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What Does This MRI Report Indicate?

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Posted on Thu, 22 Dec 2016
Question: Attached is a copy of an MRI report. Is it possible that there is nothing there and the radiologist is just making sure he covers his basis?
doctor
Answered by Dr. Dr. Happykumar Kagathara (10 hours later)
Brief Answer:
Findings are true

Detailed Answer:
Hello,
I can understand your concern about findings you got on MRI.
This findings about liver and pancreas will be true and present in real organ as they reflected on MRI.
Fatty liver is physiologic condition in which fat deposit in liver tissue. This might be mild category in your case due to which you did not experience any symptoms related to it i.e. right upper abdominal pain, indigestion.
Small cyst in pancreas is incidental finding as size of this lesion is so small to produce any symptoms. But this lesion needs to be closely followed up in future to check whether it is progressing or regressing.
Above answer was peer-reviewed by : Dr. REMY KOSHY
doctor
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Follow up: Dr. Dr. Happykumar Kagathara (19 minutes later)
My gi doc seems to think that on my follow up MRI, there will be nothing there. I am still doing a flow up MRI. Is it possible that it is a blurry artifact since there is no size noted on the report.

Also, I had a CT w/ contrast and MRI w/o contrast in Dec 2015 and another CT w/ contrast in May 2015.

Have you seen situations where something small is on a MRI, and then on follow up is gone.
doctor
Answered by Dr. Dr. Happykumar Kagathara (1 minute later)
Brief Answer:
Request to upload previous reports

Detailed Answer:
Hello,
If you do not mind, can you upload all three reports to compare?
Above answer was peer-reviewed by : Dr. REMY KOSHY
doctor
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Follow up: Dr. Dr. Happykumar Kagathara (1 hour later)
The pancreas was normal on all previous tests.

Can the cyst resolve on its own? If so, what are the percentages?
doctor
Answered by Dr. Dr. Happykumar Kagathara (6 hours later)
Brief Answer:
Pancreatic cysts less likely to resolve spontaneously

Detailed Answer:
Hello,
I apologize for late reply
1) Pancreas was normal in previous scan because it was done without IV contrast.
2) For such small pancreatic lesion CT abdomen with IV contrast (Pancreatic protocol) is must.
3) There are different varieties of cystic lesion of pancreas which ranges from simple cyst of fluid collection to cyst with cancer.
4) To diagnose nature of this cyst, it is essential to do FNAC under guidance of endoscopic USG. This is recommended only if size of cyst increase on follow up.
5) It is unlikely to resolve pancreatic cyst by its own. But generally it does not produce symptoms due to small in size (as in your case).
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. REMY KOSHY
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Answered by
Dr.
Dr. Dr. Happykumar Kagathara

General Surgeon

Practicing since :2006

Answered : 444 Questions

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What Does This MRI Report Indicate?

Brief Answer: Findings are true Detailed Answer: Hello, I can understand your concern about findings you got on MRI. This findings about liver and pancreas will be true and present in real organ as they reflected on MRI. Fatty liver is physiologic condition in which fat deposit in liver tissue. This might be mild category in your case due to which you did not experience any symptoms related to it i.e. right upper abdominal pain, indigestion. Small cyst in pancreas is incidental finding as size of this lesion is so small to produce any symptoms. But this lesion needs to be closely followed up in future to check whether it is progressing or regressing.