MRI Reports: Addressing Concerns About Abdominal Symptoms - Radiology

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MRI report issues


Hello, doctor.
I started experiencing abdominal discomfort in April of last year and visited various gastroenterology clinics due to persistent symptoms.
Eventually, I sought treatment at a large hospital because I was concerned about potential issues with my internal organs, particularly the pancreas.
In January of this year, I underwent a self-paid MRI with contrast, and the report indicated no major problems (it noted cysts on the liver and kidneys, which the doctor explained as simple fluid-filled sacs that do not require treatment).
My symptoms have somewhat improved (the abdominal discomfort has lessened, but I still experience a burning sensation that often extends from the left side of my abdomen to my left lower back, occasionally accompanied by mild pain).
I would like to inquire whether I should be concerned about the possibility of internal organ tumors.

bowkaka, 30~39 year old female. Ask Date: 2022/04/29

Dr. Wang Yifen reply Radiology


Hello, the diagnosis of diseases does not rely solely on imaging examinations; it also requires consideration of clinical symptoms, laboratory tests, family history, personal lifestyle habits, and other relevant information.
Even though various imaging studies are non-invasive, their diagnostic accuracy can be influenced by the nature of the lesions, patient cooperation, body composition, and the conditions during scanning, making it impossible to achieve 100% accuracy.
Therefore, physicians must analyze and assess clinical signs and all test data to determine whether additional diagnostic tests are necessary.
If your symptoms persist without improvement, it is advisable to visit the relevant specialty clinic for further evaluation and treatment by a physician.
Please take this into consideration, and I wish you peace and good health.

Reply Date: 2022/04/29

More Info


Understanding MRI reports and addressing concerns about abdominal symptoms can be quite complex, especially when symptoms persist despite seemingly normal imaging results. Based on your situation, it’s important to consider several factors when interpreting MRI findings and correlating them with your ongoing symptoms.

Firstly, the MRI report indicated no major issues, which is a positive sign. The presence of cysts in the liver and kidneys, as noted in your report, is often benign and can be common findings in many individuals. These cysts are typically fluid-filled sacs that do not require treatment unless they cause symptoms or complications. Your physician's reassurance about these findings is consistent with standard medical practice.

However, your ongoing symptoms, particularly the burning sensation and mild pain in the left side of your abdomen extending to your back, warrant further investigation. While the MRI did not reveal any significant abnormalities, it is crucial to remember that imaging studies like MRI are just one part of the diagnostic puzzle. They do not always capture functional issues or less visible conditions that might be causing your symptoms.

Given that your symptoms have improved somewhat but still persist, it may be beneficial to explore other potential causes. For instance, conditions such as gastritis, peptic ulcers, or even functional gastrointestinal disorders like irritable bowel syndrome (IBS) could lead to similar symptoms. Additionally, issues related to the musculoskeletal system, such as muscle strain or nerve irritation, could also manifest as abdominal pain or discomfort.

It is also essential to consider the possibility of referred pain, where discomfort in one area of the body is perceived in another. The pancreas, for example, can sometimes cause pain that radiates to the back, and while your MRI did not indicate pancreatic issues, it may be worth discussing with your physician whether further evaluation of the pancreas or related structures is necessary.

If your symptoms continue or worsen, it would be prudent to follow up with your healthcare provider. They may recommend additional tests, such as an endoscopy or further imaging studies, to rule out any gastrointestinal conditions that might not have been visible on the MRI. Moreover, a thorough review of your medical history, lifestyle factors, and any accompanying symptoms (like changes in bowel habits, weight loss, or appetite changes) will provide your doctor with a clearer picture to guide further management.

In summary, while your MRI results are reassuring, the persistence of your symptoms suggests that further evaluation may be necessary to identify the underlying cause. Engaging in an open dialogue with your healthcare provider about your concerns and symptoms will be key in determining the next steps in your care. Remember, your health is a priority, and addressing these symptoms comprehensively is essential for your well-being.

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