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What Do These Ultrasound Findings Indicate?

Posted on Tue, 16 Jun 2015

Question: I had an ultrasound screening for abdominal aortic aneurisym which was normal, but there was a midline suspected abnormality found the size of 14.8 cm x 13.9 cm x 16.1 cm. I don't have pain unless someone presses on my abdoman. I am obese (42 as opposed to 30) but after losing 30 lbs, my abdoman continues to stay large and possibly enlarging. I look around 8 mo pregnant. I am 61, menopause several years ago, started light spotting or bleeding 18 mos ago, and have nausea often after eating or drinking fluids. I have much trouble with frequent urination and seem to have a uti any occasion I see the doctor, which isn't often. I am type 2 diabetic also taking metformin only, successfully. I am scared to death about what they saw in the ultrasound. Any ideas what it MIGHT be?

Answered by Dr. Indu Kumar (1 hour later)

Brief Answer:
You may need contrast CT scan of abdomen.

Detailed Answer:
Hello

Your ultrasound findings suggests large abnormality in mid line of abdomen,it may be due to many causes.Other findings related to abnormality is not mentioned means it is not mentioned whether it is cystic or solid or mixed lesion.It is important to know about its vascularity.
It may be liver cyst,pseudopancreatic cyst etc.
You may need contrast CT scan of abdomen for further evaluation.

Frequent urination may be due to many causes like diabetes mellitus,UTI,psychogenic etc.
You may need recent blood sugar level,urine RE/ME and culture/sensitivity.

Thyroid profile should also be estimated due to obesity.

Major concern is large mass in mid line of abdomen which can be assessed by contrast CT scan of abdomen.
Proper treatment depend upon findings.

Get well soon.
Hope I have answered your question.
Further queries are most welcome

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (39 hours later)

I just uploaded the results from my Lifeline Screening including images from the abdominal ultrasound. Please look at the results and especially the ultrasound and see what you think. Thanks
XXXXXXX

Answered by Dr. Indu Kumar (12 hours later)

Brief Answer:
Differential diagnosis may be pseudo pancreatic cyst,peritoneal cyst etc.

Detailed Answer:
Hello
Sorry for replying late

Differential diagnosis of mid line cystic lesion may be pseudo pancreatic cyst,peritoneal cyst,lymphocele etc.
This need clinical correlation and further investigations like contrast CT scan of abdomen.

Get well soon.
Hope I have answered your question.
Further queries are most welcome

Take Care
Dr.Indu XXXXXXX

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar