Doctor insights on:
Thymus Vs Spleen
CTshows Spleen 17cm ,small Axillary Lymph nodes, retroperitoneal lymph nodes& mesentric lymph node noted, normal blood count &bone marrow,no infection?
Many possibilities: The combination of enlarged spleen and internal lymph nodes could be any of several infections (mononucleosis, syphilis, HIV, and several others, of course depeding on risk); inflammatory conditions like sarcoidosis; various malignancies like lymphoma and others. The doctor(s) who have been evaluating this problem and requested the CT scan are the only ones who can answer accurately. Good luck. ...Read more
Multiple enlarged mediastinal, subcarinal, hilar and abdominal lymph nodes on CT scan.4.5mm lesion on spleen. Spleen 12.5cm.any cause for concern?
2 enlarged lymph nodes in the ant mediastinum, pet suv of abt 4.7, suspected thymoma nearby. Can this be lymphoma?
Thoracic surgeon and radiologist is leaning towards thymoma from pet and CT scans. 2 enlarged nodes near thymus tumor. Can they tell if lymphoma?
Nonspecific pet/ct.: Pet/ct scans are very sensitive for identifying disease, but not as specific as to what type of disease. On some occasions, the appearance and distribution of disease on these scans can specifically identify one disease. More often tissues/nodes would need to be biopsied to be studied under a microscope by a pathologist to specify actual disease type/subtype and can aide in treatment options. ...Read more
Mesenteric lymph node bx showed possible reactive lymphoid process.Now Oncology consult due to mult.enlarged lymph nodes/lung nodules.Being cautious?
Yes: Plan for a normal future. These biopsies are often difficult and you'd do well to have a few pathologists look at it. ...Read more
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
Endoscopy EUS showed several enlarged lymph nodes between pancreas and liver. Pancreas has inflammation and scar tissue. What could cause lymph nodes?
Stage 2b, triple+bc, CT =cysts on liver, slightly enlarged mediastinal node& calcif on thyroid node. What order most critical to rule out malignancy?
Need more info: Is there an older chest ct to compare the mediastinal ln to? That node is what I am most worried about. Pet/ct may help, especially if that node is bigger than 1 cm. Thyroid nodule should be evaluated with neck ultrasound and could be biopsied, but is not likely breast cancer metastasis. Liver cyst, assuming correct interpretation, is a benign finding and can be followed. ...Read moreSee 3 more doctor answers
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 moreSee 1 more doctor answer
Had a CTA of Abdomen Retroperitoneal :
Multiple sub pathologic lymph nodes the largest of which measures .68x.53cm. Lymph nodes reactive. Lymphoma?
CT scan (for kidney stone) showed enlarged spleen,enlarged para-aortic lymph node, & diffusely hypodense liver-no lesions. What can this mean?
Many rt. Paratracheal/mediastinal, bilateral hilar nodes consistent w/metastasis. Right subcarinal metastatic node mass 3cm. Max suv 9.1. Lung cancer?
Needs Biopsy: Is there a known primary cancer? If not, you will need a biopsy of one of the nodes. Your doctor may suggest a mediastinoscopy and biopsy to get a tissue specimen. There are other causes of mediastinal node enlargement such as infection and sarcoidosis so it is important to make a definite diagnosis. Good luck. ...Read moreSee 3 more doctor answers
What are some possible causes of bulky mediastinal lymphadenopathy(other than cancer) involving subcarinal, bilateral hilar and paratracheal nodes?
Sarcoid: could cause adenopathy in those regions, as well as other granulomatous inflammatory processes. Infectious processes such as histoplasmosis could do it. Certain chronic exposures such as berylliosis and silicosis could cause mediastinal adenopathy, but usually the history and other findings make those diagnoses more obvious. Unfortunately, lymphoma is the major consideration in most cases. ...Read more
Mild mediastinal left hilar lymphodeopathy indeterminate for neoplasm what's that mean ? history of asthma and bronchitis no enlarged spleen or other nodes
Requires follow up : Intermediate is a classificationn from the American thoracic society based on the size. Due to improvements in technology many nodules are now visible that preciously could not be seen. These are graded and monitored differently. Yours will require Dr. Follow up and repeat X-ray. Make sure you follow up with your doctor. At your age there are many possible causes of this finding. ...Read more
Cancer with unknown primary tumor. Enlarged lymphnodes under armpits. Tumor find in breastbone. Ok ct Scan of lungs, abdomen, breast. Lymphoma?
Need biopsy done: A biopsy of one of the axillary lymph nodes may provide some guidance about the primary source of this tumor. It could be breast Cancer which sometimes would not show on a Mammogram(it is called an Occult Primary). Without obtaining tissue for microscopic exam it is difficult to proceed further. Ask his oncologist to provide you some answers and an understanding of this problem. ...Read more