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What Do Hypo Dense Lesions On Spleen Suggest?
Question: my daughter was tole she has hypo dense lesions on her spleen. White count has gone from 18,000 to 21,500. They are sending her to a hemotolgoist-onocolgtist. First She had a pain in her upper left quadrant and was told she has gastridous. They found out her high count when she was having her MRI. All her other organs are clear. She then got singles on her temple that spread to her forehead and over eye. She is going to a MD Opthamoligst tomorrow for this. She went to her MD he took her blood count yesterday and it had risen to 21,500. She was shcewduled for a contrast CT scan on Thursday. What could she have?
Brief Answer:
Your daughter has a reduced immune state with following spleen conditions
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
1. The spleen is an organ which is a part of the lymphoreticular system. This coordinates the immune system in adults and also generates blood cells in young children. The spleen is on the left side of the body next to the stomach and above the left kidney.
2. Having WBC raised to 21500 might indicate the possibility of a blood related malignancy which might also affect her immunity.
3. Shingles is usually seen in the elderly and in those with reduced immunity and your daughter might have got a generalized reduced immunity.
4. Hypodense splenic lesions are frequently encountered on abdominal CT scan images. Although most hypodense lesions of the spleen can be considered benign, some findings and clinical conditions require detailed attention to the lesion and the need for a contrast scan.
5. Based on the presentation of your daughter, the possibilities connecting a reduced immune status and hypodense lesions in the liver, the following conditions are to be considered.
(i) splenic abscesses
(ii) lymphoma involving the spleen
(iii) parasitic infestation
(iv) splenic infarction
(v) conditions like congenital cysts, hemangioma, lymphangioma are less likely
6. It is important to consult a hematologist oncologist and get her detailed blood tests done in view of her increasing WBC count.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Your daughter has a reduced immune state with following spleen conditions
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
1. The spleen is an organ which is a part of the lymphoreticular system. This coordinates the immune system in adults and also generates blood cells in young children. The spleen is on the left side of the body next to the stomach and above the left kidney.
2. Having WBC raised to 21500 might indicate the possibility of a blood related malignancy which might also affect her immunity.
3. Shingles is usually seen in the elderly and in those with reduced immunity and your daughter might have got a generalized reduced immunity.
4. Hypodense splenic lesions are frequently encountered on abdominal CT scan images. Although most hypodense lesions of the spleen can be considered benign, some findings and clinical conditions require detailed attention to the lesion and the need for a contrast scan.
5. Based on the presentation of your daughter, the possibilities connecting a reduced immune status and hypodense lesions in the liver, the following conditions are to be considered.
(i) splenic abscesses
(ii) lymphoma involving the spleen
(iii) parasitic infestation
(iv) splenic infarction
(v) conditions like congenital cysts, hemangioma, lymphangioma are less likely
6. It is important to consult a hematologist oncologist and get her detailed blood tests done in view of her increasing WBC count.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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