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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does the following CT Scan Result Mean?

Hello. I found out that my result in CT scan that I have a Follicular Cyst in my right ovary , a small possible myoma in my uterus and a small nodul in my right adrenal gland. Although I dont feel any pain or other bad symptoms... do I need to have operation to have these removed?
Tue, 26 Jul 2016
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Internal Medicine Specialist 's  Response
Brief Answer:
You should follow the uterine myoma by having a pelvic ultrasound periodically.
You should be seen by an endocrinologist for the adrenal nodule.

Detailed Answer:
Hello,
Thank you for using HCM.
The follicular cyst in the right ovary is a normal finding (especially before menstruation's) that depends from the normal physiological hormonal changes. So nothing to be done about it.
Uterin myoma is a benign growth of smooth muscle in the wall of the uterus. It should be followed up by having a pelvic ultrasound every six months, to determine whether there is growth of it or not.
Regarding the adrenal nodule, as it is discovered incidentally (so called "incidentaloma") and you do not have any symptom, the probability of being malignant is low. Even though it is recommended a detailed evaluation. The first step is to determine the functional status by a series of hormonal laboratory tests such as: plasma free methanephrine, plasma renin activity/aldosteron ratio, dexamethasone suppression test, etc... If the results of all laboratory tests are normal, then a fine needle aspiration may be needed. In this diagnostic process you should be guided by an endocrinologist or internist.


Hope this is helpful.
Let me know if you need more clarifications. Otherwise please close and rate the answer.
Kind Regards,
Dr. Juarda
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What Does the following CT Scan Result Mean?

Brief Answer: You should follow the uterine myoma by having a pelvic ultrasound periodically. You should be seen by an endocrinologist for the adrenal nodule. Detailed Answer: Hello, Thank you for using HCM. The follicular cyst in the right ovary is a normal finding (especially before menstruation s) that depends from the normal physiological hormonal changes. So nothing to be done about it. Uterin myoma is a benign growth of smooth muscle in the wall of the uterus. It should be followed up by having a pelvic ultrasound every six months, to determine whether there is growth of it or not. Regarding the adrenal nodule, as it is discovered incidentally (so called incidentaloma ) and you do not have any symptom, the probability of being malignant is low. Even though it is recommended a detailed evaluation. The first step is to determine the functional status by a series of hormonal laboratory tests such as: plasma free methanephrine, plasma renin activity/aldosteron ratio, dexamethasone suppression test, etc... If the results of all laboratory tests are normal, then a fine needle aspiration may be needed. In this diagnostic process you should be guided by an endocrinologist or internist. Hope this is helpful. Let me know if you need more clarifications. Otherwise please close and rate the answer. Kind Regards, Dr. Juarda