Top
20
Doctor insights on: Thymus Vs Spleen

Share
1

1
CTshows Spleen 17cm ,small Axillary Lymph nodes, retroperitoneal lymph nodes& mesentric lymph node noted, normal blood count &bone marrow,no infection?

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

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


2

2
Multiple enlarged mediastinal, subcarinal, hilar and abdominal lymph nodes on CT scan.4.5mm lesion on spleen. Spleen 12.5cm.any cause for concern?

Multiple enlarged mediastinal, subcarinal, hilar and abdominal lymph nodes on CT scan.4.5mm lesion on spleen. Spleen 12.5cm.any cause for concern?

Lymphoma, infection: Most worrisome for malignancy such as lymphoma. Sometimes granulomlatous infections such as TB and other fungal lesions can produce these fndings. You should see physician for complete workup and therapy, ...Read more

3

3
2 enlarged lymph nodes in the ant mediastinum, pet suv of abt 4.7, suspected thymoma nearby. Can this be lymphoma?

2 enlarged lymph nodes in the ant mediastinum, pet suv of abt 4.7, suspected thymoma nearby. Can this be lymphoma?

Depends on the size: You need to tell us what the ct scan shows in the mediastinum? Are the lymph nodes enlarged? What is their size? You need a follow up ct/pet scan in a couple of months, unless your lymph nodes are larger than 2cm size. Tell us more details. ...Read more

4

4
What is an inhomogenous spleen in hodgkin's lymphoma?

What is an inhomogenous spleen in hodgkin's lymphoma?

An homogenous: You mean a scan report an homogenous spleen in hodgkins lymphoma ? Then it is a normal spleen , the disease did not involve the spleen, good news. ...Read more

See 1 more doctor answer
5

5
Thoracic surgeon and radiologist is leaning towards thymoma from pet and CT scans. 2 enlarged nodes near thymus tumor. Can they tell if 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

7

7
Can stage 1a endometrial cancer (removed) spread to mediastinal, bilateral hilar and virchow's node w/o infiltrating another organ?

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

8

8
Endoscopy EUS showed several enlarged lymph nodes between pancreas and liver. Pancreas has inflammation and scar tissue. What could cause lymph nodes?

Endoscopy EUS showed several enlarged lymph nodes between pancreas and liver. Pancreas has inflammation and scar tissue. What could cause lymph nodes?

Lymphadenopathy: infection, Inflamation or tumor. If you have some obvious Robles with pancreas then that is it, but if not the lymph nodes need addressed and may need to be biopsies. ...Read more

9

9
Stage 2b, triple+bc, CT =cysts on liver, slightly enlarged mediastinal node& calcif on thyroid node. What order most critical to rule out malignancy?

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 more

See 3 more doctor answers
10

10
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

See 1 more doctor answer
11

11
Had a CTA of Abdomen Retroperitoneal : Multiple sub pathologic lymph nodes the largest of which measures .68x.53cm. Lymph nodes reactive. Lymphoma?

Had a CTA of Abdomen Retroperitoneal :
Multiple sub pathologic lymph nodes the largest of which measures .68x.53cm. Lymph nodes reactive. Lymphoma?

Probably OK. : The nodes you mention do not meet criteria to be called abnormal at this point. That said... please follow up to ensure they don't get larger. Your doctor will order a scan in a few months. ...Read more

See 1 more doctor answer
Dr. Liawaty Ho Dr. Ho
1 doctor agreed:
12

12
What causes an inhomogenous spleen in hodgkin lymphoma?

Dr. Liawaty Ho Dr. Ho
1 doctor agreed:
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

13

13
CT scan (for kidney stone) showed enlarged spleen,enlarged para-aortic lymph node, & diffusely hypodense liver-no lesions. What can this mean?

CT scan (for kidney stone) showed enlarged spleen,enlarged para-aortic lymph node, & diffusely hypodense liver-no lesions. What can this mean?

Unless you have: had a recent illness(e.g. mononucleosis) that could explain those findings, unfortunately the main concern for splenomegaly and adenopathy would be lymphoma. Please talk to your doc about the results and next steps. ...Read more

14

14
Many rt. Paratracheal/mediastinal, bilateral hilar nodes consistent w/metastasis. Right subcarinal metastatic node mass 3cm. Max suv 9.1. Lung cancer?

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 more

See 3 more doctor answers
15

15
What are some possible causes of bulky mediastinal lymphadenopathy(other than cancer) involving subcarinal, bilateral hilar and paratracheal nodes?

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

16

16
Mild mediastinal left hilar lymphodeopathy indeterminate for neoplasm what's that mean ? history of asthma and bronchitis no enlarged spleen or other nodes

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

17

17
Cancer with unknown primary tumor. Enlarged lymphnodes under armpits. Tumor find in breastbone. Ok ct Scan of lungs, abdomen, breast. Lymphoma?

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

18

18
Inactive sarcoid dx.-12mm subcar. Lymph-1cm bil. Hilar. 1yr CT shows subc. Node is 1.5cm-rt bil. Hilar is 1.7cm, -left hilar is1.3cm. Active sarcoid?

Inactive sarcoid dx.-12mm subcar. Lymph-1cm bil. Hilar. 1yr CT shows subc. Node is 1.5cm-rt bil. Hilar is 1.7cm, -left hilar is1.3cm.  Active sarcoid?

Possibly: There are also questions of plane of focus for imaging. When you have the test taken, you may be a few millimeters off in your breathing or how you are lying. So, anything that has only a few millimeter change may not be significant. ...Read more

20

20
CTshows enlarged lymp nodes(Lower cervical/mediastinal and hiller); Also possible hepato-spleanomegaly-No discrete lesion.is this sarcoid or Lymphoma?

CTshows enlarged lymp nodes(Lower cervical/mediastinal and hiller); Also possible hepato-spleanomegaly-No discrete lesion.is this sarcoid or Lymphoma?

Mgt: The CT report and image may be uploaded during a virtual consult to better assist, but from your description many possible conditions are possible. EBUS biopsy is one way to determine the cause. A TB test and blood work may also be indicated. ...Read more