Your CT Report: Insights on Abdominal Findings and Concerns - Gastroenterology and Hepatology

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Interpretation of CT Report


Hello Dr.
Chen, could you please help me understand the meaning of this report? It seems to mention thickening of the stomach wall; what does that mean? Is the issue serious? Could it be something concerning? I'm a bit worried about some liver and gallbladder problems.
Thank you.
CT-WHOLE_ABDOMEN_WITH+WITHOUT CONTRAST
Non-enhanced and Enhanced CT of Abdomen:
- Protocol Contrast enhancement: Non-ionic, Ultravist 350
- Mode: helical scanning
- Gantry angle: 0 degrees
- Slice thickness: 7 mm
- Scan range: whole abdomen
- Contrast injection rate: 2 mL/sec
Impression:
- Fluid accumulation in the gallbladder fossa.
- Liver cysts.
- No ascites or free air.
- No enlarged lymph nodes found.
- No discernible renal or ureteral stones or hydronephrosis.
- No discernible fractures in this study.
Recommend clinical correlation and follow-up.
- Many fecal matters in the bowel (poor preparation of colon).
Subtle bowel lesions can't be well evaluated in this study.
- Normal bowel gas pattern.
- Wall thickening of the non-distended stomach.
Recommend clinical correlation and endoscopy follow-up.
- The remainder are non-specific findings.
Recommend clinical correlation and follow-up.
Normal:
- Abnormal: +
- Danger: -

U, 40~49 year old female. Ask Date: 2024/01/04

Dr. Chen Shidian reply Gastroenterology and Hepatology


In simple terms, aside from some abnormal fluid accumulation around the gallbladder, there are no significant findings, and further assessment will be based on the clinical physician's judgment (such as whether there is any abdominal pain...).

Reply Date: 2024/01/04

More Info


Understanding your CT report can indeed be a source of anxiety, especially when it involves findings related to the abdomen. Let's break down the key points from your CT report and address your concerns regarding the thickening of the stomach wall and other findings.


Key Findings from the CT Report:
1. Fluid Accumulation in the Gallbladder Fossa: This could indicate a variety of conditions, including inflammation or infection. It is important to correlate this finding with any symptoms you may be experiencing, such as pain or jaundice.

2. Liver Cysts: These are generally benign and often do not require treatment unless they cause symptoms or complications. It's essential to monitor them through follow-up imaging if recommended by your physician.

3. No Ascites or Free Air: This is a positive finding, indicating that there is no excess fluid in the abdominal cavity or perforation of any hollow organs, which can be serious.

4. No Enlarged Lymph Nodes: This is another reassuring sign, as enlarged lymph nodes can sometimes indicate infection or malignancy.

5. Normal Renal and Ureteral Findings: The absence of stones or hydronephrosis (swelling of a kidney due to a build-up of urine) is a good sign for kidney health.

6. Wall Thickening of the Non-Distended Stomach: This is a point of concern. Thickening of the stomach wall can be due to various reasons, including inflammation, infection, or even malignancy. The report recommends clinical correlation and possibly an endoscopy for further evaluation. This is crucial because it allows for direct visualization of the stomach lining and can help in obtaining biopsies if necessary.

7. Many Fecal Matters in the Bowel: This suggests that the bowel preparation for the CT scan was not optimal, which can obscure subtle lesions. It may require further imaging or a different approach to ensure that any potential issues are adequately evaluated.


Recommendations:
- Clinical Correlation: This means that your healthcare provider will consider these findings in the context of your symptoms, medical history, and physical examination. If you have symptoms like abdominal pain, nausea, or changes in appetite, it's essential to discuss these with your doctor.

- Follow-Up: The report suggests follow-up imaging or procedures, particularly for the stomach wall thickening. An endoscopy can provide more detailed information and help rule out serious conditions.


Addressing Your Concerns:
It's understandable to worry about the implications of these findings, especially regarding the stomach wall thickening. While it can be associated with serious conditions, many cases are benign and related to inflammation or infection. The key is to follow up with your healthcare provider, who can guide you through the next steps based on your specific situation.

In summary, while there are some findings that warrant further investigation, many aspects of your CT report are reassuring. The best course of action is to maintain open communication with your healthcare provider, who can help you navigate these findings and determine the appropriate next steps. Remember, early detection and intervention are crucial in managing any potential health issues effectively.

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