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Doctor insights on: Chiari 1 Malformation Prognosis

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Prognosis for 3 pancreatic ampullary cancer tumors. 1 removed with whipple. Chemo 7months helped 1 shrink & 1 disappear. Liver lesions shrank. ?

Prognosis for 3 pancreatic ampullary cancer tumors. 1 removed with whipple. Chemo 7months helped 1 shrink & 1 disappear. Liver lesions shrank. ?

It depends: Prognosis for Pancreatic Cancer is typically quite poor. But in some patients(5-10%) the tumor can be completely controlled but 90+ percent do tend to get into trouble in one to two years after Surgery. Are you currently free of any visible Cancer in your abdomen? Tell us the details of your recent test results...do they show any tumors or have these been completely controlled??? ...Read more

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Prognosis (Definition)

The prognosis is the predicted outcome or "forecast" for a disease or process. It is only an estimate but is likely based on past experience or data taking into account the individual's overall health status. It may suggest progression of disease ...Read more


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Age 39 Smoker Male, Blood Sugar Normal; TIA Stroke 1 week back.Taking Ecosprin AV75. MRI Brain: Tiny ischemic foci on both froantal lobe. Any risk?

Age 39 Smoker Male, Blood Sugar Normal; TIA Stroke 1 week back.Taking Ecosprin AV75. MRI Brain: Tiny ischemic foci on both froantal lobe. Any risk?

Yes..serious stroke: Your info suggests brain vascular problems that are causing ischemia (reduced blood flow to brain tissue) which until now has been mild or transient but unless you quit smoking , among other preventive measures, you risk more serious ischemic brain injury or stroke ...Read more

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What does left middle cranial fossa arachnoid cyst mean?

What does left middle cranial fossa arachnoid cyst mean?

Likely congenital: Typically found coincidentally when images obtained for very different purpose. Almost always present from birth, but on rare occasions can expand, but usually without mass effect. May be of value periodically to repeat scans to ascertain absence of issues. ...Read more

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Can stage 1a endometrial cancer (removed) spread to mediastinal, bilateral hilar and virchow's node w/o infiltrating another organ?

Can stage 1a endometrial cancer (removed) spread to mediastinal, bilateral hilar and virchow's node w/o infiltrating another organ?

Yes but: It could possibly spread to local lymph node but the chances are very low. The lymph nodes that are in thoracic cavity are even less likely to contain metastatic tumor from a stage 1a endometrial cancer, especially if it's a garden variety low grade lesion. In fact, long term survival is very good, like 95%. The other 5% may represent very high grade tumors. ...Read more

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Mri- c5-6 there is apparent central bony bar abutting the ventral cervical cord. What does this mean?

Mri- c5-6 there is apparent central bony bar abutting the ventral cervical cord. What does this mean?

May mean nothing : The bar is a bone spur. Caused by disc degeneration at that level. It is a common finding and may not mean anything clinically. The important question is whether or not there is actual spinal cord compression. Per your question, it sounds as if the spinal canal is narrowed a bit (stenosis), but there is not any spinal cord compression. Frequently, pt and traction can be of benefit. ...Read more

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Post fusion 2009: now l4-5 right facet joint arthrosis, severe neural foriminal stenosis with some compression. Surgery needed?

Post fusion 2009: now l4-5 right facet joint arthrosis, severe neural foriminal stenosis with some compression.  Surgery needed?

Need for 2nd O.R.: Adjacent level changes are common after fusion surgery. Conservative treatment is still warranted like therapy, body mechanics, and facet ( joint) injections, but surgery may be an appropriate option at the appropriate time. ...Read more

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Routine scan showed lack of fluid in csp- cerebral dysgenesis was noted- Is this cerebral palsy indicator?

Routine scan showed lack of fluid in csp- cerebral dysgenesis was noted- Is this cerebral palsy indicator?

Confusing question: Cerebral Palsy is a pattern of impaired movement and posture related to an injury to the brains motor cortex that occurred during development.Cerebral dysgenisis is just a label for poorly developed areas of brain,possibly from injury . CP would be the expected outcome if the dysgenisis effected the motor areas of the brain, while it would not if the motor area was not involved. ...Read more

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Brain MRI cavernous angioma ?

Brain MRI cavernous angioma ?

Commonly seen on MRI: Cavernous angioma is a cluster of tiny but abnormal blood vessels that can be seen in the brain or spinal cord. Many people never experience symptoms from a cavernous angioma and may never even know they have one. They do have a tendency to bleed and depending on the location and size, they can cause seizures or other neurologic symptoms. ...Read more

Dr. Paul Velt Dr. Velt
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I had a L4-L5 left hemilaminectomy. 6 mo post-op MRI "Residual or recurrent moderate focal L subarticular protrusion-extrusion". Have L-radiculopathy.

Dr. Paul Velt Dr. Velt
2 doctors agreed:
I had a L4-L5 left hemilaminectomy. 6 mo post-op MRI "Residual or recurrent moderate focal L subarticular protrusion-extrusion". Have L-radiculopathy.

Seems likely: Seems from what you say there is disc in the left nerve path. Not that this doesn't happen it does and fairly frequently. Sometimes even scar tissue can be guilty of these symptoms as well. Talk to your surgeon about further treatment. ...Read more

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U/s for liver cyst reads complex cyst w/partial sepetation MRI reads it's a hemangioma. Which is more accurate?

U/s for liver cyst reads complex cyst w/partial sepetation MRI reads it's a hemangioma.  Which is more accurate?

If they are: both describing the same lesion, MRI with contrast is more specific and accurate in this case. ...Read more

Dr. Liawaty Ho Dr. Ho
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Is mucinous cyst adenocarcinoma of ovary curable?

Dr. Liawaty Ho Dr. Ho
1 doctor agreed:
Is mucinous cyst adenocarcinoma of ovary curable?

Depends: It depends on the stage. Early stage is curable with either surgery alone- vs surgery plus adjuvant therapy/chemotherapy . Advanced disease with distant spread even is very treatable however unfortunately is incurable. Please discuss further with your oncology team. ...Read more

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What would this mean in MRI findings - Enlarged nasopharyngeal and oropharyngeal tonsillar fossa lymphoid tissues. Reactive lymph nodes in the ne?

What would this mean in MRI findings -   Enlarged nasopharyngeal and oropharyngeal tonsillar fossa lymphoid 	  tissues. Reactive lymph nodes in the ne?

Evaluation: Most probably that you have enlarged tonsils and adenoid tissue. You need a head and neck exam by an ENT with the MRI in order to get the correct diagnosis. Hope this helps. ...Read more

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What is the average life expectancy for a type 1 diabetic (has had diabetes for 35 + yrs) with end stage renal disease, and is on dialysis?

What is the average life expectancy for a type 1 diabetic (has had diabetes for 35 + yrs) with end stage renal disease, and is on dialysis?

Depends: Any answer that includes a definite number would be questionable from my point of view; as it would probably not consider the subpopulations' future attitude and compliance, not to mention current overall health status/genetic of this "cohort". Meaning, life expectancy at this point may vary wildly for many reasons. It would be more useful to just optimize treatment in a multidisciplinary fashion. ...Read more

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Two disc herniations 1 pinching C8 ddd canal stenosis and severe carpal tunnel syndrome in both hands. Which is causing severe hand numbness 3yrs ?

Two disc herniations 1 pinching C8 ddd canal stenosis and severe carpal tunnel syndrome in both hands. Which is causing severe hand numbness 3yrs ?

Likely carpal tunnel: Both have overlap within the hands depending upon the distribution. MRI is necessary of cervical spine and in many cases if distribution is not distinct, further an EMG/Nerve conduction study to delineate. In most cases however, it is more likely the carpal tunnel is the culprit. Consultation/examination by a neurosurgeon would be most appropriate for diagnosis. ...Read more