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Gastroenterology (Expert Forum)
Thing on CT scan
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
Thing on CT scan
by cheesie_67, Aug 16, 2005 12:00AM
I had a kidney removed due to chromophobe renal carcinoma. During the work up they found a mass next to my esophagus described as follows:
"There was also ill-defined hypodense tissue along the
right posterolateral apsect of the esophagus from the
level of the aortic arch down to the esophageal
hiatus, measrunig up to 18x25mm in axial dimensions."
Later:
"Also, there was somewaht tubular hypodense material
along the right posterolateral edge of the esopphagus
within the posterior mediastinum as described. This
is nonspecific and could be adenopathy.
I have serval questions. First, what is the approximate distance along the esophagus between the aortic arch and the esophageal hiatus? Also, I understand that one thing this could be is cancer. Does cancer grow like this (in a tube along the esophagus)? Is there something else that this can be given the description and location?
I have not noticed any problems with my chest or my throat.
Thanks,
Tom
This is being followed up with another CT in a couple of weeks.
"There was also ill-defined hypodense tissue along the
right posterolateral apsect of the esophagus from the
level of the aortic arch down to the esophageal
hiatus, measrunig up to 18x25mm in axial dimensions."
Later:
"Also, there was somewaht tubular hypodense material
along the right posterolateral edge of the esopphagus
within the posterior mediastinum as described. This
is nonspecific and could be adenopathy.
I have serval questions. First, what is the approximate distance along the esophagus between the aortic arch and the esophageal hiatus? Also, I understand that one thing this could be is cancer. Does cancer grow like this (in a tube along the esophagus)? Is there something else that this can be given the description and location?
I have not noticed any problems with my chest or my throat.
Thanks,
Tom
This is being followed up with another CT in a couple of weeks.
Doctor's Answer
by Kevin Pho, MD, Aug 16, 2005 12:00AM
, Aug 16, 2005 12:00AM
The esophageal hiatus is an opening in the diaphragm that allows the esophagus to pass through into the abdominal cavity.
The distance from this to the aortic arch would vary from patient to patient. The relation of the esophagus to the aortic arch can be seen in this diagram:
http://www.hawaii.edu/medicine/pediatrics/pemxray/v6c19g.jpg
Cancer can present in several ways - so the location and onset of the symptoms may be representative of cancer. Enlarged lymph nodes are also possible.
Normally, under the radiologist's impression (found in the x-ray report), there will be possibilities of the hypodense lesion that the radiologist thinks should be considered.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
The distance from this to the aortic arch would vary from patient to patient. The relation of the esophagus to the aortic arch can be seen in this diagram:
http://www.hawaii.edu/medicine/pediatrics/pemxray/v6c19g.jpg
Cancer can present in several ways - so the location and onset of the symptoms may be representative of cancer. Enlarged lymph nodes are also possible.
Normally, under the radiologist's impression (found in the x-ray report), there will be possibilities of the hypodense lesion that the radiologist thinks should be considered.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
