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Here Are The Results Of My Recent CT Scan With
Question: Here are the results of my recent CT Scan with contrast. It was ordered by my Oncologist after a Bone Marrow Biopsy revealed Low-Grade Follicular Lymphomy, I have no symptoms except for an enlarged spleen.
Please interpret these results.
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TECHNIQUE: Routine scan with contiguous axial images acquired from the thoracic inlet to the upper
abdomen after administration of intravenous contrast. Post processed reconstructions acquired and reviewed.
CONTRAST: 100 cc of nonionic intravenous contrast at a concentration of 300 mg/mL.
COMPARISON: NONE.
FINDINGS:
BASE OF NECK: No discrete nodule within the thyroid gland.
LUNGS/PLEURA: No focal consolidation. No pleural effusion or pneumothorax. There is biapical nodularity likely secondary to scarring.
NODULES:
Right lung:
3 mm nodule in the right upper lobe (image 93, series 4).
2 mm pleural-based nodule in the right upper lobe (image 131, series 4) which may represent a calcified granuloma.
Punctate nodule in the right middle lobe (image 159, series 4).
4 mm nodule in the right middle lobe (image 202, series 4).
2 mm nodlue in the right middle lobe (image 216, series 4).
3 mm nodule within the right lower lobe (image 218, series 4).
2 mm nodule in the right lower lobe (image 166, series 4) abutting the fissure.
Left lung:
2 mm nodule in the left upper lobe abutting the fissure (image 166, series 4).
3 mm nodule within the left lower lobe abutting the fissure (image 219, series 4).
LARGE AIRWAYS: Patent.
HEART: Within normal limits for size. No pericardial effusion.
VESSELS: No aneurysm of thoracic aorta. Atherosclerotic disease involving the thoracic aorta.
MEDIASTINUM and HILA:
Nonspecific 1.3 x 1.4 cm right hilar lymph node. Subcentimeter left hilar lymph
node. Subcentimeter mediastinal lymph nodes. There is soft tissue within the anterior superior mediastinum which may represent residual/rebound thymus with associated subcentimeter calcification.
AXILLAE:
Subcentimeter axillary lymph nodes.
IMAGED UPPER ABDOMEN: The spleen is enlarged.
BONY THORAX/SOFT TISSUES:
Degenerative changes of thoracic spine. There is bilateral gynecomastia.
IMPRESSION:
1. Multiple subcentimeter pulmonary nodules with the largest measuring 4 mm as well as a nonspecific enlarged right hilar lymph node measuring up to 1.4 cm. 6-12 month follow-up is recommended.
2. Splenomegaly.
Please interpret these results.
=================================================================
TECHNIQUE: Routine scan with contiguous axial images acquired from the thoracic inlet to the upper
abdomen after administration of intravenous contrast. Post processed reconstructions acquired and reviewed.
CONTRAST: 100 cc of nonionic intravenous contrast at a concentration of 300 mg/mL.
COMPARISON: NONE.
FINDINGS:
BASE OF NECK: No discrete nodule within the thyroid gland.
LUNGS/PLEURA: No focal consolidation. No pleural effusion or pneumothorax. There is biapical nodularity likely secondary to scarring.
NODULES:
Right lung:
3 mm nodule in the right upper lobe (image 93, series 4).
2 mm pleural-based nodule in the right upper lobe (image 131, series 4) which may represent a calcified granuloma.
Punctate nodule in the right middle lobe (image 159, series 4).
4 mm nodule in the right middle lobe (image 202, series 4).
2 mm nodlue in the right middle lobe (image 216, series 4).
3 mm nodule within the right lower lobe (image 218, series 4).
2 mm nodule in the right lower lobe (image 166, series 4) abutting the fissure.
Left lung:
2 mm nodule in the left upper lobe abutting the fissure (image 166, series 4).
3 mm nodule within the left lower lobe abutting the fissure (image 219, series 4).
LARGE AIRWAYS: Patent.
HEART: Within normal limits for size. No pericardial effusion.
VESSELS: No aneurysm of thoracic aorta. Atherosclerotic disease involving the thoracic aorta.
MEDIASTINUM and HILA:
Nonspecific 1.3 x 1.4 cm right hilar lymph node. Subcentimeter left hilar lymph
node. Subcentimeter mediastinal lymph nodes. There is soft tissue within the anterior superior mediastinum which may represent residual/rebound thymus with associated subcentimeter calcification.
AXILLAE:
Subcentimeter axillary lymph nodes.
IMAGED UPPER ABDOMEN: The spleen is enlarged.
BONY THORAX/SOFT TISSUES:
Degenerative changes of thoracic spine. There is bilateral gynecomastia.
IMPRESSION:
1. Multiple subcentimeter pulmonary nodules with the largest measuring 4 mm as well as a nonspecific enlarged right hilar lymph node measuring up to 1.4 cm. 6-12 month follow-up is recommended.
2. Splenomegaly.
Brief Answer:
Answer
Detailed Answer:
Hi there
Do you have weight loss, cough, bloody sputum, any bleeding disorder, any known cancer?
What does your bone marrow biopsy suggest?
The CT scan shows spleen enlargement and nodules in the right lung and lymph nodes that drain the right lung.
Based on the CT scan it could be a multitude of possible differential diagnosis. It could be a disorder of the blood cells, bone marrow, tumour. Sarcoidosis or lymphoproliferative disease.
Please provide more information for me to be in a better position to understand and explain this scan further.
I hope I have answered your query.
I will be available to answer your follow up queries.
Regards,
Aashish Raghu
Answer
Detailed Answer:
Hi there
Do you have weight loss, cough, bloody sputum, any bleeding disorder, any known cancer?
What does your bone marrow biopsy suggest?
The CT scan shows spleen enlargement and nodules in the right lung and lymph nodes that drain the right lung.
Based on the CT scan it could be a multitude of possible differential diagnosis. It could be a disorder of the blood cells, bone marrow, tumour. Sarcoidosis or lymphoproliferative disease.
Please provide more information for me to be in a better position to understand and explain this scan further.
I hope I have answered your query.
I will be available to answer your follow up queries.
Regards,
Aashish Raghu
Above answer was peer-reviewed by :
Dr. Raju A.T
No weight loss and no symptoms.
Bone marrow shows Follicular Lymphoma with 5-10% involvement. Chromosome testing was normal.
Platelets are low (50,000). Red and White Cells numbers and hemoglobin are normal.
Given that the size of the lymph nodes are so tiny, is that a cause for concern?
If there is any other information u need, please let me know.
Thx!
Bone marrow shows Follicular Lymphoma with 5-10% involvement. Chromosome testing was normal.
Platelets are low (50,000). Red and White Cells numbers and hemoglobin are normal.
Given that the size of the lymph nodes are so tiny, is that a cause for concern?
If there is any other information u need, please let me know.
Thx!
Brief Answer:
Answer
Detailed Answer:
Hi there
You will need to have your Lymphoma staged asks also Serum LDH test done.
If it's early stages then good survival rates and usually Radiotherapy suffices. If higher stage them Chemotherapy needed as well.
Answer
Detailed Answer:
Hi there
You will need to have your Lymphoma staged asks also Serum LDH test done.
If it's early stages then good survival rates and usually Radiotherapy suffices. If higher stage them Chemotherapy needed as well.
Above answer was peer-reviewed by :
Dr. Raju A.T
LDH test for performed - it was 207 (range of 135-225). Is that a good or bad reading?
Brief Answer:
Answer
Detailed Answer:
This is a favourable reading and indicates less tumour burden.
Answer
Detailed Answer:
This is a favourable reading and indicates less tumour burden.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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