Liver Transplant Expert Forum
Dr Schiano - Part 2 Cat scan
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Dr Schiano - Part 2 Cat scan


Intrahepatic findings (i.e. ascites, splenomegaly):
Spleen - The spleen measures 12 cm in length, normal. There are
no focal splenic masses.
Ascites - There is no ascites.

Biliary system and pancreas: There is no intrahepatic or extrahepatic
biliary dilatation. The gallbladder is normal. There are no pancreatic
masses or pancreatic ductal dilation.

Kidneys: There is a cortical scar in the upper pole of the left kidney
with a 1 cm focus of dystrophic calcification. The inferior half of the
left kidney is atrophic. Fused supernumerary right kidney (rare
congenital anomaly) is noted.

Adrenal glands: The adrenal glands are normal.

Bones: degenerative changes without destructive lesion.

Lung bases: There is honey combing with sparing of the costophrenic
angles.
IMPRESSION:

MORPHOLOGIC CHANGES OF EARLY CIRRHOSIS. SMALL ESOPHAGEAL VARICES.

HONEY COMBING WITH SPARING OF THE COSTOPHRENIC ANGLES, LIKELY FIBROTIC
NONSPECIFIC INTERSTITIAL PNEUMONITIS GIVEN HISTORY OF SJOGREN'S.
DEDICATED CHEST IMAGING IS RECOMMENDED.





517301_tn?1229801385
definitely see a lung expert--as along as you are asymptomatic i think that you will be fine--could potentially be related to sjorgen's or MTX
2 Comments
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89592_tn?1391278022
I am calling my dr for a referral to a pulmonologist.  I know this bas to be done.  My autoiimmune issues are piling up on me.  I have also read that MTX methotrexate is known to cause liver damage and lung damage.  

Shocked again to get another illness.  

I know honeycombing is not good.  I've never been out of breath at all.  just constant throat clearing.  asked my 5 drs and they've told me its: dehydration,  hernia, gerd, gastritis.and also went an ENT who tod me it was just the sinusitis. I had allergy testing done then. My rheumy checks my lungs all the time and never mentioned crackles...  

Thank you...Paula

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517301_tn?1229801385
Thomas D Schiano, MDBlank
The Mount Sinai Medical Center
New York, NY
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