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I'd Like To Talk To A Doctor About My Last

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Posted on Mon, 20 Jan 2020
Question: I'd like to talk to a doctor about my last CT test results

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Follow up: Dr. Dr. Ivan Romich (0 minute later)
I'd like to talk to a doctor about my last CT test results

doctor
Answered by Dr. Dr. Ivan Romich (1 hour later)
Brief Answer:
Just minor issues seen

Detailed Answer:
Hi and welcome to HCM.
All in all, your CT scan is fine and there are no abnormalities seen in pelvic organs so you should not be worried. There is ovarian cyst which is of moderate size and it doesnt necessitate surgical approach. Spinal sclerosis is common and may be consequence of obesity or spine injury in the past. Fluid in endometrial cavity is normal. Everything else looks fine. If you have any specific question I am here to help. Wish you good health. REgards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Dr. Ivan Romich (0 minute later)
Brief Answer:
Just minor issues seen

Detailed Answer:
Hi and welcome to HCM.
All in all, your CT scan is fine and there are no abnormalities seen in pelvic organs so you should not be worried. There is ovarian cyst which is of moderate size and it doesnt necessitate surgical approach. Spinal sclerosis is common and may be consequence of obesity or spine injury in the past. Fluid in endometrial cavity is normal. Everything else looks fine. If you have any specific question I am here to help. Wish you good health. REgards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Ivan Romich (16 hours later)
Thank you doctor! I noticed it says

"noted obvious abnormality of ureters or hydroureter" Also it said something that said "Urinary bladder is partially collapsed and grossly within normal limits."

can you explain what that means?? Is it anything serious? Thank you!
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Follow up: Dr. Dr. Ivan Romich (0 minute later)
Thank you doctor! I noticed it says

"noted obvious abnormality of ureters or hydroureter" Also it said something that said "Urinary bladder is partially collapsed and grossly within normal limits."

can you explain what that means?? Is it anything serious? Thank you!
doctor
Answered by Dr. Dr. Ivan Romich (32 hours later)
Brief Answer:
Hi

Detailed Answer:
This part in in conclusion section: "noted obvious abnormality of ureters or hydroureter" is obviously a mistake in writing since sentence makes no sense and there is probably missing word "no" before noted. This also can be confirmed when we look at original finding where it satets: Right distal ureter is not contrast opacified hence limited evaluation however visualized right ureter is normal caliber without any filling defects." It means that ureter is normal and there is no hydroureter.

Urinary bladder is collapsed when there is no urine in it. so this is normal.
I dont see a reason to worry...
Warm regards,feel free to ask further questions
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Dr. Ivan Romich (0 minute later)
Brief Answer:
Hi

Detailed Answer:
This part in in conclusion section: "noted obvious abnormality of ureters or hydroureter" is obviously a mistake in writing since sentence makes no sense and there is probably missing word "no" before noted. This also can be confirmed when we look at original finding where it satets: Right distal ureter is not contrast opacified hence limited evaluation however visualized right ureter is normal caliber without any filling defects." It means that ureter is normal and there is no hydroureter.

Urinary bladder is collapsed when there is no urine in it. so this is normal.
I dont see a reason to worry...
Warm regards,feel free to ask further questions
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Ivan Romich (45 hours later)
are you able to answer OB-GYN questions? I have a result from that as well!
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Follow up: Dr. Dr. Ivan Romich (0 minute later)
are you able to answer OB-GYN questions? I have a result from that as well!
doctor
Answered by Dr. Dr. Ivan Romich (41 minutes later)
Brief Answer:
Yes

Detailed Answer:
Hi and welcome.

Yes, I can answer all your questions.

Feel free to ask


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Dr. Ivan Romich (0 minute later)
Brief Answer:
Yes

Detailed Answer:
Hi and welcome.

Yes, I can answer all your questions.

Feel free to ask


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Ivan Romich (17 minutes later)
It says HPV mRNA was detected but everything else wasn't and I am confused

HPVHR mRNA Result     Detected     
NORTHWELL HEALTH LABORATORIES
Show less
Lab Address:
10 Nevada Drive, New Hyde Park, NY, 11042-0012
Notes:
HPVHR mRNA Result:

Source: Thin Prep - GYN The results of this test should be interpreted with consideration of all clinical and laboratory findings. A result of HPVHR not detected does not preclude the possibility of an infection with high risk HPV. If indeterminate, please submit a new specimen. This assay screens for high-risk human papillomavirus E6/E7 mRNA using transcription mediated amplification. The high-risk types include: 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68. This test was performed at: Northwell Health Laboratories, 450 Lakeville Road, Lake Success, NY 11042-1110. Abnormal Value Legend A - Abnormal Responsible Observer: SYSTEM SYSTEM


HPV Genotypes 16 and 18/45
12/19/2019          
HPV16     Not Detected     (Not Detected )
HPV18/45     Not Detected     (Not Detected )
NORTHWELL HEALTH LABORATORIES
Show less
Lab Address:
10 Nevada Drive, New Hyde Park, NY, 11042-0012
Notes:
HPV16:

This assay screens for high-risk human papillomavirus E6/E7 mRNA types 16, 18 and/or 45 using transcription mediated amplification. A"Not Detected" result does not preclude the possibility of infection with high-risk HPV types 16, 18 and/or 45. Patients with "Not Detected"results may still be at risk for disease that could progress to high-grade cervical intraepithelial neoplasia or cervical cancer. It is important to correlate HPV genotype results with cytologic examination and other diagnostic findings. This test was performed at: Northwell Health Laboratories, 450 Lakeville Road, Lake Success, NY 11042-1110.

CL Cytology GYN Report:

BLACK, ELINES 1 Cytopathology Report Specimen Description THINPREP HPV WITH IMAGING - Cerv/Endo Clinical Information DATE OF LMP: 12/9/19 ICD 10: visit for: gynecological exam with abnormal findings, Encounter for screening for other infectious and parasitic diseases, Encounter for screening for human papillomavirus (HPV), Encounter for screening for other viral diseases, Encounter for screening for malignant neoplasm of cervix Disclaimer The Papanicolaou ("Pap") test is a screening test which is subject to both false positive and false negative results. Testing is most reliable when adequate samples are obtained on a regular basis. Results must be interpreted in the context of clinical history and physical examination.. Statement of Adequacy Satisfactory for evaluation. Presence of endocervical/transformation zone component. Final Diagnosis NEGATIVE FOR INTRAEPITHELIAL LESION OR MALIGNANCY.
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Follow up: Dr. Dr. Ivan Romich (0 minute later)
It says HPV mRNA was detected but everything else wasn't and I am confused

HPVHR mRNA Result     Detected     
NORTHWELL HEALTH LABORATORIES
Show less
Lab Address:
10 Nevada Drive, New Hyde Park, NY, 11042-0012
Notes:
HPVHR mRNA Result:

Source: Thin Prep - GYN The results of this test should be interpreted with consideration of all clinical and laboratory findings. A result of HPVHR not detected does not preclude the possibility of an infection with high risk HPV. If indeterminate, please submit a new specimen. This assay screens for high-risk human papillomavirus E6/E7 mRNA using transcription mediated amplification. The high-risk types include: 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68. This test was performed at: Northwell Health Laboratories, 450 Lakeville Road, Lake Success, NY 11042-1110. Abnormal Value Legend A - Abnormal Responsible Observer: SYSTEM SYSTEM


HPV Genotypes 16 and 18/45
12/19/2019          
HPV16     Not Detected     (Not Detected )
HPV18/45     Not Detected     (Not Detected )
NORTHWELL HEALTH LABORATORIES
Show less
Lab Address:
10 Nevada Drive, New Hyde Park, NY, 11042-0012
Notes:
HPV16:

This assay screens for high-risk human papillomavirus E6/E7 mRNA types 16, 18 and/or 45 using transcription mediated amplification. A"Not Detected" result does not preclude the possibility of infection with high-risk HPV types 16, 18 and/or 45. Patients with "Not Detected"results may still be at risk for disease that could progress to high-grade cervical intraepithelial neoplasia or cervical cancer. It is important to correlate HPV genotype results with cytologic examination and other diagnostic findings. This test was performed at: Northwell Health Laboratories, 450 Lakeville Road, Lake Success, NY 11042-1110.

CL Cytology GYN Report:

BLACK, ELINES 1 Cytopathology Report Specimen Description THINPREP HPV WITH IMAGING - Cerv/Endo Clinical Information DATE OF LMP: 12/9/19 ICD 10: visit for: gynecological exam with abnormal findings, Encounter for screening for other infectious and parasitic diseases, Encounter for screening for human papillomavirus (HPV), Encounter for screening for other viral diseases, Encounter for screening for malignant neoplasm of cervix Disclaimer The Papanicolaou ("Pap") test is a screening test which is subject to both false positive and false negative results. Testing is most reliable when adequate samples are obtained on a regular basis. Results must be interpreted in the context of clinical history and physical examination.. Statement of Adequacy Satisfactory for evaluation. Presence of endocervical/transformation zone component. Final Diagnosis NEGATIVE FOR INTRAEPITHELIAL LESION OR MALIGNANCY.
doctor
Answered by Dr. Dr. Ivan Romich (2 hours later)
Brief Answer:
no need to worry

Detailed Answer:
Hi and welcome.

This test means that the HPV virus was detected, but the highest-risk types 16 and 18 are not found.

It means that other types of HPV are detected which is seen in around 50% of women. Considering that the cytology report is normal, it means that there are no changes in the cervix that are related to HPV infection.

So, this means that you were in contact with HPV (not 16 and 18) but it did not cause any harm and probably it will not. You just need to have PAP tests with Gynec follow-ups regularly and thats it.



Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Dr. Ivan Romich (0 minute later)
Brief Answer:
no need to worry

Detailed Answer:
Hi and welcome.

This test means that the HPV virus was detected, but the highest-risk types 16 and 18 are not found.

It means that other types of HPV are detected which is seen in around 50% of women. Considering that the cytology report is normal, it means that there are no changes in the cervix that are related to HPV infection.

So, this means that you were in contact with HPV (not 16 and 18) but it did not cause any harm and probably it will not. You just need to have PAP tests with Gynec follow-ups regularly and thats it.



Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Ivan Romich (3 hours later)
Thank you so much!!!!
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Follow up: Dr. Dr. Ivan Romich (0 minute later)
Thank you so much!!!!
doctor
Answered by Dr. Dr. Ivan Romich (7 hours later)
Brief Answer:
You are welcome

Detailed Answer:
You are welcome. If you have questions in future, contact me directly via this platform. Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Dr. Ivan Romich (0 minute later)
Brief Answer:
You are welcome

Detailed Answer:
You are welcome. If you have questions in future, contact me directly via this platform. Regards
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Dr. Ivan Romich

General Surgeon

Practicing since :2008

Answered : 13888 Questions

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I'd like to talk to a doctor about my last CT test results