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the barium enema and the ct scan are only as good as the preparation before the test, the technician performing the test and the radiologist interpreting the test. by small trouble areas i mean tiny polyps, tiny ulcerated areas or other things that i as an uneducated person with regards to this material am unaware of. andy, there are no absolutes in medicine just odds. don't worry, just make sure that your doctor is being thorough enough for the situation at hand.