Jun 26, 2009
Thyroid Results, 2/26/2009------------------Normal
FT4 0.85 (0.58 - 1.64 ng/dL)
T4 6.9 (6.1 - 12.2 mcg/dL)
TSH 0.94 (0.34 - 5.60 micIU/ml)
Thyroid Ultrasound - re check from last year:-----------------Normal
Right lobe of the thyroid measures 4.6 x 1.8 x 1.5 cm. Left lobe measures 4.6 x 1.7 x 1.7 cm. A small hypoechoic area is present within ithe left lobe of the thyroid measuring 3.6 x 1.5 x 3.4 mm appearing to be unchanged in comparison to the patients prior examination. The size of both lobes of the thyroid appears to be stable in comparison to patient's prior examination.
Misc. bloodwork:---------------Mostly Normal
Hemoglobin AIC (HBAIC) 6.0 (4.0 - 6.0)
Lipase (LIP) 21 (22 - 51 U/L)
Amylase 53 (15 - 145 mIU/mL)
Creatinine 0.7 (0.4 - 1.0 mg/dL)
GFR-AfA >60 (>60)
GFR-Oth >60 (>60)
Satisfactory for evaluation. Endocervical cells present
Negative for intraepithelial lsision or malignancy. Predominance of Coccobacilli consistant with shift in vaginal flora.
Abdomen Complete Ultrasound--------------Looks Great.
The pancreas, common bile duct, liver and spleen are unremarkable. The common bile duct measures 4.1 mm. Spleen measures 9.9 cm. Both kidneys are unremarkable with the right kidney measuring 10.3 and the left measuring 11cm. The aorta and inferior vena cava are unremarkable.
Impression: No difinite abnormality is seen within the abdomen on this examination.
CT Abdomen and Pelvis W Optiray 350, 125 mL.---------------?
1. Lower portions of both lungs zones are normal.
2. The liver shows some slight fatty infiltration, otherwise th liver spleen, gallbladder, pancreas as well as the adrenals are normal.
3. The kidneys are normal. The right kidney is oriented long its horizontal axis, otherwise no hydronephrosis or masses appreciated.
4. There is no retroperitoneal adenopathy, free fluid or ascites in the abdomen or pelvis.
5. There are prominent ovaries bilaterally with low density changes invoving both ovaries. On the left side, the ovary measures about 4 cm x 3cm. On the right side, the ovary measures 3.3 x 3.3 cm. The low density changes could be related to cysts. On the right side, it cannot be separated from the uterus and further ultrasound of the pelvis advised. The patient did have an ultrasound on 2/17/09 which described no significant cyst.
6. The endometrial cavity is irregular showing some areas of focal thickening with fluid. The fundal portion shows more irregular cahnges of the endometrial cavity. This is nonespecific and because of the patients' age again correlation with an ultrasound of the pelvis is advised for further evaluation.
7. The appendix is visualized and is normal and there is no evidence of colonic obstruction.
8. There is some nonspecific distention of the duodenal sweep which is fluid filled. Some of the folds do appear prominaent and could represent some localized duodenitis. If it does this can be further evaluated with a small bowel series, and/or endoscopy.
Next and hopefully last of test are:
July 1st.....UGI o`SBFT-----drink barium for and find out how long it takes to get into and threw small intestines......Nothing by mouth after midnight.
And July 20 th.......US of Pelvis-----drink 32oz. of water 1 1/2 hours before test. This one is hard since I have to go to the bathroom ~ every 30 minutes..............then I'll also get the Mammograghy screening out of the way on the same day.
After all test are in I guess I'll see an OBGYN then.
Well I talked to my Doctor's office today. They want me to have a colonoscopy and or GYN evaluation.
The Upper GI: test was NORMAL to start off with.
The Pelvis w Transvaginal US:
Mid endo thickness: 11.2 mm Ovaries...Right: 3.4 X 1.9 X 3.5 cm Left: 3.8 X 2.1 X 4 cm.
Exam compared to prior pelvic US on 2/17 and CT on 6/24/09. The uterus is of normal size and shape and is midline with endometrial thickness of 11.2 mm in which is not enlarged. There is a small amount of fluid in the endometrium in the lower uterus. There is an echogenic area adjacent in the left of the endometrium and the mid endometrium measuring 0.7 X 0.7 X 0.7 cm and cannot exclude small uterine fibroid. There is left ovarian dominant follicle measuring 2.4 cm. No free fluid is noted in the cul-de-sac.
1) Fluid in the endometrium in the lower uterus. There may be a small uterine fibroid adjacent to the endometrium which is echogenic.
2) Dominant follicle left ovary.
3) Endometrium is not thickened.
I don't know really but I think it all sounds pretty normal??? I like the US results better than the CT.