Last year I had a CT Pelvis w/ contrast, Examination: CT abdomen and pelvis evaluation. I just finished treatment for HCV last month. Test was ordered for elevated AST/ALT despite viral load undetectible. Liver Bx done last year was not bad. Note the following:
1)Impression: In the upper abdomen, nonspecific subcentimeter lymph nodes are noted in upper mesentery with mild infiltration surrounding porta hepatis and periceliac regions. These findings are likely reactive.
Findings: Esophagus: Air in distal esophagus likely related to reflux. Several nonspecific subcentimeters cardiophrenic lmyph nodes.
Mesentery and Omentum: Multiple subcentimeter lymph nodes are noted in the gastrohepatic, paraceliac axis, and portacaval spaces; this is likely a nonspecific finding. Minimal additional infiltration in the porta hepatis and surrounding the celiac axis, also likely a nonspecific finding. There is no evidence of infiltration and/or adenopathy in the remainder of the mesentery.
Retroperitoneum: Scattered subcentimeter upper retroperitoneal lymph nodes without adenopathy.
1) Are there any swollen lymph nodes and/or anything of concern?
2) What is subcentimeter lymph nodes? Is this a common/normal finding.
3) Please note Impression, above. What causes mild infiltration and what is it? (lymphocytes??). What does "these findings are likely reactive", mean?
4) Mesentery and Omentum: What is, "likely a nonspecific finding", mean? Are other parts of the Mesentery indeed infiltrated with adenopathy??
5) Anything noted that should and/or would prompt futher investigation.
Without seeing your scans, the report sounds like there are some non specific changes ie nothing definitely suggesting a worrying disease process. It is not uncommon to see small lymph nodes and we use size as a rough guide as to whether they are likely to be involved in any pathologocal process. This however is not an absolute guarantee but can be used in conjunction with other information to assist with diagnosis or the need for further information or perhaps just to be a basis to monitor such findings, if appropriate.
However, the reason you had the scan was to look for a cause for elevated liver enzymes and the potential list is very long and many can't be detected by imaging. It is therefore going to be the decision of your gastroenterologist as to the further management of your condition.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.