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Suggest Treatment For Right Sided Abdominal And Lower Back Pain
Question: I am a 48 year old woman. Went to the ER with abdominal pain on right side and lower back. CT scan found "a nonspecific hypodense lesion on the spleen 2.4cm. This demonstrates mild enhancement". CBC Blood test and urine tests were normal. My WBC have gone down slightly from 9.6 to 6.5. I also have a lot of night sweats. Should this be something to worry about.
Brief Answer:
Nothing much to worry at the moment unless proved otherwise
Detailed Answer:
Hi.
Thanks for your query.
Noted your history of pain in abdomen *right side and *lower back.
CT found non-specific hypodense lesion of 2.4 cm with mild enhancement.
Since your CBC is within the normal range and the pain is on the right and low back, your Doctor might have not given importance to the spleen lesion as the spleen is on the extreme *left side.
Another reason is that the most of the lesion of spleen of this character are taken as benign and not bothered about unless proved otherwise and all the radiological findings are correlated with the clinical picture and examination.
Can I have the report of CT scan and it is usually the Radiologist who can comment on such lesions about its radilogical diagnosis.
Night sweats are known to occur at age of 48 due to hormonal changes also.
If it is accompanied by the fever and chills then only may be of some significance.
You may please discuss this with your Doctor so that he can discuss with the radiologist if it is significant or not.
I hope this answers your query.
Please feel free to ask for further relevant queries or if you feel that there is a gap of communications.
Nothing much to worry at the moment unless proved otherwise
Detailed Answer:
Hi.
Thanks for your query.
Noted your history of pain in abdomen *right side and *lower back.
CT found non-specific hypodense lesion of 2.4 cm with mild enhancement.
Since your CBC is within the normal range and the pain is on the right and low back, your Doctor might have not given importance to the spleen lesion as the spleen is on the extreme *left side.
Another reason is that the most of the lesion of spleen of this character are taken as benign and not bothered about unless proved otherwise and all the radiological findings are correlated with the clinical picture and examination.
Can I have the report of CT scan and it is usually the Radiologist who can comment on such lesions about its radilogical diagnosis.
Night sweats are known to occur at age of 48 due to hormonal changes also.
If it is accompanied by the fever and chills then only may be of some significance.
You may please discuss this with your Doctor so that he can discuss with the radiologist if it is significant or not.
I hope this answers your query.
Please feel free to ask for further relevant queries or if you feel that there is a gap of communications.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I would like to send you the scanned Ct report however it does not have any pictures.
Brief Answer:
please post the full report.
Detailed Answer:
Please send the scanned report.
YYYY@YYYY
It is fine even though it does not have any pictures. send the full report please.
please post the full report.
Detailed Answer:
Please send the scanned report.
YYYY@YYYY
It is fine even though it does not have any pictures. send the full report please.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Report Attached.
Brief Answer:
Review USG and Clinical evaluation
Detailed Answer:
Thanks for your attachment.
Seen the report of the CT scan. It is not elucidate and just mentions salient findings.
It shows moderate sized hiatal hernia of 4.8 cm and ** NONSPECIFIC HYPODENSE lesion in the spleen of 4.2 cm which demonstrates mild enhancement.
This nonspecific means, it is not showing sign of any specific disease that the Radiologist could co-relate to, hypodense means less that the rest of the spleen and must have got a bit enhancement on contrast.
I would recommend to go for a follow-up ultrasonography, so that it is possible that he Radiologist gets a reference of the present findings and compares with another modality and may give an opinion.
The date is 3/7/15 does this mean 3 July or 7 march?
Again to stress: your symptoms are right sided and this spleen (left sided) lesion may not be responsible for this. Actual clinical evaluation and examination by a Surgeon and its correlation with the CT and other tests is very important
I hope this answer helps you.
Review USG and Clinical evaluation
Detailed Answer:
Thanks for your attachment.
Seen the report of the CT scan. It is not elucidate and just mentions salient findings.
It shows moderate sized hiatal hernia of 4.8 cm and ** NONSPECIFIC HYPODENSE lesion in the spleen of 4.2 cm which demonstrates mild enhancement.
This nonspecific means, it is not showing sign of any specific disease that the Radiologist could co-relate to, hypodense means less that the rest of the spleen and must have got a bit enhancement on contrast.
I would recommend to go for a follow-up ultrasonography, so that it is possible that he Radiologist gets a reference of the present findings and compares with another modality and may give an opinion.
The date is 3/7/15 does this mean 3 July or 7 march?
Again to stress: your symptoms are right sided and this spleen (left sided) lesion may not be responsible for this. Actual clinical evaluation and examination by a Surgeon and its correlation with the CT and other tests is very important
I hope this answer helps you.
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Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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