Results interpretation My Dr’s don’t believe that these are related any other thoughts?!
CT CHEST/ABDOMEN/PELVIS WITH CONTRAST 8/6/2021 3:53 PM
CLINICAL HISTORY: Graves disease. Abdominal pain, generalized. Family history of Lynch syndrome. Intermittent abdominal pain.
TECHNIQUE: CT scan of the chest, abdomen, and pelvis was performed
FINDINGS:
LUNGS AND PLEURA: Normal.
************++++MEDIASTINUM/AXILLAE: Heart is normal in size. There is a soft tissue masslike structure in the anterior superior mediastinum measuring approximately 4.5 x 2.3 x 3.8 cm in the transverse, AP and craniocaudal dimensions respectively (image 56 series 3 and image 38 series 7). This could represent thymic remnant, thymoma, teratoma,lymphoma or other soft tissue lesion of the mediastinum. This does not appear to be associated with the thyroid. There is a complex nodular density with enhancement and possible calcifications in the left lobe of the thyroid measuring up to 1.6 cm in diameter (image 12 series 3). Thyroid otherwise is unremarkable as visualized. No mediastinal, hilar, or axillary lymphadenopathy is identified. No central pulmonary artery filling defects to suggest central pulmonary artery embolism. This study was not optimized for pulmonary artery evaluation. Thoracic aorta is of normal caliber and demonstrates no evidence for dissection or aneurysm.
NEXT RESULTS NOTE THIS WAS ALSO SEEN ON DEC 15th at 11mm at the time.*****
HEPATOBILIARY: Hypoattenuating lesion in the anterior aspect of the medial left lobe of the liver (image 134 series 3) measures up to 1.4 cm in maximum dimension with an average density of 12 Hounsfield units. This likely represents a cyst. Liver otherwise enhances normally. Gallbladder is normal in appearance. No cholelithiasis, choledocholithiasis, biliary ductal dilatation or intrahepatic mass is seen.
PANCREAS: Normal.
SPLEEN: Normal.
ADRENAL GLANDS: Minimal thickening of the medial limb of the left adrenal gland is grossly within normal limits. Adrenal glands otherwise enhance normally.
KIDNEYS/BLADDER: Kidneys enhance normally. No hydronephrosis, nephrolithiasis, hydroureter, ureteral calculus is identified. Urinary bladder is grossly normal in appearance.
BOWEL: The colon is of normal caliber without pericolonic inflammatory change to suggest acute diverticulitis. A moderate amount of stool is seen in the colon. Appendix is normal in appearance. Small bowel is of grossly normal caliber and appearance. The stomach contains a large amount of fluid and moderate amount of air but is otherwise unremarkable.
PELVIC ORGANS: Intrauterine device is seen in expected position in the upper uterine body/fundal endometrial canal. There is a cystic structure with thickened enhancing rim in the right ovary. This measures up to 2.4 cm in diameter and likely represents a collapsing cyst. Left ovary is normal in appearance. Right ovary is otherwise unremarkable. Mild thickening of the wall of the vagina is incidentally noted. Recommend clinical correlation.
ADDITIONAL FINDINGS: No adenopathy or free air is seen in the peritoneal cavity. There is a small amount of free fluid in the pelvis which could be physiologic in etiology. Aorta is grossly normal in appearance and demonstrates no evidence for significant atherosclerosis, dissection, aneurysm, or narrowing.
MUSCULOSKELETAL: No aggressive osseous lesions or acute osseous fractures are identified.
IMPRESSION:
1. Masslike structure in the anterior superior mediastinum has differential diagnosis including thymic remnant, thymoma, lymphoma, teratoma, or other etiology. Recommend clinical correlation.
2. Probable collapsing cyst in the right ovary.
3. Physiologic amount of free fluid in the pelvis.
4. Heterogeneous nodule left lobe of the thyroid. This could be better evaluated with ultrasound.
5. No other significant abnormalities are identified.
My nodules in my throat are growing and they are becoming bothersome and all I want to do is sleep all day. I have continuous pain upper RQ and an occasional mass under my rib on the right UQ causes abdomen to be completely rock hard not gas or conditions and no known triggers it comes and goes causing numbing and tingling when it’s here. Also severe cramps and hard to bend sit or do anything severely uncomfortable. Headaches every single morning. Voice changes, hard to swallow. Heat sensations on my legs and thighs only in one area at a time. Severe swelling fingers, ankles and feet.
Please if I could get clarity on probability here that would be great. I’m very analytical and I need to know each out Come that is relatively probable to better handle and prepare for the outcome. Thank you…
