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What Does This CT Scan Report Indicate?
Question: I did a ct scan without contrast last week due to a lung cancer 2 years ago.nodule was removed and no other treatment was necessary. Have regular scan done and it pick up a hypodense 8mm area. Concerned. Note said it was to small to characterize. Was not seen on last scan 04/18/2016
Brief Answer:
Explained
Detailed Answer:
Hello and Welcome
I appreciate your concern
If there is no previous history of malignancy and no history of smoking then follow up CT scans can be advised yearly to observe for any changes as 75 percent of pulmonary nodules are benign in patients without a history of cancer. This percentage is reduced to 25 percent in those with a history of cancer.
In high risk cases and if the treating physician wants to be sure then the lesion should be removed and sent for tissue diagnosis for confirmation.
Wishing you best of health
Thanks
Let me know if you have any query
Please consult your doctor before deciding on any further course of action.
For future follow up / correspondence you may ask me directly at the link given below
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107
Dr. M.S. Khalil
Explained
Detailed Answer:
Hello and Welcome
I appreciate your concern
If there is no previous history of malignancy and no history of smoking then follow up CT scans can be advised yearly to observe for any changes as 75 percent of pulmonary nodules are benign in patients without a history of cancer. This percentage is reduced to 25 percent in those with a history of cancer.
In high risk cases and if the treating physician wants to be sure then the lesion should be removed and sent for tissue diagnosis for confirmation.
Wishing you best of health
Thanks
Let me know if you have any query
Please consult your doctor before deciding on any further course of action.
For future follow up / correspondence you may ask me directly at the link given below
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107
Dr. M.S. Khalil
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I am so sorry i left out that the 8mm hypodense area is own the top superior pole of my left kidney. My lungs are now clear for the past 2 1/2 years. I am concern about the kidney.
Brief Answer:
Explained
Detailed Answer:
Hello and welcome
Your concern is appreciated
Regarding small renal masses its an important task for urologist or radiologist as whether the lesion is surgical or non surgical or whether it requires follow up as these masses are really small so most of decision depends on radiological characterization. Accurate diagnosis depends upon many factors including clinical history including presence of familial syndrome, infection previous stones, renal insufficiency
a high quality imaging examination under control of radiologist studying metobolic behaviour acurate and standard measurments.
Most renal masses incidently discovered on CT are simple cortical cysts . The bosniak classification is used to asses the likelihood of malignancy in cystic renal masses. Angiomyolipoma exhibit fat density on ct , oncocytoma is usually a hypodense mass its most common benign tumor, renal call carcinoma can appear isodense or hypodense mass. Non hodgkin lymphoma can have variable appearance and can resemble Rcc, metastasis to kidney typically manifests as multiple bilateral renal mases often mets to other organs are also present, bemign mesenchymal tumors like leiomyomas lipomas fibromas or it can be focal pyelonephritis renal abcess amd hematoma are possibilities. The management depends on the diagnosis. Further imaging with contrast can help identify the lesion.
please consult your doctor before taking any further course of action.
Hope it helps
Thanks
Explained
Detailed Answer:
Hello and welcome
Your concern is appreciated
Regarding small renal masses its an important task for urologist or radiologist as whether the lesion is surgical or non surgical or whether it requires follow up as these masses are really small so most of decision depends on radiological characterization. Accurate diagnosis depends upon many factors including clinical history including presence of familial syndrome, infection previous stones, renal insufficiency
a high quality imaging examination under control of radiologist studying metobolic behaviour acurate and standard measurments.
Most renal masses incidently discovered on CT are simple cortical cysts . The bosniak classification is used to asses the likelihood of malignancy in cystic renal masses. Angiomyolipoma exhibit fat density on ct , oncocytoma is usually a hypodense mass its most common benign tumor, renal call carcinoma can appear isodense or hypodense mass. Non hodgkin lymphoma can have variable appearance and can resemble Rcc, metastasis to kidney typically manifests as multiple bilateral renal mases often mets to other organs are also present, bemign mesenchymal tumors like leiomyomas lipomas fibromas or it can be focal pyelonephritis renal abcess amd hematoma are possibilities. The management depends on the diagnosis. Further imaging with contrast can help identify the lesion.
please consult your doctor before taking any further course of action.
Hope it helps
Thanks
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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