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What Does This Ultrasound Report Of Upper Right Quadrant Indicate?
Question: I had and ultrasound done of my upper rt quadrant do to constant bloating and hardness in stomach and the area under rt breast blows up like a ballon sometimes . Blow work and urinalysis also done . Result of ultra sound as followFINDINGS:
Liver: Normal echotexture with no focal lesion. No intrahepatic biliary dilatation.
Gallbladder: Surgically absent.
CBD: 4 mm in diameter.
Pancreas: Visualized portions are unremarkable.
Right Kidney: 10.2 cm in length. No hydronephrosis or renal calculi. Again noted is a 5 mm echogenic focus in the cortex of the midpole, stable compared to the prior examination and likely representing a small angiomyolipoma.
Abdominal aorta: Visualized portions are unremarkable.
Proximal IVC: Visualized portions are unremarkable.
Ascites: None.
IMPRESSION:
Essentially normal right upper quadrant sonogram status post cholecystectomy.
Stable presumed 5 mm right mid pole renal angiomyolipoma. ua micro shoing rbc @ 4 Above high normal, Appearance Turbid AB Abnormal ,Blood 1+ AB Abnormal ,Leukocyte Esterase Positive AB Abnormal everything else normal , what does this mean and what questions or concerns should I ask at follow up
Liver: Normal echotexture with no focal lesion. No intrahepatic biliary dilatation.
Gallbladder: Surgically absent.
CBD: 4 mm in diameter.
Pancreas: Visualized portions are unremarkable.
Right Kidney: 10.2 cm in length. No hydronephrosis or renal calculi. Again noted is a 5 mm echogenic focus in the cortex of the midpole, stable compared to the prior examination and likely representing a small angiomyolipoma.
Abdominal aorta: Visualized portions are unremarkable.
Proximal IVC: Visualized portions are unremarkable.
Ascites: None.
IMPRESSION:
Essentially normal right upper quadrant sonogram status post cholecystectomy.
Stable presumed 5 mm right mid pole renal angiomyolipoma. ua micro shoing rbc @ 4 Above high normal, Appearance Turbid AB Abnormal ,Blood 1+ AB Abnormal ,Leukocyte Esterase Positive AB Abnormal everything else normal , what does this mean and what questions or concerns should I ask at follow up
Brief Answer:
Post cholecystectomy syndrome with urinary tract infection
Detailed Answer:
Hi
Welcome to HCM
I appreciate your concern for the pain abdomen and bloating sensation.
I have gone through the problems described in your case followed by the reports of ultrasound and urine analysis.
Your present problem is due to removal of gall bladder which is referred to as post cholecystectomy syndrome.
The bloating sensation and the stomach fullness are due to increased bile flow into the upper gastrointestinal.
The findings of urine analysis are suggestive of urinary tract infection
You are advised to visit your surgeon for proper evaluation may be you need to have liver function tests, CBC, etc.
May be you need to take PPIs for bloating sensation and antispasmodic agents.
A course of antibiotics like Ciprofloxacin is required to treat the urinary tract infection.
Angiomyolipoma do not normally require surgery unless there is life-threatening bleeding.
Since the size of angiomyolipoma is 5 cm it may treatment like embolization to prevent the bleeding.
I hope your doubts have been clarified.
Should you need more information, please feel free to send your queries.
Take care of your health.
Post cholecystectomy syndrome with urinary tract infection
Detailed Answer:
Hi
Welcome to HCM
I appreciate your concern for the pain abdomen and bloating sensation.
I have gone through the problems described in your case followed by the reports of ultrasound and urine analysis.
Your present problem is due to removal of gall bladder which is referred to as post cholecystectomy syndrome.
The bloating sensation and the stomach fullness are due to increased bile flow into the upper gastrointestinal.
The findings of urine analysis are suggestive of urinary tract infection
You are advised to visit your surgeon for proper evaluation may be you need to have liver function tests, CBC, etc.
May be you need to take PPIs for bloating sensation and antispasmodic agents.
A course of antibiotics like Ciprofloxacin is required to treat the urinary tract infection.
Angiomyolipoma do not normally require surgery unless there is life-threatening bleeding.
Since the size of angiomyolipoma is 5 cm it may treatment like embolization to prevent the bleeding.
I hope your doubts have been clarified.
Should you need more information, please feel free to send your queries.
Take care of your health.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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