Dr Steven R. Goldstein MD is the best Gynecologist in NYC, regarded as one of the nation’s top doctors in Gynecology. Dr Goldstein is also the Recipient of the 2018 Joseph H. Holmes Clinical Pioneer Award from the American Institute of Ultrasound in Medicine (AIUM). This is in recognition of Dr Goldstein’s distinguished career in ultrasound in medicine, and making outstanding contributions to the growth and development of medical ultrasound. He is one of the most highly recognized and regarded individuals in the field of vaginal probe ultrasound.
As a top gynecologist in NYC, Dr Goldstein wrote the second book on transvaginal ultrasound and has spent over twenty years teaching OB/Gyns in the US how to do vaginal probe ultrasounds. One of the issues that arises, is one of “incidental findings”. Patients may go for an ultrasound for a particular condition and wind up with a report of another finding, usually unrelated to the condition in question. This is called an incidental finding.
The problem is that as more and more vaginal ultrasounds are ordered, more and more things that are variants of normal are discovered and leads to unnecessary anxiety, further testing, and even unfortunately, unnecessary surgery for things that are obviously benign.
Dr Goldstein frequently examines patients with vaginal ultrasounds as part of their office visit. If Dr Goldstein encounters anything on that sonogram which he considers an incidental finding, he shows it to the patient on the screen and warns them that if they ever have an imaging study for another reason, this finding is not a reason for concern.
The sensitivity of today’s ultrasounds are so great that Dr Goldstein coined a new term to describe them. Sono microscopy. It is as if a microscope were being used to examine the patient. We are seeing things that could not possibly be seen with the naked eye if one were to hold the structure in their hand and squint at it.
So the beauty of the transvaginal ultrasound is how much can be seen. But the problem is, do we see too much? One must understand the difference between findings that are common and findings that may be ominous.
As a top gynecologist in NYC in practice for over 2 decades, Dr Goldstein has the experience to properly diagnose the findings. Dr Goldstein conducts every transvaginal ultrasound / color doppler study personally. He does not rely on the skills or report of a technician.
As one of the most highly recognized individuals in the field of vaginal probe ultrasounds and the best gynecologist in NYC, Dr Goldstein can easily distinguish a normal finding from one that may be considered ominous and a candidate for further study.
So be careful if you have an ultrasound done of your pelvis and there are “incidental findings”. Make sure you are not overly tested or even worse, operated on. This would never be the case at Dr Goldstein’s practice, a top Gynecologist in NYC.
