations are related to the use of iodinated contrast and are assessed individually by the radiologist:

  • Pregnancy: radiation, even at low doses, may affect the foetus. CT is only performed in pregnant patients if absolutely necessary and when there is no safer alternative (such as ultrasound or MRI);
  • Allergy to iodinated contrast: patients with a history of severe reactions to iodinated contrast should avoid contrast-enhanced CT or follow specific protocols with preventive medication;
  • Kidney failure: iodinated contrast can place additional strain on the kidneys. In these cases, the doctor may request blood tests to assess kidney function before the exam;
  • Thyroid disease: the iodine in contrast may interfere with thyroid function in some patients;
  • Asthma or severe allergic disease: higher risk of contrast reactions, so it is important to inform the team;
  • Diabetes treated with metformin: there is a rare risk of complication (lactic acidosis) after contrast. It may be necessary to temporarily stop the medication, according to medical advice.

What is the difference between an Upper Abdominal CT Scan and an Abdominal CT Scan?

In many cases, the difference is mainly the area of focus: an Upper Abdominal CT scan concentrates primarily on assessing the liver, bile ducts, pancreas and spleen, whereas an Abdominal CT scan may be requested with broader coverage of the abdomen, depending on the clinical indication. Your doctor will always indicate which region is most appropriate to address your diagnostic question.