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Please help

Results of CT Scan

by Lilkcjames, 1 minute
Please help us. We feel that our doctor may be dragging his feet or basically has written of my husband for dead.  Yesterday we received a copy of the CT Abdomen with contrast report. Quoted Impression:
1. Cirrhosis. No liver neoplasm identified
2. Splenomegaly consistent with hypertension. No ascites.
3. Cholelithiasis without CT evidence of acute cholecystitis.
4. Nonobstructing left renal calculus.
5. Sigmoid diverticulosis
6. Anterior pericardial fat 20 x 14 mm nodule consistent with an enlarged lymph node due to inflammation or neoplasticism disease. No additional adenopathy identified. If patient has chest symptoms or if indicated chest cray or CT chest may be helpful to evaluate for lung or chest adenopathy respectively.

My husband has Hepatitis C, undergone Pegasys Treatment which had to be immediately stopped after two weeks as it caused stroke, severe confusion, hypertension and extreme change of behavior. He has been coughing daily, more so at night for past year. Dry cough. Was told it was probably sinuses.   Can you explain what this report says and what your recommendations are?  Hepatologist nurse told us they would see him in six months. I am very concerned.
Avatar_dr_f_tn
Hi, understand your predicament. Your husband has multiple problems. Immediately nothing can be done for cirrhosis other than preventing further injury to the liver and the gall bladder stones may need elective surgery depending on his clinical condition. What is the status of hepatitis C? If he has symptoms like ascites or jaundice or if he is progressing into hepatic encephalopathy, he will need supportive therapy. He will need to be assessed at frequent intervals to monitor his therapy. You will have to discuss the options with your treating doctor. Good luck with his therapy. Regards.
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