Doctor insights on:
Slightly Enlarged Spleen
Chances lymphoma with no noticeable enlarged lymph nodes? CBC, CMP normal. CT normal- mildly enlarged spleen 13cm
Very Low chance: It is reassuring that there aren't any enlarged lymph nodes, and you have a normalCBC. If there is a lymphoma, it is a very hard to detect one. And it is not causing any problems to the body. I would leave it alone. Get a check up maybe in 6 months- just labs, ldh and a physical exam or ultrasound for the spleen. Spleen sizes also vary quite a lot, but good to keep an eye on it. ...Read more
Enlarged liver, enlarge pancrease, (pancrelipase) swollen nodes on MRI of abdomen, abdominal pain?
Numerous: Not always. Multiple other reasons including blood disorder. Cirrhosis of the liver again that could be alcohol induced or other medical reason induced. Essentially multiple reasons key one is blood disorder. Seeing a hematologist is the key as underlying possibilities r numerous. ...Read moreSee 1 more doctor answer
Several Things: The list is fairly long. An enlarged spleen (splenomegaly) can be caused by many things. Patients with cirrhosis can develop splenomegaly. Certain cancers - such as lymphoma, myelodysplastic disease, etc.. Infections (mononucleosis, parasites, TB). You should discuss this with your doctor. ...Read more
Echogenic liver slightly enlarged and slightly enlarged spleen, in normal BMI range and normal hepatic blood work, should I be concerned?
Not really: If you have no symptoms, i would not worry. But once a year repeat the sonograms and complete blood tests. ...Read more
Mildly Enlarged spleen 13cm mildly lobulated surface contour-homogenous parychema- on CT . Impression: mild splenmeolgy . Should I worry? Anxiety
Splenomegaly: Splenomegaly can be from many causes, including infections and liver disease, but also leukemia and lymphoma and other cancers. You should communicate with the physician who ordered your imaging. Your lab tests need to be correlated with your physical exam and medical history and review of systems to construct a differential diagnosis and determine what is going on. Good luck. ...Read more
What could cause a solitary slightly enlarged paratracheal lymph node to remain enlarged 11mm for 2 years? Malignancy?
Malignancy: highly unlikely with 2 years of stability. 11mm is only marginally enlarged, if it otherwise looks normal, probably just an outlier under the normal distribution curve. ...Read more
A CT scan shows several prominent peripancreatic lymph nodes and mildly prominent para-aortic lymph nodes. What does this mean?
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
CT scan (for kidney stone) showed enlarged spleen,enlarged para-aortic lymph node, & diffusely hypodense liver-no lesions. What can this mean?
Probably not: Heart size can be over-estimated by imaging such as x-ray. Echocardiography & MRI are the best methods. Enlarged heart is reported based on values from normal individuals. Depending on the size of the person or in athletic individuals, slightly enlarged heart may be normal. Symptoms, other echo findings & coexisting conditions determine importance of this finding. Discuss with doctor. ...Read more
May or may not be!: Unless we know the size of the enlarged nodes, it is difficult to know what these nodes mean. You need to go see a specialist who can do further checking especially if you have any abdominal symptoms like pain, poor appetite, weight loss or fever. If you are well, you can wait and repeat the imaging study that showed these nodes in the first instance. A 2-3 month interval might show if they change. ...Read more
Could be many?: Swollen lymph nodes could indicate an infection by bacteria, virus or fungus. It could mean infiltration by tumor. The significance would be determined by your clinical presentatiion. Older patient? Younger patinet? Known acute illness? Known or unknown cancer? The lymph nodes above the clavicles drain/filter the head and neck. If this is new i would get checked. If old, ?. See md. ...Read moreSee 1 more doctor answer
Nodes are of porta: The liveer sits in the upper rt abdomen right under diaphragm. The outflow of the liver is at the porta hepatis, Here the common duct outflow is present with inflow of the protal vein. The hepatic artery enters the porta at this point to feed the liver. Associated lymph nodes are in close proximity to the portal vessel structures extending down to surface of the duodenum. ...Read more
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