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Doctor insights on: Adrenal Mass Protocol Ct

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Dr. Krishna Kumar
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Computed Tomography (Definition)

Ct uses xrays taken an 360 degrees combined with a computer to see"inside" the body. The table moves as the xray tube and detectors spin around the patient 10 times a second or more! The image shows excellent soft tissue detail, enhanced with injection of intravenous contrast or oral contrast. This way the body is shown in slices, in any plane, usually axially, but ...Read more


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No contrast CT showed ill defined hypodense area on hepatic lobe. Ordered new CT w contrast w liver mass protocol not hemangioma protocol concerning?

No contrast CT showed ill defined hypodense area on hepatic lobe. Ordered new CT w contrast w liver mass protocol not hemangioma protocol concerning?

Get iv contrast CT: There are many reasons to have a liver mass, more often than not, they are benign, but clearly depending on past medical history, It is difficult without contrast to differentiate these lesions, there are various ways to give intravenous contrast. A hemangioma protocol is also known as a triphasic study, allows one to look at three phases of liver perfusion but more complex to do. ...Read more

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Extremely high cortisol (48), low acth, and cushing's symptoms, but no adrenal mass found on ct. If not adrenal, what can this be?

Other causes: Of cushing syndrome are pituitary tumors (cushing's disease), pancreatic islet cell tumors, exogenous steroid use (most common) and other tumors that are derived from nerve/endocrine cells. Sometimes a very small, active adrenal adenoma is not seen on ct, MRI may be better. ...Read more

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Primary hpt diagnosed 2006, age 25. Failed neck exploration. 2013 a 15 mm adrenal mass discovered on CT (18 hu). Gene test for men-2?

Primary hpt diagnosed 2006, age 25. Failed neck exploration. 2013 a 15 mm adrenal mass discovered on CT (18 hu). Gene test for men-2?

MEN 2: Great question. What was the pathology of the parathyroid gland in 2006? Men 2 is a complex of medulary thyroid cancer (mtc), parathyroid hyperplasia, and pheochromocytoma of the adrenal gland. Although your adrenal growth is only 18 hu and 15mm, this does not rule out a functional adrenal mass. The ret oncogene is responsible for men2. Consult an endocrinologist and experienced adrenal surgeon. ...Read more

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Ct revealed 12mm nodule in left and 9mm nodule in right adrenal glands (incidentalomas). Had MRI of adrenals no mass found. Is this very serious?

Ct revealed 12mm nodule in left and 9mm nodule in right adrenal glands (incidentalomas). Had MRI of adrenals no mass found. Is this very serious?

Speak with your doc: Adrenal gland nodules are very common and frequently are benign meaning they cause no harm. "incidentalomas" may have certain characteristics on an MRI that indicate they are benign.

Additionally, blood tests may be warranted elucidate what type of nodule you have. This is nothing to worry about but definitely speak with your physician. ...Read more

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Ct revealed 12mm nodule in left and 9mm nodule in right adrenal glands in (incidentalomas). Had MRI of adrenals no mass found. Is this very serious?

Incidentalomas: So they were present on the ct, but not present on the mri? These scanning techniques are sooooo sensitive, they pick up these tiny "warts" in glands, which often have no significance. This is probably nothing, but talk to your doctor. Assuming these things are not secreting any hormones, your doc may want to get another picture in 1 yr to make sure they are not growing. ...Read more

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Should I contact a different doctor for adrenal mass went to a urologist after a CT scan for kidney stones showed an adrenal mass. Urologist sent me for a MRI and had me do a 24 hour urine test to see why I had kidney stones. I am more worried about the

Should I contact a different doctor for adrenal mass went to a urologist after a CT scan for kidney stones showed an adrenal mass. Urologist sent me for a MRI and had me do a 24 hour urine test to see why I had kidney stones. I am more worried about the

The most common: Adrenal mass seen in about 15% of patients is an adrenal adenoma which is a benign tumor. It is easy to characterize on MRI because we can show there is fat in the tumor. This usually (94% accurate) means that the adrenal tumor is benign. But we make sure by following the tumor with additional MRI studies, which do not use harmful radiation. Ultrasound is not as accurate for followup. ...Read more

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What is a stone protocol CT scan?

It is a CT scan: Of the abdomen and pelvis with technical parameters specifically tailored for detecting renal/ureteral stones. ...Read more

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How long does a CT kidney stone protocol take?

How long does a CT kidney stone protocol take?

Seconds: Using a modern ct scanner the scan should take on the order of seconds to perform. However you may have to wait between scans to allow contrast to move through the body for instance from the bloodstream into the kidneys and then into the bladder. ...Read more

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Is it generally just protocol for a general surgeon to do CT w/Wout oral and IV contrast for dx acalculous cholestitis? HIDA labs and US nml-. Scare

Is it generally just protocol for a general surgeon to do CT w/Wout oral and IV contrast for dx acalculous cholestitis? HIDA labs and US nml-. Scare

Yes It Is: Cat scan is considered a test of choice as you mentioned for diagnosing Acalculous Cholecystitis if Hida Scan and ultrasound are negative and the surgeon wants to confirm the Diagnosis as suspected. It gives the advantage of evaluating the entire chest and abdomen.
To diagnose AAC with CAT SCAN neds 2major criteria or1major&2minor criteria
A good Radiologist will often make the correct Diagnosis ...Read more

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Had a pancreas protocol ct. It was clear would this be reassuring for pancreatic cancer? Really worried.

Had a pancreas protocol ct. It was clear would this be reassuring for pancreatic cancer? Really worried.

Yes: If no cancer is found on the scan, one can work with his GI specialist if symptoms continue, to see what follow-up care is needed. One can only worry so much about cancer, as we are all here on this planet for only a short while. If a disorder is not detected, worrying too much about an undetectable disorder can lead to a miserable life, due to anxiety. Thus, one must choose to live without worry ...Read more

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What is the s.T.E.E.R protocol for CT service post op (day1) open heart surgery?

What is the s.T.E.E.R protocol for CT service post op (day1) open heart surgery?

Ventilator: Steer protocols deal with weaning patients from the ventilator. S-screen; t-test; e-exercise; e-evaluate; r-report. ...Read more

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What CT scan protocol is recommended for follow-up scans on pts w/ h/o crc & multiple <1cm cystic liver lesions on right lobe to r/o liver metastasis?

What CT scan protocol is recommended for follow-up scans on pts w/ h/o crc & multiple <1cm cystic liver lesions on right lobe to r/o liver metastasis?

Liver protocol: Ct scan with liver protocol or MRI of the liver would be able to show you in more detail. If there were no liver lesions before and now with multiple liver lesions, ultimately, a liver biopsy should be done to definitely tell you what they are. Your cancer marker also can give you more information. Pet scan should be considered as well. ...Read more

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What is the sensitivity and npv of pancreas protocol ct scan in the detection of pancreatic cancer in the symptomatic patient?

Debatable: I am not sure of exact PPV or NPV, but spiral or panc protochol CT is used to detect resectability of the tumor and metastatic disease. This helps doctor to decide what kind of surgery could/should be done. ...Read more

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How accurate is pancreatic protocol CT for finding pancreas cancer? I've also had hida/blood/stool/urine. All perfect. Really worried. Please help. Thanks

Stay calm: First of all pancreatic cancer is an uncommon disease. Ct scans are accurate yet are dependent on the size of the cancer. If your ct scan was negative you probably don't have pancreatic cancer. ...Read more

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Daily headache for 4 months nonenhanced CT was normal. No other neuro deficits. Does this rule out intracranial mass?

No, but...: The most sensitive test for intracranial mass would be an MRI with and without contrast. The CT excludes increased fluid on the brain or a mass big enough to make the brain scan asymmetric. Brain tumors are more likely to cause seizures or focal neurological deficits than headache. Migraine and pseudotumor are more common headache causes. I'm available for consults if you'd like to discuss further ...Read more

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On CT scan for mcrc, the same left adrenal nodule is noted on both scans (august and sept one).does not mention size increase. Is this a met?

On CT scan for mcrc, the same left adrenal nodule is noted on both scans (august and sept one).does not mention size increase. Is this a met?

Hounsfield units: Hi. The radiologist, knowing there's an adrenal nodule, should have measured Hounsfield units on the non-contrasted CT. Hounsfield units are very helpful in predicting benign vs. Malignant disease. The two CTs are 1 month apart; that is too soon to tell if the nodule is enlarging. Is MCRC metastatic colorectal CA? Acronyms can be misleading. We need to be sure what you're referring to. Good luck! ...Read more

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I have polycycitic kidney. Right kindey stopped working. I looked online records. It said no focal mass on left kindey CT scan what does that mean

I have polycycitic kidney. Right kindey stopped working. I looked online records. It said no focal mass on left kindey CT scan what does that mean

Unsure: Difficult to know for sure without seeing study. Adult polycystic kidney disease of usually involves both kidneys. No "focal mass: usually means no mass effect whether cyst or tumor. Polycystic kidneys do not fail until middle age or later in life. Adult polycystic kidney disease is autosomal dominant, and commonly family history. Multicystic kidney usually causes nonfunctioning kidney from birth. ...Read more

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Hi, I had a ct scan awhile back and they found a soft mass in my kidney just wondering what it could be, they didn't further explain it to me. Thank u?

Difficult to say: Without any other specific details. Angiomyolipomas and cysts are common benign kidney masses. You are somewhat young for renal cancer. You can ask your doctor to explain, or post more specific details from the CT report. ...Read more

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Yes I am scheduled for it next week. I guess I am wondering if it's early stages, it would be more treatable? Seeing as there was no large mass on CT?

Not the correct foru: It sounds like you want to share some information about your medical condition with a doctor & get some advice / direction about treatment. Use HealthTap Prime, because in this forum, we are limited to 400 characters & can't interact with you live. Also, in HealthTap Prime you can upload pictures & reports & discuss what they mean. Good luck, & thanks for using HealthTap. ...Read more

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What does no mass effect mean in regards to a cranial CT scan?

What does no mass effect mean in regards to a cranial CT scan?

Mass effect: Can be seen as an asymmetry of normal brain structures. When problems occur in the brain (e.g., tumor, hemorrhage, stroke) the problem itself and/or any associated swelling can compress parts of the brain and distort the normal anatomy, especially the fluid-filled spaces like the ventricles and sulci. Thus, "no mass effect" indicates that the normal symmetry of the brain was seen on the ct scan. ...Read more

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I had a nodular mass on my espophogus show last week on CT how imprtant is this to havefurther testing done?

Very imperative: Any nodule or mass on your esophagus should be examined for possible cancer. A mass could grow and cut off your digestive tubes so please do get it addressed. ...Read more

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Male, 31years, diagnosed w/ 0.7cm kidney parenchima mass, little fat in ct. If malig, what are the chances of it already spread?

Male, 31years, diagnosed w/ 0.7cm kidney parenchima mass, little fat in ct. If malig, what are the chances of it already spread?

Probably Low: Only 50% of masses with a diameter smaller than 1 cm are malignant. Despite the localized, nonaggressive behavior of most small renal tumors, up to 5% of patients with masses 4 cm or smaller present with metastatic disease so we would expect the risk for your 7 mm mass to be much lower. Don't ignore it, get treated, good luck. Check out:
http://gucasym. Org/dilemma-small-renal-mass. ...Read more

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I had a CT and it showed a big mass and I have to have surgery to find out what it is. Will I be able to recover from surgery in 2 weeks?

Need more info: Impossible to answer your questions with the information you provided. It depends what kind of surgery it will be. Many times a non-surgical needle biopsy can be done instead of an open surgery to determine what a mass is. ...Read more

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Ultrasounds showing mass near ovary but CT scan was normal?

See below: Ultrasound may evaluate the ovaries to better advantage when compared to ct. Occasional a small mass in the ovary may not be visible on ct. Also a ct study without contrast (dye) enhancement may not evaluate the ovaries well. ...Read more