Doctor insights on:
Diffuse Parenchymal Disease With Nodules
Thyroid US- heterogenous thyroid parenchyma with hypervascularity, suggestive of underlying parenchymal disease, no discrete thyroid nodule. Meaning?
Thyroiditis?: Need correlation with thyroid function tests. Why did you have the ultrasound? Your doctor is the one to put this all together for you. ...Read more
Several possibilitie: Multiple disorders can cause such a picture on ultrasound: acute suppurative thyroiditis subacute granulomatous thyroiditis hashimoto's thyroiditis (chronic lymphocytic thyroiditis) adenomatous or colloid goiter painless (silent) thyroiditis generally, it's not necessary to biopsy to distinguish the etiology, and treatment is most often available. Check w/your doctor. ...Read more
What does diffuse infiltration of liver with diffusely coarsened echotexture of of the liver parenchyma that can reflect diffuse hepatocellular diseas?
Kidney Disease: "diffuse" means all over the kidney, "parenchymal" means the solid part of the kidney that filters the liquid waste products out of the blood, and "disease" means something is wrong. Typically "diffuse parenchymal disease" means an overall medical problem with the kidney, such as diabetic nephropathy, or post-streptococcal nephritis. In the pediatric world we use this term slightly differently. ...Read more
LIVER ENLARGED & ECHOGENIC CONSISTENT WITH NONSPECIFIC HEPATIC PARENCHYMAL DISEASE SUCH AS STEATOSIS. NO FOCAL MASS IS SEEN.Spleen size 16cm??
See doctor: The size of the spleen is of note. This enlarges for many reasons. The liver also enlarged is of concern as well. There should be a coordinated laboratory values to help make sense of imaging results. Not a good idea to speculate on cause without more data. Speak to your doctor for more data ...Read more
Increased /coarse hepatic parenchymal echotexture (liver parenchymal disease ) with prominent portal vein and splenomegaly? Wat it means
Severe damage: When damage to the liver occurs for a long time, meaning years, the liver becomes scarred and the veins that bring blood to the liver become distended because of resistance inside the liver. This increased pressure causes the spleen to take more blood and become enlarged. This is called cirrhosis of the liver and can be due to any number of things including alcohol and viral hepatitis. ...Read more
Hashimoto's : Hashimoto's thyroiditis can cause this. What is your tpo ab level? You may be sensitive to dairy and wheat as well. Dairy, wheat and sugar grow e.Coli which can release inflammatory substances that aggravate auto-immune problems. Quinoa is the best grain if soaked 8 hours and rinsed well before cooking. See kelly mcgonigal's book, the will power instinct for successful life style changes. ...Read moreSee 1 more doctor answer
Disseminated peritoneal disease with long segment bowel wall thickening, multiple hepatic and renal nodules - are in favour of neoplastic etiology?
7 YO? Can't post yet: Have to be 17 to post. Seven years old is too young to post, and requires speaking to your pediatrician about your questions until you're old enough to post. Thanks! ...Read more
Mild ascitis, mild hepatomegaly with slightly coarse echotexture to r/o liver parenchymal disease, mild spleenomegaly and electrolyte imbalance?
Cirrhosis: The presentation is consistent with liver cirrhosis. What caused that - not clear from the presentation. Discuss it with your doc. ...Read more
Liver disease: Hepatomegaly means that the liver is larger than is normal. Parenchyma is the main tissue of the liver. Diffuse parenchymal disease means that there is diffuse disease throughout the liver tissues. This could be due to many different causes so check with your doctor for further information. ...Read more
Attenuation of hep parenchyma. Diffuse capsular enhancement and focal capsular retraction on liver ct. No focal lesions. Could sle serositis cause ?
Thyroid gland demostrates mild heterogeneous echogenicity & echotexture. Increased vascularity, in keeping with thyroiditis. Pls explain. Thanks. ?
Hashimoto's disease?: Common cause of ultrasound pattern with hyperemia is Hashimoto's thyroiditis. Can initially be hyperthyroid and eventually becomes hypothyroid. Usually an autoimmune disease with thyroid antibodies, When hypothyroid usually have to have thyroid hormone suppliments. ...Read more
"The liver demonstrates mild diffuse increased echogenicity, most consistent with fatty liver infiltration or fibrosis." What does this mean?
Distinguish diseases: Distinguish fatty liver (steatosis) from fatty liver with abnormal liver tests (steatohepatitis). Best to start with a weight loss diet based on calorie and fat restriction, avoid alcohol, control diabetes & cholesterol (if present). Your doctor will likely want to monitor your labwork, image the liver, & rule out other diseases that can mimick the pattern of liver tests seen with fatty changes. ...Read more
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
What does all this mean..Heterogeneous glandular tissue w mild increased vascularity suggestive of thyroiditis/no focal lesion identified?
Goiter/FNA: If this is your fna/fine needle aspirate result, then your doc will likely recommend medication and monitoring for your thyroid disease. ...Read more
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