Question about NED...

Spivey88
Spivey88 Member Posts: 43
in Kidney Cancer #1

I had kidney cancer last summer and caught it early.  I had to have an MRI on back today because it's hurting really Bad.  I think it's from lifting kids at work.  The top of my report says

IMPRESSION:
1. No definite evidence of metastatic disease.

mine never spread and I'm confused why it didn't just say no evidence of disease.  Anyone else have this?  Is this good or bad?

 

thanks!

angie 

Comments

  • icemantoo
    icemantoo Member Posts: 3,361 Member
    #2
    Sounds like

    angie,

     

    Sounds like 6 of one and a half dozen of the other.

     

    Icemantoo

  • Kat23502
    Kat23502 Member Posts: 179 Member
    edited May 2017 #3
    It's just the way that

    It's just the way that radiologist words it. In the society we live in where some people will sue over anything, medical imaging is trending toward more vague language. If they put there is no metastatic disease, and a year later there was disease seen, they could be asked why it wasn't seen. So, many stick with saying things like this or "no visual evidence of disease" or "no metastatic disease visualized at this time." Was anything else noted?

  • Kat23502
    Kat23502 Member Posts: 179 Member
    #4
    icemantoo said:

    Sounds like

    angie,

     

    Sounds like 6 of one and a half dozen of the other.

     

    Icemantoo

    Exactly!

    Exactly!

  • Spivey88
    Spivey88 Member Posts: 43
    #5
    Kat23502 said:

    It's just the way that

    It's just the way that radiologist words it. In the society we live in where some people will sue over anything, medical imaging is trending toward more vague language. If they put there is no metastatic disease, and a year later there was disease seen, they could be asked why it wasn't seen. So, many stick with saying things like this or "no visual evidence of disease" or "no metastatic disease visualized at this time." Was anything else noted?

    Thank y'all

    IMPRESSION:
    1. No definite evidence of metastatic disease.

    2. Mild degenerative disc disease at L4-5

    FOLLOW-UP RECOMMENDATIONS: Per clinical team. 

    Final Signed by Carlos Perez, MD Signed on 5/17/2017 1:51 PM Workstation ID: UWX513086

    Narrative

    EXAM: MR THORACIC SPINE W AND WO IV CONTRAST
    EXAM: MR LUMBAR SPINE W AND WO IV CONTRAST

    HISTORY: 39 years -old Female with thoracic pain, h/.o breast and renal cancer

    TECHNIQUE: Multisequence and multiplanar imaging of the thoracic and lumbar spine with and without IV contrast. 9 mL of gadovist was administered intravenously.

    COMPARISON: MRI lumbar spine 6/15/2016 

    FINDINGS: 
    Thoracic Spine: There is a focus of T1 shortening within the T7 vertebral body consistent with a hemangioma. Alignment and vertebral body heights are maintained. Bone marrow signal is otherwise within normal limits. No abnormal enhancement is noted. 
    Spinal cord signal is unremarkable. No significant disc herniation or spinal canal stenosis is noted.

    Lumbar Spine: There is disc desiccation at L4-5. Alignment and vertebral body heights are maintained. Bone marrow signal is within normal limits. No abnormal enhancement is noted. Conus terminates at L1 level.

    Evaluation of disc levels as follows:
    L1-2: Unremarkable

    L2-3: Unremarkable

    L3-4: Bilateral facet hypertrophy. Thecal sac and neural foramina are intact.

    L4-5: Circumferential disc bulge with superimposed central disc protrusion with annular fissure, bilateral facet hypertrophy and ligamentum flavum thickening. Thecal sac is mildly narrowed to 9 mm AP. The disc bulge contacts bilateral descending L5 nerve
    roots within the lateral recesses. There is mild bilateral neural foraminal narrowing, unchanged.

    L5-S1: Unremarkable



    Component Results

     

     

  • Deanie0916
    Deanie0916 Member Posts: 616 Member
    #6
    looks like you have a visit from Uncle NED!

    Yay! Spivey88, I also had breast cancer and in the past year renal cancer. Going in for a follow up ultrasound on my most recent mammo. Hope you are doing well! Yay for NED!

  • Spivey88
    Spivey88 Member Posts: 43
    #7
    Deanie0916 said:

    looks like you have a visit from Uncle NED!

    Yay! Spivey88, I also had breast cancer and in the past year renal cancer. Going in for a follow up ultrasound on my most recent mammo. Hope you are doing well! Yay for NED!

    Breast cancer

    Oh wow!  Would love to chat with you.  what stage were you with both?  Sure hope your ultrasound is good :) 

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