Doctor insights on:
Cavitary Lung Lesion Differential Diagnosis
Please explain: 5 CM irregular splenic lesion. Differential diagnosis lymphoma and splenic metastasis. Could this be cancer?
Yes: Both are forms of cancer. It could also be a benign hemangioma, an epidermoid cyst, an infart (how's your overall vascular health?) or any of a number of other entities. What to do next will depend on your history and physical exam. You're in no immediate danger but this very much needs to be followed up. Many of the lymphomas especially are very curable with today's biotech. ...Read more
Deoxygenated blood enters the lungs from the right side of the heart and travels to the lungs. When you inspire, oxygen flows into the lungs, transverses the capilliares and attaches to hemoglobin down a gradient. At the same time, co2 diffuses into the capilaries and is expelled with exhalation. Oxygen rich blood then flows to the left side of the heart and into the ...Read more
See details: Please ask this question to the doctor who ordered the tests. That doctor is the only one who can put this result in context for you. The reading, unfortunately, suggests the underlying cause is a malignancy. However, there are other possible causes. That is why your own doctor will be the best one to provide an answer. ...Read moreSee 2 more doctor answers
Multilobulated pulmonary mass w/calcifications in left upper lobe. Neoplastic disease vs inflammatory/infectious process. rule out metastatic disease ?
In general...: IN GENERAL, a multilobulated mass is more likely malignant, one with calcifications is less likely. As in much else, size matters, with bigger being more worrisome. If you're smoker, more likely malignant, if from place of endemic TB or histoplasmosis, risk of chronic infection rises. You'll need to be evaluated by a pulmonologist, who will very likely recommend biopsy. ...Read more
Mediastinal lymph node biopsy, small cell lung cancer. Lungs clear on CT. Is this an unknown primary or not, ie does sclc mean primary must be in lung?
Ct angiogram shows non calcified opacity on middle lobe 4mm. Appearance of benign intrapulmonary lymph node on lung with no pleural abnormalites.
Opacity: The question to your doctor should be - is this an incidental pulmonary nodule or something more concerning. If the ct angio was done for something completely unrelated, and it was a true incidental finding, some guidelines say that under a certain size (4mm) for low risk patients (no smoking, etc), then no follow up is needed. Otherwise a biopsy or interval imaging followup is appropriate. ...Read more
Vats wedge lung resection on solitary nodule. Results: multiple necrotizing granulomas negative for microorganisms afb & gms. Lymph nodes benign fibroadipose tissue. Tissue being cultured for what?
Pigmented lesion . In face..Recent increase size..Irregular border....Biopsy reveals malignant cells infiltration ...Whats diagnosis plz?
Myxofibrosarcoma presenting in the skin: clinicopathological features and differential diagnosis with cutaneous myxoid neoplasms.?
Fairly common: The differential diagnosis will be made by the pathology team. My teacher hector battifora was among the world's most distinguished sarcoma pathologists but said he would never sign one out without another pathologist. The low nuclear grade ones rarely metastasize / kill, but all are prone to annoying local recurrences. Good luck, glad it's this relatively tame (still dangerous) cancer. ...Read more
Good but not perfect: A properly taken xray can reveal a great deal about many lung disorders, but not all. Present technology allows us to increase and decrease magnification, contrast and see more than we did years ago, but there are limits.Some disorders produce obvious changes on xray, while other do not. ...Read more
Hx breast ca, US spleen meaning?: Multiple hyperechoic solid lesions, indeterminate nature. Hemangiomata possible but metastatic disease not excluded.
What does endobronchial carcinoma left upper lobe complete atelectasis is suspeted 7 CM left hilar mass highly suspious for endobronchial carcinoma?
Not sure of ?: It sounds as f you are asking about what this cancer is. What you are describing sounds like a stage 3a or maybe a stage 2b nonsmall cell lung cancer. Best treatment would depend upon some more information needed. It will be dependent on if it is considered surgically resectable or not. It will require chemotherapy and possibly radiation as well. Curable but serious. Good luck and best wishes. ...Read moreSee 2 more doctor answers
Usually a bone: Biopsy is done on a a bone with a symptom (pain) and an x-ray abnormalitity (dissolved bone. Lytic; sclerotic, bone, blastic) indicating metastasis or fracture. The biopsy can obtain tissue if the source is occult. A bone marrow biopsy is done to assess anemia, look for leukemia, and sometimes another marrow disorder. ...Read moreSee 1 more doctor answer
Solitary, solid nodule with intranodular flow and follicular neoplasm cells. Afirma came back suspicious. What's likelyhood of malignancy?
A CT finding of a, stellate 1.6 x 1.1 CM subpleural right anterior segment upper lobe nodule is present. Additional 2mm middle lobe nodule is cancer?
Could Be: The right upper lobe nodule sounds most suspicious and may require some sort of biopsy to be sure. Comparison with any older imaging studies might add more information. The 2mm nodule is too small to assess and would likely be put under surveillance. Hope things work out for the best. ...Read moreSee 1 more doctor answer
What does"nonspecific & therefore indeterminate parenchymal liver lesion that needs sonographic surveillance" indicates in a CT scan result?
It means: a diagnosis cannot be made at this time but follow-up with ultrasound is recommended. (N.B. a "cyst" is suspected) Hope this helps Dr Z ...Read more
Pneumonia: Primary lung infection most commonly means pneumonia. Regression means that the infection has decreased since the last study. Hyperaerated lungs can mean that the patient took an intentional deep inspiration or that there is air trapping due to airway blockage, which can be due to asthma, COPD, and other causes. ...Read more
- Talk to a doctor live online for free
- Differential diagnosis lung mass
- Cavitary lung lesions
- Causes of cavitary lung lesions
- Ask a doctor a question free online
- Adnexal lesion differential fibroid
- Lesion diagnosis
- Differential diagnosis of dysarthria
- Submandibular mass differential diagnosis
- Talk to a pulmonologist online for free