Can someone please translate this medical report? Could this indicate cancer? Lymph problems?
“Superiorly in the medial segment of the left liver lobe there are two or three attenuation nonenhancing regions, which appear to be a number of tiny cycst. There are no enhancing liver nodules. There may be an additional tiny cyst in the inferior right liver lobe. There is possible layering of some minimally radiopaque gallstones in the low gallbladder neck. The wall is not thickened. There is no pericholecystic fluid. There is no gross bile duct dilation. The spleen and pancreas images are unremarkable. The adrenal glands are normal in size.The kidneys are not obstructed.There are no significant renal masses. There are no dominant renal stones. There is a peripelvic cyst on the left measuring approx 12mm. There is minimal aoritc calcification. There is no aneurysm. There are a few shotty periaortic lymph nodes in the infrarenal region. None are individually pathologic. The number has slightly increased. The bowel loops are grossly normal in appearance. The mesentary is unremarkable. The small bowel loops are normal in distribution and appearance with no signs of dilation or wall thickening. There is no ascites. There is no free air. There is a small hiatal hernia. There is mucosal thickening questioned through the GE junction. There was no discrete mass and EGD study is suggested to exclude malignancy here. The lung bases are clear with no infiltratesor effusions. There appears to be wall thickening of the terminal ileal loop, as it inserts into the cecum. The wall here is somewhat succulent. The mucosal folds are featureless.This is probably a terminal ileitis. There is no fluid or inflammation surrounding soft tissues. Prostate gland is enlarged, however, there is no discrete dominant mass.
Posted in 
Tags: 5 Responses to “Can someone please translate this medical report? Could this indicate cancer? Lymph problems?”
Leave a Reply
Basically, it looks like they have ruled out a lot of problems and found a few things that may or may not be problematic and one that warrants further investigation to totally rule out cancer.
Your Dr, who has examined you, has access to your full medical file and who ordered these tests is in the best position to offer an interpretation.
It does not seem to indicate that there is cancer in any of the examined organs. The only one that made me wonder was “terminal ileitis”; but “terminal” in that sense turns out to be the term used to describe the end of the small bowel. Ileitis, however, is also known as Crohn’s Disease, and you can click on the following link to read more about that:
http://www.medterms.com/script/main/art.asp?articlekey=5741
As to the cysts in the liver, I have had one of those and was told by the Specialist Gastroenterologist to whom I was referred, that liver cysts were nothing to be concerned about, but that those in some other areas were. She didn’t mention to me which areas they were.
Good luck, and I hope I have at least allayed your fears about cancer.
You don’t mention what your lymph problems are, your symptoms or your age, but there is nothing unusual about your lymph nodes according to this report. Your next test may be an EGD, as the only thing in the report that is concerning is the mucosal thickening in the GE junction. The doctor who ordered this test should have gone over the results with you.
The report does not indicate cancer, nor rule it out. It is certainly not suggesting this to whomever has requested the imaging work. It is , to note, a very thorough report.
What is obvious — You have several small fibrous nodules/cysts in the liver, insignificant small gallstones as far as the contrast (or lack thereof) can derive. There is a 12mm nodule/cyst in the kidney (peripelvic) *this is common with aging*.. I am unsure of your age. — Small hiatal hernia (again, common with age.. of little concern) — Enlarged Prostate (again likely age related).
What isn’t so obvious — a few ‘shotty’ lymph nodes. Not very specific with the adjective here, but I would have to take this as fairly unremarkable, and that a few nodes in the parietal region are not draining properly but otherwise ok. (You have upwards of 30 nodes in this system), a few that aren’t functioning is ok.. or poorly functioning) It does say the number of these ‘shotty’ nodes has increased which assumes a previous CT/imaging/ultrasound of the area. — In the gastroesophageal (aka: GE) area/junction the tissues look a bit abnormal.. or ‘thickened’. Which and EGD or (aka: esophagogastroduodenoscopy) — also known as having an endoscope shoved down your throat is recommended to determine if benign or malignant. — The “terminal ileitis” is simply the very end of your small intestine. It in no way means any terminal illness.
What is good from the imaging:
Gallbladder wall is normal. — Bile ducts (from such organ) appear normal — spleen and pancreas are normal (Very good sign when thinking of lymph problems) — Adrenal glands (which sit right on top of your kidneys) are normal. — Kidneys aren’t blocked (ie: Ureters and such are normal) — No tumors or other “masses” in the kidneys — Your aorta has very little calcification (great!) — No widening/ballooning of the artery — Despite the abnormal nodes, none appear to have any pathology (or specific reason .. ie: Cancer.. ) — Your entire bowel looks normal. Lower lungs normal. Soft tissues in the bowels do not appear to have edema, swelling, or otherwise retaining fluid. Despite the prostate being enlarged, there is nothing , by itself, indicative of a tumor or other ‘mass’ which is causing it. (In other words, likely normal benign enlargement of the prostate).
We do not know exactly what conditions you suffer from, symptoms, or why the doctor ordered this imaging. So it is hard to give any further information, or assume a cancer or non cancer ‘likely’ Dx — But based on the report alone, it doesn’t look very significant for a cancer pathology.
This fact sheet offers suggestions for choosing a physician and facility for cancer treatment