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What Does The Following CT Reports Indicate?
Question: 2
Ct reports
To compare. Pleaae advise .i am confussed as adrenal nodule
Was on previuos one too ( which was not a met) and they are calling it new
Ct reports
To compare. Pleaae advise .i am confussed as adrenal nodule
Was on previuos one too ( which was not a met) and they are calling it new
Brief Answer:
Both are same, accidentally, possibly called it new.
Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Jyothi BL and I will be answering your query.
Based on your query, my opinion is as follows:
It appears there is not description of additional nodule in the latest. So It looks like the report is talking about the same adrenal nodule as old one. Both are in the same gland.
So, I think, he is talking about the previous one only. There is no evidence about previous one disappearing, so it is the same nodule.
Hope it helps.
Any further queries, here to help again.
Dr. Jyothi BL
Both are same, accidentally, possibly called it new.
Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Jyothi BL and I will be answering your query.
Based on your query, my opinion is as follows:
It appears there is not description of additional nodule in the latest. So It looks like the report is talking about the same adrenal nodule as old one. Both are in the same gland.
So, I think, he is talking about the previous one only. There is no evidence about previous one disappearing, so it is the same nodule.
Hope it helps.
Any further queries, here to help again.
Dr. Jyothi BL
Above answer was peer-reviewed by :
Dr. Raju A.T
The adrenal node on previous one was not a met it was benign. So im assuming its the same right?
The confussion is the upper lobe nodule . It says it remains unchanged. But previous ct does
Not mention a lobe nodule.?
The confussion is the upper lobe nodule . It says it remains unchanged. But previous ct does
Not mention a lobe nodule.?
Brief Answer:
Yes, you are correct.
Detailed Answer:
Hi,
Thanks for asking again.
If the previous one was not mets and was benign, this should also be benign, as there is no size increase or change.
The upper lobe nodule from lung was not described in the previous report. The report suggests, there were no lung lesions.
Previous report has no mention of lung lesions. Not sure, why it is mentioned as unchanged. If the second doctor has looked at the Scans, rather than reports, he might have identified a previously missed lesion (that's only possibility). Earlier doctor might have missed identifying lesions.
The disease progress is present and its changed.
Hope it helps.
Any further queries, here to help again.
Dr. Jyothi BL
Yes, you are correct.
Detailed Answer:
Hi,
Thanks for asking again.
If the previous one was not mets and was benign, this should also be benign, as there is no size increase or change.
The upper lobe nodule from lung was not described in the previous report. The report suggests, there were no lung lesions.
Previous report has no mention of lung lesions. Not sure, why it is mentioned as unchanged. If the second doctor has looked at the Scans, rather than reports, he might have identified a previously missed lesion (that's only possibility). Earlier doctor might have missed identifying lesions.
The disease progress is present and its changed.
Hope it helps.
Any further queries, here to help again.
Dr. Jyothi BL
Above answer was peer-reviewed by :
Dr. Raju A.T
What is prognosis like ?
So the lung lobe upper could be a benign lesion as unchanged plus it did not light up on a pet scan too
Wht best treatement? He was on irinotecan 4 rounds?
So the lung lobe upper could be a benign lesion as unchanged plus it did not light up on a pet scan too
Wht best treatement? He was on irinotecan 4 rounds?
Brief Answer:
Prognosis remains poor
Detailed Answer:
Hi,
Thanks for replying.
Yes, the upper lobe lesion could be benign as it was not evident on PET scan.
Prognosis remains unchanged/ poor as new sub-pleural nodule presence indicates disease progression.
Chemotherapy with additional 5-fluorouracil, leucoverine and Bevacizumab maybe helpful. Your treating oncologist, would be more experienced to manage it better.
Hope it helps.
Any further queries, happy to help again.
Dr. Jyothi BL
Prognosis remains poor
Detailed Answer:
Hi,
Thanks for replying.
Yes, the upper lobe lesion could be benign as it was not evident on PET scan.
Prognosis remains unchanged/ poor as new sub-pleural nodule presence indicates disease progression.
Chemotherapy with additional 5-fluorouracil, leucoverine and Bevacizumab maybe helpful. Your treating oncologist, would be more experienced to manage it better.
Hope it helps.
Any further queries, happy to help again.
Dr. Jyothi BL
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Would
Ablation help?
Ablation help?
Brief Answer:
Would not help much.
Detailed Answer:
Hi,
Thanks for asking.
Ablation will be helpful, if the lesion is causing compression symptoms. Otherwise, it is limited to removal of lesion. Another lesion, will grow somewhere else.
Chemotherapy is more beneficial to reduce the tumor. It can kill tumor cells, which are growing at other locations too.
Hope it helps.
Any further queries, happy to help again.
If you do not have any further queries, you can close the discussion and rate the answer.
Dr. Jyothi BL
Would not help much.
Detailed Answer:
Hi,
Thanks for asking.
Ablation will be helpful, if the lesion is causing compression symptoms. Otherwise, it is limited to removal of lesion. Another lesion, will grow somewhere else.
Chemotherapy is more beneficial to reduce the tumor. It can kill tumor cells, which are growing at other locations too.
Hope it helps.
Any further queries, happy to help again.
If you do not have any further queries, you can close the discussion and rate the answer.
Dr. Jyothi BL
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
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