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Gastroenterology (Expert Forum)
Need some help !!!
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/ Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
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Need some help !!!
by criss72, Oct 14, 2006 12:00AM
Hi,
My wife (33 yrs old, in very good health condition) just had the yearly check-up including an abdominal ultrasound. Below is part of the result:
"More importantly in the left upper quadrant medial to the spleen is a hypoechoic round heterogeneous mass with increase blood flow in it and it measures 3.8 x 3.5 x 3.1 cm. It’s difficult to determine the source of this abnormality but the structures in the area are the hepatic flexure, the tail of the pancreas and the medial kidney and stomach. The low level echogenicity of the mass suggest lymphoid tissue but there are no other signs of lymphadenopathy. A CT scan of the upper quadrant for added evaluation of this round lesion almost 4cm in size is recommended".
What do you make of this? What would be the best and the worst case scenario?
The family physician could not provide any more details other than sending her to a specialist.
Many thanks
CT
My wife (33 yrs old, in very good health condition) just had the yearly check-up including an abdominal ultrasound. Below is part of the result:
"More importantly in the left upper quadrant medial to the spleen is a hypoechoic round heterogeneous mass with increase blood flow in it and it measures 3.8 x 3.5 x 3.1 cm. It’s difficult to determine the source of this abnormality but the structures in the area are the hepatic flexure, the tail of the pancreas and the medial kidney and stomach. The low level echogenicity of the mass suggest lymphoid tissue but there are no other signs of lymphadenopathy. A CT scan of the upper quadrant for added evaluation of this round lesion almost 4cm in size is recommended".
What do you make of this? What would be the best and the worst case scenario?
The family physician could not provide any more details other than sending her to a specialist.
Many thanks
CT
Doctor's Answer
by Kevin Pho, MD, Oct 16, 2006 12:00AM
, Oct 16, 2006 12:00AM
I agree with the CT scan. Possibilities can include a cyst, pseudocyst, infection, abscess or cancer. Cancer clearly would be the worst-case scenario and needs to be ruled out. A CT scan can further evaluate this. If still not conclusive, an MRI or endoscopic ultrasound can be considered.
These options can be discussed with a GI specialist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
These options can be discussed with a GI specialist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
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