Doctor insights on:
Adrenal Mass Protocol Ct
Ill defined hypodense area on right hepatic lobe abutting capsule. Found on a no contrast CT. Need repeat CT w liver mass protocol. I'm scared.
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
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
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
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
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
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
Had CT w/o contrast of kidneys to check for kidney stones - was normal. Would adrenal tumor/mass have shown up if present?
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
I understand a stone protocol CT takes seconds per scan, but it sounds like they do more than one scan. How long, ballpark, for the whole procedure?
10--30 minutes max.: Assuming a fast CT scanner (most current generation) ...Read more
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
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
Ventilator: Steer protocols deal with weaning patients from the ventilator. S-screen; t-test; e-exercise; e-evaluate; r-report. ...Read more
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
What is the sensitivity and npv of pancreas protocol ct scan in the detection of pancreatic cancer in the symptomatic patient?
Will a CT abd w/contrast (liver and pancreas protocol) show celiac artery? Last CT enterography showed compressed celiac. This one made no mention of it
I fell and the fall left a hump in the middle of my butt. CT Scan shows no mass. Dr ref for orthro. Orthro issue?
Is more sensitive and will show old "hematoma" (collection of blood) due to your fall! Hope this helps!
Dr Z ...Read more
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
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
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
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
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
Need more info......: Where was the mass? Where is your pain? I need more information before I can help you. ...Read more
Male, 31years, diagnosed w/ 0.7cm kidney parenchima mass, little fat in ct. If malig, what are the chances of it already spread?
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
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