Previous Day I Get My Ncct Scan Report. There Is

Posted on Thu, 9 Jan 2020

Question: previous day i get my ncct scan report. There is a point which i can not under stand. The report is-(multiple small as well as enlarged lymph nodes are seen in mesentry and omentum. lobulated soft tissue lesion of heterogenous attenuation measuring~ 40*27 mm is seen inomentum? lymphnoidal. No evidence of loculated of freefluid is seen.)

Answered by Dr. Bhagyesh V. Patel (49 minutes later)

Brief Answer:
infection, benign/malignant issues of various types, needs symptoms details

Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query with attached report and here is my answer.

* As per my surgical experience, there are various reasons for multiple
enlarged lymph nodes involving mesentery and omentum as infection,
inflammation, benign or malignant conditions of intestines or other intra
abdomen organs.

To arrive at a narrower differential diagnosis, I require all details of symptoms here to co relate in more sound way.
Please provide me following information during follow up conversation

1. Details of all current symptoms.
2. Any vomiting, alteration in bowel habits, distension of abdomen ?
3. Associated weight alteration, fever if any ?
4. Details of other investigations as lab reports or else if available ?
5. List of other medications if any apart from pankreoflat ?

Awaiting for your response.
Regards.

Dr Bhagyesh ( MS consultant surgeon )

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhagyesh V. Patel (3 hours later)

sir, please reply

Follow up: Dr. Bhagyesh V. Patel (6 minutes later)

I had pancreatitis during my pregnancy. on 19/08/2019 i gave birth via sizer. after 3 month my all report are ok.
2. no vomiting, no pain
3.no fever, constant weight

Answered by Dr. Bhagyesh V. Patel (1 minute later)

Brief Answer:
liver enlargement from underlying infection and body response to it.

Detailed Answer:
Hi
Thanks for the rest of the reports of blood and ultrasound examination.

* There is liver enlargement which is again secondary to underlying infection
and body response to the same most likely.

So would you please narrate symptoms details please for further correspondence ?
Thanks.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Bhagyesh V. Patel (2 days later)

No vomiting,no fever,no pain in abdomen.constant weight.no problem till now.now tell me treatment procedures

Answered by Dr. Bhagyesh V. Patel (14 minutes later)

Brief Answer:
needs antibiotic therapy

Detailed Answer:
Hi
Thanks for the details.

* Usually the lymph node enlargement of narrated size is not present once the
infection is resolved.

That suggests that you have minor component of infection inside intestines and for which antibiotics course is required.

After a period of around 3-4 weeks duration therapy with antibiotics , if the follow up scan shows regression of the lymph nodes it is quite fine and responsive therapy ; if the size of lymph node remains same then laparoscopy and biopsy may be a need of future.

Must discuss the issue in details with treating physician as well.
Hope this information will help you for sure.

Regards.
Dr Bhagyesh

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Bhagyesh V. Patel (10 minutes later)

One thing I forgot that I have little bit breathing problems