Hello from ja
Can you enter chat and respond?
Mild splenomegly is not specificgt
Hi, yes. DId you receive my questionn?
Not very meaning ful
Lymph nodes that are reactive means to inflammation or infection.
Or a virus
It is also not definitive of anything serious.
Is that usually something to worry about?
what is your age?
Even less likely to be serious
I used to drink socially, but I do not drink anymore
So far no problems here, any abnormal labs?
Nope, had cbc and liver and pancreas tests and all normal
where is the pain exactly
All blood tests have been normal
The pain has been on and off for two years....upper right abdomen...more of a dull ache that can radiate to back at times. It is not very painful...more annoying than anything
That can be gastritis or duodenitis
Did the GI doctor suggest a scope?
Yeah, I am getting I believe it is called an endoscope at end of month
That is the next step
Might have an ulcer or gastritis
you should also be checked for h pylori, the ulcer bug.
I am just worries about these lymph nodes being "minimally prominent"....
Would not at all worry about the CT findings at this point.
Stomach does burn at times so ulcer would not be a surprise
ulcer more likely
H pylori can even upset digestion.
That is more likely
I do not feel like I have an infection that is what bothers me about the prominent lymph nodes
Prominent nodes [minimally prominent] are not really meaningful as I said.
That is not pathological.
Ok so you do not think it would be anything like lymphoma or caner
You would have had other findings
don't worry about it
Okay. Also, why would my spleen be enlarged?
It says there is " no visible intrasplenic mass"
Mild can be overestimated ..it can be normal for you...without liver disease or other abnormalities like anemia...no cause
A cause would have showed up on exam and testing
Your CT findings are not definitive
What does not definitive mean?
No indication of disease
You have no other findings
Okay, that is good.
No illnesses that give an enlarged spleen.
It probably means the size is over estimated.
Okay. And I should not worry about the lymph nodes...that is just scary to read
that is why they said reactive
Oh reactive means not cancer
Okay. I really appreciate it. Are you and MD that specializes in gastroenterology?
I am a board certified internist: GI is our sub-specialty; I am also board certified in integrative medicine, with advanced training in functional GI disorders.
Use reply to let me know if you have further questions.
Please do not forget a positive rating.
Of course I will give positive rating...one more question
If reactive means it is not cancer, what would it have said if possible cancer on report?
It would have said possible malignancy and further investigation needed.
Okay. Thank you. You will get a positive rating from me. So otherwise the impression you read meant that pretty much everything is okay and normal.
with the lack of any other findings
I would pursue the scope
Can i ask one more question please?
This was not written in the impression, but in the findings. It says "there is a 0.2 cm non calcified nodule in the posterior left lower lobe; the Fleischner Society has not established any guidelines for follow up of nodules of this size in patients under the age of 35 as these nodules are typically post infectious/postinfammatory in nature." This kind of worries me too =(
common finding, no significance
that is why it was not even mentioned
Okay. I though it was a tumor or something =(
I know you are a doctor and hear this stuff a lot, but to people like me who do not understand this stuff it is very scary and I think some doctors forget that. We do not mean to be pains in the rear, but we just do not know and we get scared with all these big words. I do appreciate your help. You have eased my mind and I will probably sleep better tonight
you are welcome anytime
Have a good night. I will give excellent rating