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CT scan results

CarlosRosado's picture
CarlosRosado
Posts: 83
Joined: Dec 2017

Any thoughts? 

 

EXAM: CT CHEST ABDOMEN AND PELVIS.

INDICATION: Malignant neoplasm of left kidney.

COMPARISON: CT chest abdomen pelvis 8/8/2018.



CT CHEST:

LUNGS AND AIRWAYS: Airways are patent. Noncalcified pulmonary nodules as follows measured on series 205 and compared to 82,018 CT chest:

2 mm middle lobe image 249 stable, benign.

PLEURA: No pleural effusions or significant pleural thickening.

HEART AND GREAT VESSELS: Heart size is normal.

ADENOPATHY: None.

CHEST WALL / LOWER NECK: No significant abnormality.

BONES: Mild degenerative change spine.

CT ABDOMEN AND PELVIS:

LIVER: Diffuse hepatic steatosis. Focal fatty sparing along margin of the gallbladder fossa stable from 8/8/2018.

GALLBLADDER AND BILIARY DUCTS: No calcified gallstones. Nondistended gallbladder. No intra- or extrahepatic biliary dilatation.

PANCREAS: Normal.

SPLEEN: Normal.

ADRENAL GLANDS: Normal.

KIDNEYS AND URETERS: Right renal cyst. Tiny low-attenuation right renal lesion on axial 30 upper pole to small to characterize but likely cyst. Mild scarring upper pole left kidney from partial left nephrectomy.

URINARY BLADDER: Normal.

BOWEL: Diverticuli colon. Normal appendix. No transition point small bowel caliber.

REPRODUCTIVE ORGANS: Normal prostate

LYMPH NODES: No abnormally enlarged nodes.

PERITONEUM / RETROPERITONEUM: No ascites or free air.

VESSELS: Aorta and IVC without significant abnormality. Splenic vein, SMV, PV and hepatic veins demonstrate enhancement.

ABDOMINAL WALL: Normal.

BONES: Mild degenerative change spine.

 

icemantoo's picture
icemantoo
Posts: 3227
Joined: Jan 2010

Carlos,

 

 

A 2mm stable lung nodule and small simple cyst on the other kidney are usually nothing to worry about. They do require future scans to keep it that way.

 

 

icemantoo

Wehavenotimeatall
Posts: 479
Joined: Aug 2017

you have a funny colon and a slighly fatty liver

 

BUt no cancer

 

wheeeee

enjoy the feeling 

CarlosRosado's picture
CarlosRosado
Posts: 83
Joined: Dec 2017

Thanks for the comments.  I feel little worry . I have an appointment with my oncologist until feb 11.   

Allochka's picture
Allochka
Posts: 874
Joined: Nov 2014

Hi,

lung nodule - if I’m not mistaken, doc compared it to previous scan, it didn’t change, so it’s benign, as he said in description. And this small renal lesion is also most likely cyst. So there is no need to worry about cancer. But most probably there will be follow up to be 158%  sure. BuT it seems there is NED in da house :-)

CarlosRosado's picture
CarlosRosado
Posts: 83
Joined: Dec 2017

the lung nodule it wast in the last scan 6 months ago... or at least they never mentioned it to me.....that's way I am so worry...  the cyst on the right kidney it as mentioned in the last 2 scan and it hasn change...

 

the report at the end only mention this:

1. Diffuse hepatic steatosis.
2. Stable scarring left kidney.
3. Colonic diverticulosis. 

 

 

Retcenturion's picture
Retcenturion
Posts: 240
Joined: Mar 2017

As previous posters noted it seems like a good report. The wait is going to be hard. It seems if your not waiting for something your waiting for the results of that something. If its that bad reach out to the Dr, what do you have to lose? Good luck on your wait.

CarlosRosado's picture
CarlosRosado
Posts: 83
Joined: Dec 2017

the waiting part is terrible... my appointment with the oncologist is next week

Allochka's picture
Allochka
Posts: 874
Joined: Nov 2014

It could be that nodule simply wasn’t mentioned as obviously benign. Happens all the time with benign findings. As you see, radiologist was able to find ir on previos scan and compare  ( he mentions the lobe, the slide number and says that nodule is stable and benign). So no worries about the nodule!

CarlosRosado's picture
CarlosRosado
Posts: 83
Joined: Dec 2017

yeah, the keyword here that word stable.

just spoke with my family doctor and he want it to monitor it closely... another scan in 4 months

i guess I have to wait for my appointment with my oncologist

Allochka's picture
Allochka
Posts: 874
Joined: Nov 2014

I can imagine.... But try to repeat to yourself that nodule is stable. Mets are not stable, they grow. And radiologist stated “benign”. think of this - how absolutely sure he/she should be to make such statement today, when all doctors try to cover their backs? :-)

CarlosRosado's picture
CarlosRosado
Posts: 83
Joined: Dec 2017

YEAH, you are right...thank you 

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