Can Someone Diagnose Me Please?

Hey Everyone!

 

My name is Catherine and I'm 28 years old. 2 weeks ago I went into the doctor's office to have a cough that just wouldn't get better and a collection of cyst/wart-looking red bumps that started on my feet and slowly started growing on my upper legs looked at. The doc dianosed the red bumps as Mullescum Contagiosm and ordered a chest x-ray. Just a few minutes after getting the x-ray the technitions immediatly wanted a cat-scan with iodine contrast done because my x-ray showed a very large mass in my lungs. 

The next day my cat-scan results were back and my doctor said I had cancer. I was referred to a specialist and told it was most likely either lymphoma, a germ-cell tumor, or thymoma. I went in for surgery the following week and got a lymph node biopsy done, a bone marrow sample taken, and they placed a port for chemotherapy on my thigh. It's been close to a week now and I should be getting the results soon, however I suck at this waiting game and I want to know what's wrong with me now.

I know you guys aren't doctors or anything, and I should take all interpretations with a grain of salt, but I thought I would post my symptoms and test results here to see if any of you can pinpoint what is happening to me before the doctors. Here are my symptoms:

• Night sweats (since Dec 2016)
• Weezing (since Dec 2016)
• Intense itching all over, but specifically on my feet, lower legs, and hands (since Dec 2016)
• Red bumps resembling Mullescum Contagiosm (since Dec 2016)
• Dry cough (since April 2017)
• Fatigue (since April 2017)
• Struggling to catch my breath (since May 2017)

The cat-scan revealed that my lung is partially collapsed, which is why I can't breathe. I've been put on oxygen and it helps tremendously. The following are my blood test results and the results of my scans verbatim:

Cat-Scan #1 Findings - Chest CT:

• Lungs / pleura / hila: A large mediastinal mass fully defined below occupies most of the anterior left thorax. Residual aeration in the posterior left lung demonstrates compressive atelectasis in the lower lobe. There is a small to moderate size water attenuation layering left pleural effusion. The right lung is negative. No suspect nodules visible in the aerated components of either lung.
• Lower neck: There is bilateral lower neck adenopathy. A large medial right supraclavicular lymph node measures 2.5 x 5.8 cm. Largest on the left 1.4 x 2.3 cm. Both are suspect for malignancy.
• Mediastinum: Correlating with the chest radiograph, there is a large soft tissue attenuation mass of the anterior mediastinum measuring up to 12 x 20.5 cm transverse diameter and nearly 18 cm craniocaudal. It is mildly heterogenous throughout and encases multiple vessels. The SVC is severely compromised but patent. The mass abuts and partially encases the brachiocephalic arteries and fully encases crossing mediastinal veins. The mass fully occupies the anterior left hemithorax and the mediastinum the lateral pleural margin. There is no internal calcification. The lower attenuation areas are in the range of water and not fat.
• The left pulmonary artery is severely extrinsically compressed by the mass but shows no filling defect.
• The main and right pulmonary arteries are normal.
• No mild pericardial thickening of relatively high density. Heart is otherwise negative.
• Heart / pericardium: Per above
• Vessels: Per above
• Lymph nodes: See above. No significant additional lymph node findings.
• Body wall: negative
• Upper abdomen: There is a hypoenhancing lesion in the posterior segment right liver measuring 2.2 x 3.2 cm of unclear nature. A focus of hypoenhancement anteriorly in the right lobe, image 55 is more likely benign. Entire liver not included.
• Adrenals: normal.
• Splenic size: normal.
• Bones: No concerning lytic or blastic bone lesion. Focal fat noted in a midthoracic body, not significant. 

IMPRESSION:

1. Large anterior mediastinal mass compromising the left hemithorax, the left pulmonary artery and encasing multiple vessels. Presence of enlarged lower neck lymph nodes, left pleural effusion and indeterminate liver lesion are highly concerning for malignant origin. Consider malignant thymoma, lymphoma and malignant germ cell neoplasm.

2. The indeterminate liver lesion could reflect a hemangioma though I do not identify typical peripheral nodular enhancement and this lesion remains indeterminate until further assessment is performed preferably with MRI.

3. There is severe compromise of the SVC although the lumen does remain patent.

Cat-Scan #2 Findings - Abdomen CT:

• Visualized lung bases: Small to moderate left pleural effusion appears some are to the prior study as does the compressive atelectasis in the left lower lobe . The tiny amount of compressive atelectasis in the right lower lobe
• Hepatobiliary: There Is a tiny round hypodensity in the anterolateral right lobe which may represent tiny cyst although too small to characterize. There is a 2.4 cm mass posterior aspect of the right lobe in segment seven that exhibits puddling type peripheral contrast enhancement. On the delayed images there is partial filling of the mass with contrast. This could be secondary to a hemangioma
• Spleen: Negative.
• Adrenals: Negative.
• Pancreas: Negative.
• Kidneys ureters or bladder: Negative.
• Genitalia: Negative.
• GI: Negative.
• Vessels/spaces/nodes: No pathologic-appearing retroperitoneal or mesenteric adenopathy
• Bones/soft tissues: There is an umbilical hernia containing fat
• Additional findings: None pertinent.

IMPRESSION: No pathologic-appearing adenopathy in the abdomen or pelvis 2.4 cm mass in segment seven right lobe of the liver demonstrates delayed contrast enhancement suggesting a hemangioma as to etiology. Since there was only partial delayed enhancement however other solid hepatic masses not entirely excluded. If further diagnostic imaging is desired MR the liver would be helpful Small to moderate left pleural effusion and left basilar atelectasis appears similar to the prior study There is now a tiny amount of compressive atelectasis in the right lower lobe.

Cat-Scan #3 Findings - Neck CT:

The examination demonstrates the presence of a large anterior mediastinal mass. There is a mass present within the right supraclavicular region. This measures 5.4 x 2.8 x 3.6 cm. This is consistent with a enlarged lymph node. There is an enlarged lymph node present within the left supraclavicular region. This measures 2.4 x 1.5 x 2.2 cm. This likely represents the presence of lymphoma.

The tongue base and floor of mouth are unremarkable in appearance. The parotid glands are unremarkable bilaterally. There is no evidence of abnormality of the submandibular glands. The thyroid gland is unremarkable. The parapharyngeal soft tissues are unremarkable.

IMPRESSION: Bilateral supraclavicular masses as described above. Large anterior mediastinal mass. These findings likely represent lymphoma. The supraclavicular masses would be amenable to percutaneous biopsy.

My Blood Results:

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Date of Last Result	Test	Result	Reference Range	Flag
Jul 27, 2017	White Blood Count	7.9 k/uL	4.5-11.0 k/uL
Jul 27, 2017	Red Blood Count	3.67 M/uL	4.17-5.56 M/uL	L
Jul 27, 2017	Hemoglobin	10.0 g/dL	12.0-16.0 g/dL	L
Jul 27, 2017	Hematocrit	30.9 %	34.0-47.0 %	L
Jul 27, 2017	Mean Corpuscular Volume	84.3 fL	80.0-96.0 fL
Jul 27, 2017	Mean Corpuscular Hemoglobin	27.2 pg	26.0-33.0 pg
Jul 27, 2017	Mean Corpuscular Hemoglobin Concent	32.2 g/dL	32.0-36.0 g/dL
Jul 27, 2017	Red Cell Distribution Width	17.0 %	11.5-14.5 %	H
Jul 27, 2017	Platelet Count	358 K/uL	150-450 K/uL
Jul 27, 2017	Mean Platelet Volume	7.2 fL	7.2-11.1 fL
Jul 27, 2017	Neutrophils (%) (Auto)	70.7 %	39.4-72.5 %
Jul 27, 2017	Lymphocytes (%) (Auto)	14.9 %	17.6-49.6 %	L
Jul 27, 2017	Monocytes (%) (Auto)	9.5 %	4.1-12.4 %
Jul 27, 2017	Eosinophils (%) (Auto)	4.4 %	0.4-6.7 %
Jul 27, 2017	Basophils (%) (Auto)	0.5 %	0.3-1.4 %
Jul 27, 2017	Neutrophils # (Auto)	5.6 K/uL	2.0-7.4 K/uL
Jul 27, 2017	Lymphocytes # (Auto)	1.2 K/uL	1.3-3.6 K/uL	L
Jul 27, 2017	Monocytes # (Auto)	0.8 K/uL	0.3-1.0 K/uL
Jul 27, 2017	Eosinophils # (Auto)	0.3 K/uL	0.0-0.5 K/uL
Jul 27, 2017	Basophils # (Auto)	0.0 K/uL	0.0-0.1 K/uL