Doctor insights on:
Visceral Vs Parietal Pain
Multiple pathologies: Inflammation of the pleura, pleurisy, may be due to infections in the pleural cavity or overlying lung. There is generally inflammation of the pleura overlying lung infarcts. Auto-immune diseases, e.g., lupus can also cause inflammation of pleura. Pleurisy of apparent unknown cause should be treated as tuberculosis unless proven otherwise. ...Read more
Internal non-muscular pain in upper back radiating to flanks. Recent diagnosis 4 mm thickening of gallbladder, gastritis, duodenitis. Help!
Abdominal pain: A lot of problems and only 400 characters for an answer. You need evaluation for H Pylori infection, medication to control gastric acid, a HIDA scan to assess gallbladder function with or without CCK if you have gallstones or not. You also need evaluation for kidney stones as this can commonly result in pain radiating down the flanks. You also need to be assessed for spine problems ...Read more
Herniated lumbar disc. Is the type of pain an indication of severity of nerve entrapment? I.E. Stabbing vs dull pain.
Impossible: You cannot have a pain in your temporal or parietal lobe. Your brain has no pain nerves. All sensations are processed in the brain but experienced elsewhere in the body. Whatever pain you're feeling, it's not in your brain tissue. ...Read more
Chest X-ray results say curvilinear density in the R pericardial region. Could represent fat pad or small R middle lobe infiltrate. Lung cancer?
It is unlikely: that it is cancer, but it still may require further evaluation with a CT scan to be sure. If you had any previous chest xrays elsewhere, have them sent to the radiologist to compare with the new one. That could solve the issue without any additional tests. Talk to your doctor about the results. ...Read more
MRI post liver resect w/abd incision swelling/pain showed 5.6cm anterior abd wall hernia w/protrusion of small bowel loops/mesenteric fat. Is surg req?
Report says- extensive bleed is noted in RT temporo parietal region,the ventricular hemmorahgic area of 33*37mm.hu is 51.21 in 3rd ventrical region.
Abnormal FDG activity involving pleural thickening in Rt lower lateral lung base compatible with inflammatory VS early neoplasticism disease. Meaning?
Pleural thickening: It means that the pleural thickening is metabolically active(i.e. It is not chronic scarring, which would be inactive). The 2 main possibilities for this, as you mention, are an active inflammation, which is benign, or neoplastic disease(tumor). Speak with your doctor. If the answer is not clear based on your entire clinical picture, biopsy could be needed to determine what it is. ...Read more
What symptoms with:hyperintensities in left parietal by body of left lateral ventrical. Also in right occipital region. ?
Micro-vessel disease: These white matter lesions appear mostly to be the result of microvascular disease which is seen in normal aging (40"s +), migraines, hypertension, and possibly some of the clotting disorders which can result in tiny, ministroke events, (eg. Huges syndrome) do you have a history of high BP or of migraines? ...Read more
Pain to (l) upper abdominal area radiating to back, nausea, lack of appetite, fatigue. diangosis with hiatal hernia, pa says not cause of pn. Hida scan norm?
Hiatal hernia: Your symptoms could be related to a hiatal hernia. The likelihood depends upon several factors: the size of the hernia, twisting of the stomach in the hernia, presence of associated inflammation or ulceration of the lining of the esophagus or stomach, or whether there are other organs involved with the hernia. A consultation with a surgeon with experience with hh repair would help. ...Read moreSee 2 more doctor answers
What is meant by subdural collection left temporoparietal region with mass effect. Acute on chronic sdh?
Hemorrage : The subdural collection has mixed densities, thus suggesting that it may be older with blood clot that is liquifying mixed with newer blood . These are usually the result of a traumatic brain injury. The acute on chronic refers to the differences in age of clot. The fact that there is mass effect suggests that this has reached sufficient size to "compress" the brain. Surgery is the treatment. ...Read moreSee 3 more doctor answers
Chest CT for suspected endometriosis on diaphragm shows small fat-containing bochdalek hernia. Cld cause rt rib/collarbone/neck/face pain & fullness?
Achy into back: Can be dull, achy, penetrating/boring through into bsack; can be more sharp, acute. Can be associated with vomiting, sense of feeling full, feeling sick. Often associated with alcohol use and/or passing gallstone. Can be a very big deal. Any doubt? Call md, get examined. ...Read moreSee 1 more doctor answer
Absence of fever, how to distinguish pancreas pain from peptic ulcer pain assuming presentation luq burning pain radiating to back?
Cannot without help: Your described symptoms of a burning luq pain can have many possibilities. You have only noted 2 possibilities of many, and likely picked the 2 worst case scenarios. Abdominal pain can have many causes and reasons, and pancreatitis or peptic ulcer would also be associated with severe pain, nausea and vomiting, inability to eat, etc. You yourself cannot tell what you may have; must see a doctor. ...Read more
33yf severe abd pain x6mon. Ct scans prominent soft tissue celiac region and distended duodenum sugestive of SMA syndrome.Type of dr should be seen?
Severely calcified abdominal aorta & common iliac arteries, a 60% ostial stenosis of the coeliac trunk, stomach ache, abd pain and bloating.Treatment?
Impossible to say: It is impossible to know over the internet whether the vascular and GI issues are related. Speak with a gastroenterologist. ...Read more
Dear doctor, why doesn't pleural plaques cause chest pain if they originate in the parietal layer?
Pleural plaques: Are fibrous tissues once seen and not inflammatory processes that can cause stickiness of the pleural surfaces. Like most scars that we have, the nerves in that area is either destroyed or not exposed, (try to touch your scar). And hence there is no pain. There are those who do feel persistent pain. ...Read more
CT Scan found mesenteric spiculated fibrous mass wrapped around gastric antrum & transverse colon. Type of diagnostic test? Type of Surgeon? Thanks
An MRI is next 2 try: 2 diagnose the growth. Next most likely would be a biopsy. If a needle biopsy is opted for it is done by a radiologist who has special training in interventional radiology. Another way is to have it done laparoscopically, the mass does not sound like it is excisable. Surgeon if needed is a general surgeon. ...Read more
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