Dr. Zenobia A. Kotwall – Radiologist | Nanaimo, BC

With expertise in Diagnostic and Interventional Radiology, Dr. Zenobia A. Kotwall provides crucial diagnostic insights to referring physicians. Practicing at medical facilities in Nanaimo, BC, she supports various clinical departments by offering advanced imaging interpretation and image-guided procedures. Her practice adheres to the standards and guidelines established by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring high-quality care for all patients. Areas of subspecialty focus or particular interest may include diagnostic radiology, interventional procedures, and breast imaging, among others. Dr. Kotwall's services are primarily aimed at patients requiring diagnostic imaging or image-guided interventions to assist in accurate diagnosis and treatment planning.

She graduated with a Doctor of Medicine (MD) from the University of Saskatchewan in 1982 and completed extensive postgraduate training in Diagnostic and Interventional Radiology. Dr. Kotwall holds certifications including those from the Royal College of Physicians and Surgeons of Canada, reflecting her commitment to maintaining the highest standards of radiological practice and ongoing professional development.

Dr. Zenobia A. Kotwall's clinical philosophy emphasizes precision, thoroughness, and patient-centered care. She is dedicated to providing accurate diagnostic interpretations and supporting clinicians with comprehensive reports. Fluent in English, she collaborates closely with referring physicians to ensure clear communication and optimal patient outcomes within the Nanaimo community.

• X-ray Interpretation (Radiography): Expert analysis and reporting of X-ray images for diagnosing conditions related to bones (fractures, arthritis), chest (pneumonia, lung nodules), and abdomen.
• Fluoroscopy Procedure Interpretation: Interpreting real-time X-ray imaging (fluoroscopy) used during procedures like barium studies (GI tract), hysterosalpingograms, or to guide certain injections.
• Ultrasound Interpretation (Sonography): Evaluation and reporting of diagnostic ultrasound images for assessing organs (e.g., liver, kidneys, thyroid, reproductive organs), blood flow, pregnancies, and musculoskeletal conditions.
• Mammography and Breast Imaging Interpretation: Expert review and reporting of mammograms (including tomosynthesis/3D mammography) and breast ultrasound for cancer screening, diagnosis, and follow-up.
• Computed Tomography (CT) Scan Interpretation: Detailed review and reporting of cross-sectional CT images for evaluating trauma, cancer staging, vascular disease, infections, and other complex conditions throughout the body.

Note: This list provides an overview of common radiology services. Dr. Kotwall interprets a wide range of medical imaging studies and/or performs procedures as indicated by your referring physician. Specific subspecialty services depend on the physician's focus and training.

All medical imaging services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of British Columbia (CPSBC).

Dr. Kotwall primarily practices at medical imaging facilities located in the central Nanaimo area, specifically within the Departure Bay neighborhood. The practice is conveniently situated near the Port Theatre and Downtown Nanaimo, making it accessible for patients in the region. The facilities are easily reachable via the Regional District of Nanaimo Transit System (BC Transit). The practice location offers on-site parking options, and the facility is wheelchair accessible, ensuring comfortable access for all patients.

Are imaging studies interpreted by Dr. Kotwall covered by Medical Services Plan (MSP) in BC?

Medically necessary diagnostic imaging studies interpreted by a Radiologist like Dr. Kotwall are typically covered by Medical Services Plan (MSP) in BC when prescribed by your referring physician and performed at an accredited medical facility. Some advanced or specialized interventional procedures may also be covered. It's always best to confirm specific coverage details with Medical Services Plan (MSP) or the imaging clinic/hospital.

Do I need a referral from my doctor to have an imaging study interpreted by Dr. Kotwall?

Yes, almost all diagnostic imaging tests (like X-rays, CT, MRI, ultrasounds) and interventional radiology procedures require a formal request or requisition from your family doctor, specialist, or other authorized healthcare provider. Dr. Kotwall provides expert interpretation of these physician-ordered studies.

Why might I need an injection of 'contrast' or 'dye' for my scan?

Contrast material (often called 'dye', though it's usually clear) is a special substance that can be injected intravenously (or sometimes taken orally or rectally) to help certain organs, blood vessels, or tissues stand out more clearly on imaging exams like CT or MRI. It can help Dr. Kotwall see abnormalities that might otherwise be hidden. Not all scans require contrast; it's used when it can provide important additional diagnostic information.

What's the difference between an MRI and a CT scan?

Both are advanced imaging tests, but they use different technologies. CT (Computed Tomography) scans use X-rays and a computer to create detailed cross-sectional images; they are excellent for bone, lungs, abdomen, and detecting acute bleeding. MRI (Magnetic Resonance Imaging) uses a powerful magnetic field and radio waves to create highly detailed images of soft tissues like the brain, spine, joints, and internal organs, without using ionizing radiation. Dr. Kotwall or your referring doctor will determine which test is best for your specific medical question.

Can I speak to Dr. Kotwall directly about my images?

Typically, the Radiologist's detailed report is sent to your referring physician, who is best positioned to discuss the results with you in the context of your overall health and other test findings. While direct consultation with the interpreting Radiologist is uncommon for routine diagnostic imaging, for Interventional Radiology procedures, Dr. Kotwall (if performing the procedure) would discuss it with you beforehand.

Suite A-1804 Bowen Rd, Madrona Imaging
Nanaimo, BC V9S 5W4

Phone: (250) 753-4351 | Fax: (250) 753-0856

The facility is wheelchair accessible.

Dr. Kotwall is a licensed physician regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. Imaging services are typically provided based on referrals from other physicians.

Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/308451/Kotwall%2CZenobia