Can anyone help me to understand the results of my radilogy report?

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I Gotta Go
Regular Member


Date Joined Sep 2007
Total Posts : 44
   Posted 9/11/2007 3:26 PM (GMT -7)   
I had a CT scan of my abdomen about a week ago and below is the radiology report of the scan that I just got in the mail yesterday. I'm not sure what it is saying. Does anyone speak Medicalese? I'll mark each paragraph with a number and please tell me, if you can, what it's saying. One thing to note, due to the fact I am allergic to iodine dye I could not have that type of CT scan. Instead I had to drink this 1000 ml bottle of cherry flavored "dilute water-soluble oral contrast" that would do the next best thing. Here you go:


UPPER ABDOMEN: The lung bases and imaged pleural spaces appear normal.

1) There is a focal area of low attenuation lying adjacent to the intrahepatic cava, best seen in image 14. This not fully characterized and measures approximately 1 cm. The remainder of the hepatic parenchyma, spleen, and pancreas are poorly imaged though felt grossly normal. The gallbladder is present.

2) No adrenal lesions are seen. There is a single calyceal stone on the right measuring approximately 2 to 3 mm. None on the left. There is no hydronephrosis or perinephric stranding. Ther are no calcifications seen along the course of the proximal ureters. There is no hydroureter.

3) No bulky adenopathy or mass is identified, and no free air or ascites is seen. The remainder of the exam is limited due to lack of intravenous contrast but felt grossly normal.

4) PELVIS: No pelvic massess, adenopathy, abnormal fluid collections, or focal inflammatory changes are seen. Small, fat-containing left hernia is felt to be present.

5) IMPRESSIONS:
1- Small right-sided calyceal stone.
2- 1-cm focus on low attenuation involving the liver, not fully characterized.
3- Small, fat-containing left inguinal hernia.

________________________________________________________________________

Other than I have the beginnings of a healthy, bouncing baby kidney stone (which I had no idea it was there) rearing its ugly head to the world, and for me to endure, what does this all say about my guts?

By the way, if it is "poorly imaged," how can the radiologist say, "felt grossly normal"?

Keriamon
Veteran Member


Date Joined Jun 2005
Total Posts : 2976
   Posted 9/11/2007 3:56 PM (GMT -7)   
Sounds like you look pretty good to me. You can always call your doctor's office and speak with him or his nurse about what all this means to be absolutely sure, though.

"Felt grossly normal" should mean that the person conducting the test didn't feel anything wrong with you when touching you. A doctor would have to give you a proper feel over ("gross" is just "general"), but people who do ultrasounds and things like that can usually feel very obvious swellings, enlargements, hardening and stuff like that. They know how squishy you should feel and can tell when you're not as squishy as the other people they normally touch.

I Gotta Go
Regular Member


Date Joined Sep 2007
Total Posts : 44
   Posted 9/11/2007 4:08 PM (GMT -7)   
Keriamon said...
Sounds like you look pretty good to me. You can always call your doctor's office and speak with him or his nurse about what all this means to be absolutely sure, though.

"Felt grossly normal" should mean that the person conducting the test didn't feel anything wrong with you when touching you. A doctor would have to give you a proper feel over ("gross" is just "general"), but people who do ultrasounds and things like that can usually feel very obvious swellings, enlargements, hardening and stuff like that. They know how squishy you should feel and can tell when you're not as squishy as the other people they normally touch.


I don't know how the radiologist can say it felt grossly normal when they didn't even examine/touch me.

Sarita
Veteran Member


Date Joined Mar 2005
Total Posts : 2486
   Posted 9/11/2007 5:45 PM (GMT -7)   

The radiologist might have just put that in there based on the exam your referring doctor did.  Overall, you're looking pretty good, with the exception of that one kidney stone (may or may not cause problems in the future), an inguinal hernia (very common), and that area of low attenuation.  That could be a lot of different things, some more benign than others, but they had trouble telling what it was because you didn't have the contrast. 

What they didn't see was inflammation of the intestines or any gallstones, which is good. 


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