help explain or any help at all

[txrdmk123]

i have a ct scan which shows there is a lobular soft tissue density in the anterior mediastinum,draped over the anterior portion of the aortic arch,it measures 2.1cm in transverse dimension and most likely to represent  residual thymis tissue ,this amount of thymic tissue would be  unusal for a patient of this age group.the possiblity of thymoma cant not be excluded, tiny focal area of early enhancment in the right lobe liver is not likey to be of clincial sinificance remainder of liver remarkable.there is a 13mm diameter noduleassociated with the right adrenal gland. this has attenuation valves of 22 greater than expected for and adenoma. it may represent  atypical adenoma..also while in hopsital found out i have celiac disease and diverticula,low thyroid. and  i was not informed of any of this til i went to see my regular dr for follow up and asked for copy of ct scan my dr said oh we will rescan in 4 months. had to go get a hida scan done and found out my gall bladder is only fuctioning either 20 or 27%. so i went to surgeron we determined i would have gall bladder out well due to we had to wait for blood work to come back on celiac disease. as i spoke with my gi dr on the celiac disease results i asked about my ct scan come to find out he never seen it or even knew of it . now he read it my gall bladder surgery is on hold and now i have to go to 2 different specialist on the residual thymic tissue and the atypical adonema . what is all this mean. can someone help me to understand all this please.. thank you .

[Mark Lupo, M.D.]

Residual thymus tissue is common - and likely more common in patients with autoimmune disease (sounds like you have celiac and hashimoto's - hypothyroid).  The adrenal adenoma has a higher score on the "houndsfield units" than average but is small.  The first step there is to see an endocrinologist to test adrenal function and if normal, likely repeat the CT in 3 months to make sure it is not growing.  Usually with thymus concerns, we also do follow-up CT as well.

[txrdmk123]

i have seen the endocrinoligist. my tumor is about half a centerneter. my right side of my thyroid is swollen he sent me for some test the first part of the test come back but to the 2nd part the lab messed up on so have to redo it before i can have the 2nd part of the lab work done. but i dont understand any of it. ill try and post results from first part to see maybe you can help explain. thank you again

[txrdmk123]

thank you for your help yes i do have celiac disease i go tomorrow to see the endocrinologist. i appreciate the time and help, i was reading on some of the possiblilties and i do have the sysptoms of them. so now just have to wait and see what drs say . thank you again