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Pet Scan Results: there are multiple prominent and mildly…

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Pet Scan Results: there are multiple...
Pet Scan Results:
there are multiple prominent and mildly enlarged mediastinal lymph nodes with hypermatabolism, for example a SUBCARINAL 2.0 X 1.1cm with suv of 4.5 and a premarital node measuring 1.1 X 0.9 cm with suv 6.0.IMPRESSION;
Multiple prominent and mildly enlarged mediastinal lymph nodes with hyper metabolism suv 6.0. The differential diagnosis includes inflammatory and neoplastic etiologies. Consider tissue diagnosis.question is if I make sense is I looked up the stages of lymphoma and has by the above moved to the sucarinal and premarital (I have no idea where that is in the mediastinal) means it has spread to more than one area and means it is a a later stage than 1 and 2.
Submitted: 9 months ago.Category: Oncology
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Answered in 13 minutes by:
9/11/2017
Oncologist: DocPhilMD, Medical Doctor replied 9 months ago
DocPhilMD
DocPhilMD, Medical Doctor
Category: Oncology
Satisfied Customers: 59,398
Experience: Internal Medicine Doctor
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Hi, this is Dr Phil, here to assist you. I am Board Certified with over 10 years of experience. I will respond with my answer shortly. Thank you.

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Oncologist: DocPhilMD, Medical Doctor replied 9 months ago

why was the test done?

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Customer reply replied 9 months ago
I had fever and my internist thought I had Plymonia in the lungs because four days before I had an upper endiscooy and colonoscopy. All was fine. I took X-ray and the techinucan ordered a cat scan with contrast and saw water in pericardial and some in my heart. Ordered pet scan. Had an echocardiogram and everything is fine in heart and they beluve the water is not that much
Customer reply replied 9 months ago
Do what is your answer to my questions. Tuesday is my biopsy.
Customer reply replied 9 months ago
Please any answer
Oncologist: DocPhilMD, Medical Doctor replied 9 months ago

It could just be infection

especially if you have fever

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Customer reply replied 9 months ago
Did you read the impression of the report. The lymph nodes took the deactivate glucose
Customer reply replied 9 months ago
With the pet scan
Oncologist: DocPhilMD, Medical Doctor replied 9 months ago

Yes I read it. It said it could be "inflammatory" meaning related to infection

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Customer reply replied 9 months ago
Their also mentioned neoplastic etiologiies which means suspect cancer . Then why was the intake of sugar on pet scan on some lymph nodes SUV 6.0
Oncologist: DocPhilMD, Medical Doctor replied 9 months ago

I realize that is a possibility

but with fever and signs of infection it seems more likely to be infection

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Customer reply replied 9 months ago
Also, their impression: there is a moderate pericardial effusion without hyper metabolism, demonstrating SUV 6.1 There are moderate bilateral pleural effusions without hypermetabolism.
Customer reply replied 9 months ago
There is compressive atelectasis I both lungs. that is all
Oncologist: DocPhilMD, Medical Doctor replied 9 months ago

I understand

I'm hoping for the best

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Customer reply replied 9 months ago
the lung compressive is not concerning and the SUV of the pet scan of 6.0 and 6.1 is considered high
Oncologist: DocPhilMD, Medical Doctor replied 9 months ago

Not really. No.

they call atelectasis on xrays and CT scans all the time

doesn't mean much

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Customer reply replied 9 months ago
Wharton about the SUV of 6.0 etc by the pet scan of lymph nodes
Oncologist: DocPhilMD, Medical Doctor replied 9 months ago

wharton?

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Customer reply replied 9 months ago
Wharton was suppose to be "what about about the SUV of 6.0 etc if the lymph nodes." That is not good
Oncologist: DocPhilMD, Medical Doctor replied 9 months ago

It could be from both issues

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Customer reply replied 9 months ago
Which issues please
Oncologist: DocPhilMD, Medical Doctor replied 9 months ago

cancer and infection

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Customer reply replied 9 months ago
Please we went into a different direction. Read my first question. That is what I wanted answered. I am copy and pasting here againquestion is if I make sense is I looked up the stages of lymphoma and has by the above moved to the sucarinal and premarital (I have no idea where that is in the mediastinal) means it has spread to more than one area and means it is a a later stage than 1 and 2.That is the question if possible to help me on. You just ignited it and ask why was it done, etc
Customer reply replied 9 months ago
Read the impression and then my question as I copied and paste
Customer reply replied 9 months ago
Read the first thing I write and asked the question??
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