Doctor insights on:
Periportal Edema Differential Diagnosis
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
Fluid in the tissues, either caused by something local to the swollen area like an injury or inflammation, or from the body's retention of water. Gravity brings the fluid to the feet & legs in that case. As a general rule, if one foot is swollen, something is wrong with the foot. If both feet are swollen, it's not the feet, but water ...Read more
Consider sarcoidosis: Sacoidosis can cause diffuse micronodular changes in lung tissue and in the less common cases of cardiac infiltration a dilated nonischemic cardiomyopathy (may also cause a restrictive cm). Other possibilities include viral or other chronic inflammatory conditions which affect the lungs and heart simultaneously. ...Read more
Popliteal Lipoma : A lipoma is an extremely common benign lipid (fat) tumor. It can easily be identified on exam & verified by ultrasound. Lipomas can be seen anywhere on the body under the skin where there is fat. Malignant transformation is extremely rare. Lipomas formed from liponeogenesis, usually seen after a blunt trauma, has a higher incidence of liposarcoma transformation. Bakers cyst is not a lipoma. ...Read more
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
Knee buckling.: Buckling implies weakness of the knees, which generally could come from the joint itself (osteoarthritis) or the muscles and ligaments surrounding the knees. Weakening of the muscles would lessen the support function of the joints. Ligaments can tear from trauma or just from use over time. ...Read moreSee 1 more doctor answer
Please explain peripheral hyaline cartilage lesions and subchondral oedema anterolaterally , impingement lesion and increased alpha angle thankyou?
See an orthopedist: This too complex to explain in 400 characters. See a good orthopedic surgeon and have them start from scratch. ...Read more
Right renal cell carcinoma extensive retroperitoneal lymphadenopathy IVC & renal vein infiltration. Can you tell stage or prognosis from this report?
Poor: This is high stage disease with a poor prognosis. ...Read more
Attenuation of hep parenchyma. Diffuse capsular enhancement and focal capsular retraction on liver ct. No focal lesions. Could sle serositis cause ?
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 CT Scan conclusion means? "three arterialized hepatic lesions showing washout on portal venous phase imaging upon background nodular cirrhosis"
Findings. Sx? Biopsy: 1st, the basic problem is nodular cirrhosis - there are signs of liver damage (from what cause, only a doc who knows your history can tell). There are 3 lesions- or nodules- in the liver, fed by an artery, which takes up the dye that was injected at the time of CT scan. The dye washes out, so that's encouraging, but whatever the nodules are, you'll need a biopsy to figure out degree of livr damage ...Read more
Bruises on leg - derm biopsy report dx: vascular telangiectasias, sparse perivascular lymphocytic inflammation & hemorrhage. What does this mean?
See doctor now: You have a serious medical issue which needs be treated ASAP. There is not an issue which can be addressed in this forum. ...Read more
Where???: Where do you live? Where have you been? There must be a reason for suspecting this: what is it? ...Read more
Hydrops fetalis (HF): Hf is divided into two major categories: immune hf and nonimmune hf. Immune hydrops fetalis is caused by rh incompatibility, and used to be the most common cause. All other causes of hf are termed non-immune and may be caused by chromosomal aberrations, other genetic disorders, infections, anemias, structural birth defects such as congenital heart disease, and many other causes. ...Read more
Colonscopy&then pathlogy report: mild oedema and lymphocytic infiltration focally forming dense aggregates&focal surface ulceration is it tumor tissu?
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
Swelling is the enlargement of organs, skin, or other body parts. It is caused by a buildup of fluid in the tissues. The extra fluid can lead to a rapid increase in weight over a short period of time (days to weeks). Swelling can occur all over the body (generalized) or only in one part ...Read more
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