Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
These Are The Results Of My Recent CT Scan -
Question: These are the results of my recent CT scan - please let me know if there is a problem here. It was ordered after the doctor noticed an enlarged spleen.
TECHNIQUE: Routine scan with contiguous axial images acquired from the thoracic inlet to the upper
abdomen after administration of intravenous contrast. Post processed reconstructions acquired and reviewed.
CONTRAST: 100 cc of nonionic intravenous contrast at a concentration of 300 mg/mL.
COMPARISON: NONE.
FINDINGS:
BASE OF NECK:
No discrete nodule within the thyroid gland.
LUNGS/PLEURA:
No focal consolidation. No pleural effusion or pneumothorax. There is biapical nodularity
likely secondary to scarring.
NODULES:
Right lung:
3 mm nodule in the right upper lobe (image 93, series 4).
2 mm pleural-based nodule in the right upper lobe (image 131, series 4) which may represent a calcified granuloma.
Punctate nodule in the right middle lobe (image 159, series 4).
4 mm nodule in the right middle lobe (image 202, series 4).
2 mm nodlue in the right middle lobe (image 216, series 4).
3 mm nodule within the right lower lobe (image 218, series 4).
2 mm nodule in the right lower lobe (image 166, series 4) abutting the fissure.
Left lung:
2 mm nodule in the left upper lobe abutting the fissure (image 166, series 4).
3 mm nodule within the left lower lobe abutting the fissure (image 219, series 4).
LARGE AIRWAYS: Patent.
HEART: Within normal limits for size. No pericardial effusion.
VESSELS: No aneurysm of thoracic aorta. Atherosclerotic disease involving the thoracic aorta.
MEDIASTINUM and HILA:
Nonspecific 1.3 x 1.4 cm right hilar lymph node. Subcentimeter left hilar lymph
node. Subcentimeter mediastinal lymph nodes. There is soft tissue within the anterior superior mediastinum
which may represent residual/rebound thymus with associated subcentimeter calcification.
AXILLAE:
Subcentimeter axillary lymph nodes.
IMAGED UPPER ABDOMEN: The spleen is enlarged.
BONY THORAX/SOFT TISSUES:
Degenerative changes of thoracic spine. There is bilateral gynecomastia.
IMPRESSION:
1. Multiple subcentimeter pulmonary nodules with the largest measuring 4 mm as well as a nonspecific
enlarged right hilar lymph node measuring up to 1.4 cm. 6-12 month follow-up is recommended.
2. Splenomegaly.
TECHNIQUE: Routine scan with contiguous axial images acquired from the thoracic inlet to the upper
abdomen after administration of intravenous contrast. Post processed reconstructions acquired and reviewed.
CONTRAST: 100 cc of nonionic intravenous contrast at a concentration of 300 mg/mL.
COMPARISON: NONE.
FINDINGS:
BASE OF NECK:
No discrete nodule within the thyroid gland.
LUNGS/PLEURA:
No focal consolidation. No pleural effusion or pneumothorax. There is biapical nodularity
likely secondary to scarring.
NODULES:
Right lung:
3 mm nodule in the right upper lobe (image 93, series 4).
2 mm pleural-based nodule in the right upper lobe (image 131, series 4) which may represent a calcified granuloma.
Punctate nodule in the right middle lobe (image 159, series 4).
4 mm nodule in the right middle lobe (image 202, series 4).
2 mm nodlue in the right middle lobe (image 216, series 4).
3 mm nodule within the right lower lobe (image 218, series 4).
2 mm nodule in the right lower lobe (image 166, series 4) abutting the fissure.
Left lung:
2 mm nodule in the left upper lobe abutting the fissure (image 166, series 4).
3 mm nodule within the left lower lobe abutting the fissure (image 219, series 4).
LARGE AIRWAYS: Patent.
HEART: Within normal limits for size. No pericardial effusion.
VESSELS: No aneurysm of thoracic aorta. Atherosclerotic disease involving the thoracic aorta.
MEDIASTINUM and HILA:
Nonspecific 1.3 x 1.4 cm right hilar lymph node. Subcentimeter left hilar lymph
node. Subcentimeter mediastinal lymph nodes. There is soft tissue within the anterior superior mediastinum
which may represent residual/rebound thymus with associated subcentimeter calcification.
AXILLAE:
Subcentimeter axillary lymph nodes.
IMAGED UPPER ABDOMEN: The spleen is enlarged.
BONY THORAX/SOFT TISSUES:
Degenerative changes of thoracic spine. There is bilateral gynecomastia.
IMPRESSION:
1. Multiple subcentimeter pulmonary nodules with the largest measuring 4 mm as well as a nonspecific
enlarged right hilar lymph node measuring up to 1.4 cm. 6-12 month follow-up is recommended.
2. Splenomegaly.
Brief Answer:
Splenomegaly
Detailed Answer:
Dear XXXXXXX
While going through your CT report there are insignificant lymph nodes which is not a normal thing. Having enlargement of spleen creates a suspicion of some abnormality. Unless you have complete blood examination also with it you cannot pinpoint the diagnosis. You need further evaluation to rule out the cause of spleenic enlargement. Looking forward for your further investigations.
Truly
Splenomegaly
Detailed Answer:
Dear XXXXXXX
While going through your CT report there are insignificant lymph nodes which is not a normal thing. Having enlargement of spleen creates a suspicion of some abnormality. Unless you have complete blood examination also with it you cannot pinpoint the diagnosis. You need further evaluation to rule out the cause of spleenic enlargement. Looking forward for your further investigations.
Truly
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
