Top
30
Doctor insights on: What Does Clinical Correlation Mean

Share
1

1
Dr. Wrote "possible bilateral S1 root lesions. Clinical correlation recommended." What does he mean? Dr. has retired and I do not have access to him.

Dr. Wrote "possible bilateral S1 root lesions. Clinical correlation recommended." What does he mean? Dr. has retired and I do not have access to him.

Pinched nerve: What the radiologist is referring to is the area on your spine at the level of the 1st sacral nerve (where your lumbar spine and the sacrum join) and there is probably some narrowing at this spot which may be inconclusive - no definite problem seen, so he is saying it needs to be correlated with your symptoms. If there are no symptoms/pain at this level, then these findings may not be a problem. ...Read more

2

2
What does "cluster of lymph nodes in the left posterior cervical region. Clinical correlation is recommended." means?

What does "cluster of lymph nodes in the left posterior cervical region. Clinical correlation is recommended." means?

Not much: All it means is that you have some enlarged lymph nodes in the back of your neck. When they say clinical correlation it just means that they cannot comment on the lymph nodes other than to say they are large without knowing what the patient's history is. A 26-year-old with a large lymph nodes in the back of their neck usually has them because of an infection in the back of the nose. ...Read more

3

3
What does it mean when you have 1-15% stenosis of right and left internal carotid artery and that clinical correlation recommended?

What does it mean when you have 1-15% stenosis of right and left internal carotid artery and that clinical correlation recommended?

Mild narrowing: The cutoff for a signicant or abnormal is 50% narrowing or greater. Minor narrowing < 30% is considered normal. Clinical correlation means to ask your doctor what the test means for you as an individual. ...Read more

4

4
My chest xray accentuated broncho-pulmonary vascular markings at para cardiac region for clinical correlation what is that mean??

My chest xray accentuated broncho-pulmonary vascular markings at para cardiac region for clinical correlation what is that mean??

Nonspecific: In this age, likely x ray technique or reader overcall. Bronchial thickening can be acute (allergic or infectious bronchitis, poss. asthma) or chronic (a component of COPD (really doubt under 30 yo)). Vessels can be prominent due to heart failure (usu. Upper lung, in aged). > vessels on the rt.? pectus, AKA pigeon chest.
? prior films and mostly clinical assessment w/ Pulmonary or Internal Med. ...Read more

5

5
What does clinical correlation entail?

What does clinical correlation entail?

Do the Findings fit?: Clinical correlation simply means being sure the findings or test results fit the patients complaints and diagnoses. Sometimes we may see things on a test, which don't correlate, or make sense, when we look at the patients complaint. Are the findings "clinically correlated" with the complaint? If not, they may likely be unimportant. It keeps us from chasing our tails with unneeded testing. ...Read more

6

6
What does (no symptom ECG correlation mean)?

What does (no symptom ECG correlation mean)?

Correlation: Means there is no correlation between finding on ECG and any symptom the patient is having. Usually a holter monitor is done to see if such correlation exists. ...Read more

7

7
I had Bronchoscope yesterday & Dr told me no cancer, so why does chart say clinical correlation & followup recommended? What happens w/3.5cm now?

I had Bronchoscope yesterday & Dr told me no cancer, so why does chart say clinical correlation & followup recommended? What happens w/3.5cm now?

Unclear, Where-3.8cm: Your history is unclear. Why did you go to see the doctor in the first place? If you have a 3.5 cm growth, it needs to be checked out for Cancer....this can be done with either a PET scan or a biopsy depending on its location. Where is this mass of 3.5 cm located??
If you send us the answers, we can guide you further. ...Read more

8

8
What does this mean- Radiopaque density is projected over the left upper abdomenclinical correlation is recom. There is pain and penrose drain in area?

What does this mean- Radiopaque density is projected over the left upper abdomenclinical correlation is recom. There is pain and penrose drain in area?

Likely the drain: Radiopaque objects block the x-rays and thus appear bright. A Penrose drain is radiopaque and is likely the mentioned object. To discuss your pain symptoms, speak with your surgeon or other treating physician. Http://www. Uphs. Upenn. Edu/radiology/education/resources/surgicalforeignbodies2.pdf ...Read more

9

9
Please answer! What is meant by "correlation with serum prolactin and bhcg values"?

Please answer! What is meant by "correlation with serum prolactin and bhcg values"?

Between Prolactin ;: One important correlation for example is that
one may not get pregnant with elevated serum prolactin levels! ...Read more

10

10
Clinical Correlation: No Epileptiform abnormalities noted on this recording. Please note this does not exclude clinical diagnosis of epilepsy. Could the person be epileptic?

Clinical Correlation: No Epileptiform abnormalities noted on this recording. Please note this does not exclude clinical diagnosis of epilepsy. Could the person be epileptic?

Maybe: This report shows that there does not appear to be anything suggestive of epilepsy however, an eeg is not 100%. It is impossible to know if something is a seizure unless the event in question is captured on the eeg. ...Read more

11

11
On recent xray of wrist, it said recommend correlation and followup imaging What does that mean, more xrayx?

On recent xray of wrist, it said recommend correlation and followup imaging What does that mean, more xrayx?

Correlation: Means that the clinician should assess whether the clinical findings match the xray findings. It is kind of unnecessary for a radiologist to remind a clinician to correlate clinically, because that is the job of the clinician, but it is a common "recommendation" in xray reports nonetheless. Follow up imaging could mean more X-rays, or other imaging such as mri. It is unclear which. ...Read more

12

12
How would you know if the report of an ultrasound of a mass or lump description is concerning or indicates clinical correlation?

How would you know if the report of an ultrasound of a mass or lump description is concerning or indicates clinical correlation?

Ultrasound verbiage.: A Radiologist will often hazard at least a few potential diagnoses and/or suggest that more testing is advised in the body of the ultrasound report. But results always have to be put into their appropriate context by the doctor who ordered the test in the first place. ...Read more

13

13
What can cause a far right lateral disc protrusion at c7/t1 encroaching the neural foramen and why clinical correlation suggested?

What can cause a far right lateral disc protrusion at c7/t1 encroaching the neural foramen and why clinical correlation suggested?

This is medical. ...: ...speak. A radiologist who R often specialized in neuo-radiology reads an MR & only reports 2 the provider. A far lateral disk protrusion is usually closed by some trauma, @ times just a sneeze. Clinical correlation means the provider should determine if this is the cause of symptoms U may have. If not, no problem, but a far lat effects the nerve root above where 1 would usually C. ...Read more

14

14
USG Abdomen report says Normal sized kedneys with mild increase in parenchymal echos - Suggested RFT correlation. What does it mean?

USG Abdomen report says Normal sized kedneys with mild increase in parenchymal echos - Suggested RFT correlation. What does it mean?

Usually benign: It shouldn't mean anything serious. RFT refers to checking a blood test for creatinine, if this value is normal then there is nothing to worry about. Parenchymal changes can be due to many normal causes or even from long standing hypertension. ...Read more

15

15
Kidney ultrasound show increased cortical echogenicity (right >left) with mild loss of corticomedullary differantiation. Advice: kft correlation. Mean?

Kidney ultrasound show increased cortical echogenicity (right >left) with mild loss of corticomedullary differantiation. Advice: kft correlation. Mean?

Correlate blood test: Increased cortical echogenicity with mild corticomedullary differentiation, usually means medical renal disease. Kft probably means kidney function tests. These are blood tests such as serum creatinine, bun, and GFR (glomerular filtration rate). ...Read more

16

16
What is "Mild mucosal thickening of the terminal ileum without surrounding inflammation. While this could represent incomplete distention, an infectious and/or inflammatory process is not excluded. Clinical correlation recommended.?

What is "Mild mucosal thickening of the terminal ileum without surrounding inflammation. While this could represent incomplete distention, an infectious and/or inflammatory process is not excluded. Clinical correlation recommended.?

You should: Discus this with the ordering physician (the doc who ordered the test where this was identified) or with your primary care doc. They know your case much better and can help with the “clinical correlation”. Hope this is helpful. ...Read more

17

17
Prostate biopsy correlation) focal area of altered signal inensity in the left femoral head, what does this mean?

Prostate biopsy correlation) focal area of altered signal inensity in the left femoral head, what does this mean?

Here are some. ..: This Q is not quite clear & specific so it's hard to offer right answer. But I would guess it as follows: Did you have bone scan which showed hot spot in left femoral head leading to concern for possible metastatic lesion; so prostate biopsy is advised to correlate with it. But bony metastasis tends to be multi-focal in ribs, spine, pelvis, hips... Very rarely being solitary. Hence, ask Doc for... ...Read more

18

18
Does more body hair (for males) mean I have more testosterone than others? In other words, ss there any correlation between body hair and testosterone?

Does more body hair (for males) mean I have more testosterone than others? In other words, ss there any correlation between body hair and testosterone?

Testosterone: Studies have shown a proportional relationship of testosterone levels to the amount of body hair. The hair growth response to testosterone differs in different parts of the body. Hence, in some men, for example, testosterone promotes hair growth in the abdomen and back while hair growth is suppressed in the scalp, leading to male pattern baldness. ...Read more

19

19
Meaning of Foci of increased radiotracer uptake anterior left ribs 5th 6th 7th. Clinical history for possible trauma and radiographic correlation.

Meaning of Foci of increased radiotracer uptake anterior left ribs 5th 6th 7th. Clinical history for possible trauma and radiographic correlation.

Bone scan: I assume this is a bone scan. Increased uptake means a site of abnormal increased bone metabolic activity, which is usually a response to trauma, infection, inflammation, or neoplasm. When multiple foci line up along successive ribs, it is almost invariably due to trauma. If it is along the anterior margins of the ribs, it could also be costcochondritis. ...Read more

21

21
I had a transvaginal sono what does slightly heterogeneous cervix mean? No free fluid. Correlation w/pap smear recommended. Other wise unremarkable

I had a transvaginal sono what does slightly heterogeneous cervix mean? No free fluid. Correlation w/pap smear recommended. Other wise unremarkable

Anatomical term: Heterogenous means that the anatomical part, in this case the cervix, is not symmetrical but has an irregular shape, and this is insignificant like different people having different size noses. ...Read more

22

22
Mri found subcutaneous cystic [email protected] of coccyx, 9mm, may represent sebaceous cyst? Clinical correlation needed? It's immobile, do u thinkits sebaceous?

Mri found subcutaneous cystic lump@lvl of coccyx, 9mm, may represent sebaceous cyst? Clinical correlation needed? It's immobile, do u thinkits sebaceous?

May be: It is not feasible to provide a meaningful opinion without examining you and your imaging studies. The doctor who ordered the MRI is in a better position to advise as s/he knows more about your health.
Wish you good health! ...Read more

23

23
Vytorin (ezetimibe and simvastatin) and alopecia totalis is being studied in clinical gov. Trials. Just to give the md's on this website a heads up that there is a correlation?

Vytorin (ezetimibe and simvastatin) and alopecia totalis is being studied in clinical gov. Trials. Just to give the md's on this website a heads up that there is a correlation?

Case Report Benefit: Vytoin (simvastatin plus ezetimibe) has been shown to be beneficial in alopecia totalis and alpecia universalis in case reports. The possibility that vytorin (ezetimibe and simvastatin) may be helpful for these conditions is being studied in randomized clinical trials. Stay tuned for results. ...Read more

25

25
Need help deciphering CT findings. "A substantially enhancing complex cystic structure of the right adnexa is noted with wall nodule. Adjacent free fluid is noted. Clinical correlation is advised. Ultrasound of the pelvis obtained 8/21/2015 indicated an

Do not have: The ultrasound report. The CT report is concerning and suggest there is a complex structure in the right area of the ovary and note that this need further followup. Will probably need laparoscopy as soon as this can be done. This is suggestive of number of things. To go into detail is inappropriate and needs to be discussed with your doc. Best wishes. ...Read more

26

26
What does subclinical mean, compared to clinical?

What does subclinical mean, compared to clinical?

Not obvious: "sub clinical" is a term used to describe a disease being present based on clinical symptoms or exam but when biochemical testing is done the values are not severely abnormal to suggest overt or obvious disease. ...Read more

27

27
If we have one or two clinical features of personality disorder, does that mean we are having that personality disorder?

If we have one or two clinical features of personality disorder, does that mean we are having that personality disorder?

Not: Usually not. If you look up the name of the particular disorder in the diagnostic and statistical manual of psychiatry - it will list criteria for each type of personality disorder and how many criteria must be met to make the diagnosis. ...Read more

28

28
Is the medicine used in clinical trial actually meant to help participants?

Is the medicine used in clinical trial actually meant to help participants?

Depends on trial: Some clinical trials pit one drug against another to compare their efficacy for certain conditions. Others pit a drug against a placebo to learn how well the drug works; then those who received placebo get drug & others get placebo to see if results are consistent. It would be unethical to give drugs that might intentionally harm patients; that's why some studies stop early due to dangerous effect. ...Read more

29

29
Pls hematologist opinion needed no clinical findings but 15 percent plasma cells mean what?

Pls hematologist opinion needed no clinical findings but 15 percent plasma cells mean what?

Clarify: I am not a hematologist, but I think you should clarify so that a hematologist can answer accurately. Where were the plasma cells found? Peripheral blood smear (i.e., a blood test)? A lymph node? Was it from the bone marrow (i.e., bone marrow biopsy)? Or some other biopsy? The interpretation will be vastly different depending on the sample and source. I'll pray that it's not serious. Best of Luck! ...Read more

30

30
What does sub clinical hypothyroidism mean?

What does sub clinical hypothyroidism mean?

Borderline hypo: It is when your directly measured thyroid hormone levels are normal but your tsh (pituitary hormone) is elevated suggesting very mild hypothyroidism. We don't usually have to treat this unless the patient has symptoms or the tsh level is > 10. Also if a woman is pregnant we always want the tsh to be < 2.5 so we would treat it in that case. ...Read more