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Doctor insights on: Lesion On Spleen Cause

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I have a 5mm hypodense lesion on spleen, detected by non contrast CT scan. Potential causes and next steps?

I have a 5mm hypodense lesion on spleen, detected by non contrast CT scan. Potential causes and next steps?

The vast majority: Of incidentally discovered splenic lesions like this are benign cysts, pseudocysts, or hemangiomas requiring no treatment. Further evaluation with ultrasound or contrast enhanced CT or MRI may be useful for a more confident characterization of the lesion. Talk to your doc about it. ...Read more

Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more


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Just left the ED, CT showed lesion an spleen and free fluid in pelvic area, what are the possible causes of these findings?

Just left the ED, CT showed lesion an spleen and free fluid in pelvic area, what are the possible causes of these findings?

Spleen/free fluid: It is hard to know what the lesion in your spleen is without a better description. Some free fluid in the pelvis is normal, a larger amount may indicate a rupture. Review the scan with your doctor today to sort this out. All the best. ...Read more

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5 months upper-mid abd. Pain/18 pound weight loss. Upper GI, US, 2 CTs, 1 MRI. UGI found gastritis, HP neg. No help from PPIs. Gallbladder ok. CTs/MRI followed spleen lesions, thought now to be Sarcoid. Could Sarcoid cause other pain? (Lungs ok.)

5 months upper-mid abd. Pain/18 pound weight loss. Upper GI, US, 2 CTs, 1 MRI. UGI found gastritis, HP neg. No help from PPIs. Gallbladder ok. CTs/MRI followed spleen lesions, thought now to be Sarcoid. Could Sarcoid cause other pain? (Lungs ok.)

Abdominal pain: Your various and detailed testing only showed gastritis but your ongoing pain combined with significant weight loss suggests more than gastritis going on. I recommend a gastroscopy with special attention to areas of the stomach where some gastric ulcers-benign or malignant are difficult to visualize. If you've already had a gastroscopy I recommend another one for thoroughness. ...Read more

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4.8 x 1.8 x 2.4 low attenuating lesion on spleen. I do have pain under left lower rib cage. Should I be concerned?

4.8 x 1.8 x 2.4 low attenuating lesion on spleen. I do have pain under left lower rib cage. Should I be concerned?

Confusing: You were told it was a low attenuating lesion? Generally not the term physicians use when telling patients results of CT or MRI scans. Usually the terms used are cysts or lesions or masses. Whether it needs further evaluation or not. More info would be helpful. However lesions of the spleen aren't common and usually are benign. You may want to ask your doctor for more info. ...Read more

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Is it possible that there is a connection between my ulcerative colitis and 2-3 inch lesion on my spleen?

Is it possible that there is a connection between my ulcerative colitis and 2-3 inch lesion on my spleen?

Hyposplenism: As far as I'm aware the only association is hyposplenism. You should direct your questions to a good GI doctor. ...Read more

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I have a lesion that is aproximately 3cm in my spleen. My doctor wants a biopsy to be done. Is this safe? Would it be better just to remove the spleen

I have a lesion that is aproximately 3cm in my spleen. My doctor wants a biopsy to be done. Is this safe? Would it be better just to remove the spleen

Safe: And removing the spleen is not a better option, trust your doctors or have a second opinion if you wish, it's your right, best wishes ...Read more

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Ultrasound report=moderate ascietes in peritonial cavity and lesion on spleen. What does this mean and what tests should be done for further evaluation?

Ultrasound report=moderate ascietes in peritonial cavity and lesion on spleen. What does this mean and what tests should be done for further evaluation?

Several things: Ascites most commonly is due to either liver failure or cancer, though there are many other. If cirrhosis is present, this is the most likely cause. The lesion on the spleen may need further evaluation, or simply another scan in a few months to make certain it has not changed. ...Read more

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Mri said 8mm hyporintense lesion in the inferior aspect of the spleen is noted. Impression did not list this but it did say small t2 hyperintense splenic lesion may represent cyst or hemaginoma worry?

Mri said 8mm hyporintense lesion in the inferior aspect of the spleen is noted. Impression did not list this but it did say small t2 hyperintense splenic lesion may represent cyst or hemaginoma worry?

No: If the MRI wasn't ordered to stage a malignancy that you all ready have. The radiologist favors something benign. Most lesions that are distinct on radiology in the spleen are usually benign hemangiomas. The spleen is a common place for hemangiomas. There are always exceptions, so it is a good idea to follow it up over time with several more scans to make sure it doesn't grow or change. ...Read more

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Had an ab. Ultrasound, results "indeterminate 1.3 CM complex lesion in the hilar region of the spleen, possibly a hemangioma. " could this be cancer?

Had an ab. Ultrasound, results "indeterminate 1.3 CM complex lesion in the hilar region of the spleen, possibly a hemangioma. " could this be cancer?

Unlikely: The majority of lesions in the spleen are benign, especially in low risk young patients. Rarely, there may be some non benign processes in the spleen. It may depend on what it looked like on us and other lab work that your dr may have done. Follow up with your md to see if this needs fu but more than likely nothing to worry about. ...Read more

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Ultrasound revealed 1.3cm complex lesion on hilar region of spleen, "possibly hemangioma." What does complex lesion mean, could it be something else?

Ultrasound revealed 1.3cm complex lesion on hilar region of spleen, "possibly hemangioma." What does complex lesion mean, could it be something else?

Ultrasound: Is often nonspecific. The radiologist needs to know more to be specific, so a CT or MRI becomes more definitive. The radiologist is appropriate to state uncertainty from us. ...Read more

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Had MRI w/ no contrast yesterday and it showed 8mm hyporintense lesion in inferior aspect of spleen. Ct w/ contrast three days ago noted small granulomus are noted. Which is more reliable? Concerning?

Had MRI w/ no contrast yesterday and it showed 8mm hyporintense lesion in inferior aspect of spleen. Ct w/ contrast three days ago noted small granulomus are noted. Which is more reliable? Concerning?

Neither finding: Is cause for concern. Mri is better at finding small cysts and benign hemangiomas than ct. Granulomas are also benign and usually result from prior exposure to histoplasmosis (very common). ...Read more

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I got two small lesion on my spleen can it be from the thyroid cancer and I am on warfarin so are thy dangeraus?

I got two small lesion on my spleen can it be from the thyroid cancer and I am on warfarin so are thy dangeraus?

Ask DR: Your questions need to be addressed by your DR.
They have your complete medical history, have the advantage of the exam, and the remainder of your lab testing.
If is not wise to give reassurance just on the details above.
Follow up with your DR. ...Read more

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Coarse echotexture of liver parenchymal. Portal vein/spleen/pencreas normal. No focal lesion seen. Pv10mm. Cbd 4.6mm. Kidnys normal. No postvoid residue?

Coarse echotexture of liver parenchymal. Portal vein/spleen/pencreas normal. No focal lesion seen. Pv10mm. Cbd 4.6mm. Kidnys normal. No postvoid residue?

Need more info: Coarse texture on ultrasound can be from several reasons, fibrosis or cirrhosis of the liver, or inflammation or infiltration of the liver, and in some patients may be age related. It would be useful to know if the liver function tests are normal, if there is a history of liver disease including hepatitis, alcohol use or fatty liver changes. The ultrasound otherwise is not concerning. ...Read more

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Mri spine done and it read 10 mm t2 hyperintense, t1 hypo intense lesion in the inferior aspect of spleen. May represent cyst or hemanginoma. Concern?

Mri spine done and it read 10 mm t2 hyperintense, t1 hypo intense lesion in the inferior aspect of spleen. May represent cyst or hemanginoma. Concern?

Not really: The lesion you describe is likely benign. But it all depends on the rest of your medical history. As long as you do not have history of any other cancer, it may not be of much relevance. The question is why you did your MRI of spine? ...Read more

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CT showed small lesion on spleen and free fluid in lower abdomen, are these findings connected to one another? Or is it 2 different problems?

CT showed small lesion on spleen and free fluid in lower abdomen, are these findings connected to one another? Or is it 2 different problems?

Mostly two: The spleen lesion could a calcification, or a cyst, mostly benign accidental findings.
the fluid inlower abdomen most likely a ruptured ovarian cyst
so most likely tow seperate unrelated problems. ...Read more

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Is there anything that would cause my spleen to feel like it's beating?

Is there anything that would cause my spleen to feel like it's beating?

Yes: Although very rare, an aneurysm of the artery that feeds the spleen can give one the impression that the spleen may be "beating". This can usually be diagnosed by an ultrasound of the abdomen. Keep in mind that the spleen sits right below the diaphragm on the left side and the heart is just above the diaphragm on the left, so you may simply be feeling your heart beating. ...Read more

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I'm having pain in my spleen area what would cause this? It's not too severe. And what should I do it's been like this for 3 days?

I'm having pain in my spleen area what would cause this? It's not too severe. And what should I do it's been like this for 3 days?

Go see your doctor: Not to be rude but how do you know it's your spleen (area)? Best to have your family doc check it out. Low lying pneumonia can sit on diaphragm & irritate abdomen. Mononucleosis can cause spleen to enlarge. Trauma can cause spleen to rupture. Colon or large bowel bends in area of spleen (splenic flexure). Possible diverticulitis, even constipation can cause abdominal pain. So can kidney stones etc. ...Read more

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What causes a enlarged spleen?

What causes a enlarged spleen?

Many causes: The spleen's job is to take older or damaged blood cells out of circulation. Diseases that cause abnormal or disrupted cells, like thallesemias and hemolytic anemia cause enlargement to compensate for the increased work. Congestion due to cirrhosis/portal hypertension cause enlargement by limiting blood flow out of the spleen. Tumors especially lymphoma can grow in the spleen as well. ...Read more

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What are common causes of granulomatous calcifications in the spleen?

What are common causes of granulomatous calcifications in the spleen?

Calcifications: The spleen filters a lot of blood and with that, a multitude of infectious material, since the spleen is part of the immune system. Many causes of calcifications but common ones are old infection, clusters of old cells, injury to the spleen or vascular beds themselves, etc.. ...Read more

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What causes spleen and penis pain?

Uh....: How do you know you have spleen pain? See your primary care and they can help you make a clear diagnosis. ...Read more

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What causes an inhomogenous spleen in hodgkin lymphoma?

What causes an inhomogenous spleen in hodgkin lymphoma?

Spleen involvement: Spleen involvement from hodgkin's lymphoma can give you heterogeneous/inhomogenous appearance of the spleen in the ct scan. A pet scan will tell you whether this is involvement from hodgkin's lymphoma or rather from other causes. ...Read more

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What causes an inhomogeneous spleen in hodgkin lymphoma?

What causes an inhomogeneous spleen in hodgkin lymphoma?

Lymphoma vs. Other: The spleen in hl may be heterogeneous/inhomogeneous/non-uniform due to lymphoma involvement, spleen infarction (death) due to cancer death in the spleen, or infection, or "other". The radiologist may or may not be able to determine that and your oncologist might be able to say more about it with knowing the clinical history. ...Read more

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No spleen no gallbladder cause problem later in life?

No spleen no gallbladder cause problem later in life?

Usually not: 700, 000 americans have their gallbladders removed each year. While there may be some side effects after removal, these are generally easily managed. You did not say why your spleen was removed, but here the only that you should know is there is a very small risk for overwhelming bacterial infection, known as post-splenectomy sepsis. You can speak with your family doctor about this. ...Read more

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Does a cyst on the spleen cause people to eat a lot. How do you know if the cyst is large or small?

Does a cyst on the spleen cause people to eat a lot. How do you know if the cyst is large or small?

No, need tests: A simple cyst in the spleen is usually without symptoms. If it does cause symptoms it would be pain, or cause a lack of appetite. The spleen can be seen and evaluated by ultrasound, or ct scan or mri. Any of those test will be able to measure the size of the cyst. ...Read more

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Cyst on spleen does a cyst on the spleen cause you to eat a lot. How do you know if the cyst is small or large?

No: A cyst on the spleen will not affect your appetite. However the cyst was diagnosed, ct or sonogram, there should be some measurement of the cyst. Do not be concerned, as congenital cysts of the spleen, liver, and/or kidneys are not uncommon. Your primary doctor can answer any other questions at your next visit. Good luck. ...Read more

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Will the spleen cause pain on both sides of the chest and back area sharp pains and don't know what it is been coughing?

Will the spleen cause pain on both sides of the chest and back area sharp pains and don't know what it is been coughing?

Not usual: Spleen is in high, uppermost left abdomen under the diaphragm.
It can enlarge but still in that area. ...Read more

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What can cause the spleen to enlarge and cause me discomfort because I feel a bit of discomfort in my lower left ribcage.

What can cause the spleen to enlarge and cause me discomfort because I feel a bit of discomfort in my lower left ribcage.

3 main causes: At your age the 3 big causes are mononucleosis (or other infections), autoimmune diseases, and lymphoma. You will need to see a doctor for testing to sort it out. ...Read more

Dr. Scott Bolhack
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Wounds (Definition)

Wound = injury to tissue. May include ...Read more