Examination Report
Pre- and post-contrast CT imaging of the aorta was performed from the lower neck to the pelvis.
Coronary imaging of the chest was completed.
The findings are as follows:
* A low-density lesion in the liver segment 7, approximately 9.9 mm in diameter, exhibiting peripheral enhancement, suggestive of a hemangioma.
* Hepatic steatosis is noted to be heterogeneous.
* Coronary artery calcification is present.
* No enlarged lymph nodes (short axis greater than 10 mm) were found in the mediastinum or other visible areas.
* No evidence of cardiac enlargement or pleural effusion.
* The spleen, pancreas, and bilateral kidneys appear normal.
* Bilateral adrenal glands are within normal limits.
* No clear evidence of lytic or sclerotic bone lesions.
* No significant lesions in the abdominal wall or chest wall.
Impressions:
1.
A hepatic hemangioma in segment 7 of the liver.
2.
Heterogeneous fatty liver.
3.
Coronary artery calcification.
Clinical correlation and follow-up are recommended.
Zhang, 40~49 year old female. Ask Date: 2024/02/28
Dr. Wu Xueming reply Cardiology
The report you provided indicates that there is calcification in the coronary arteries.
To determine if there is any coronary artery stenosis, further tests are required.
As for issues related to other organs, please consult with specialists from other departments.
Reply Date: 2024/02/28
More Info
Understanding your cardiovascular imaging report can be daunting, especially when it contains various medical terminologies and findings. Let's break down the key findings from your imaging report in simpler terms.
Key Findings Explained:
1. Liver Lesion: The report mentions a low-density lesion in the liver, specifically in segment 7, measuring about 9.9 mm in diameter. The description of this lesion indicates that it shows peripheral enhancement, which is often suggestive of a hemangioma, a benign tumor made up of blood vessels. While this finding is generally not concerning, it is essential to follow up with your healthcare provider for further evaluation and monitoring.
2. Fatty Liver: The report notes "uneven fatty liver." This condition, known as hepatic steatosis, occurs when excess fat builds up in the liver. It can be associated with various factors, including obesity, diabetes, and high cholesterol. While mild fatty liver may not cause significant issues, it can progress to more severe liver disease if not managed properly. Your doctor may recommend lifestyle changes, such as diet and exercise, to help manage this condition.
3. Coronary Artery Calcification: The report indicates the presence of calcification in the coronary arteries. This finding is significant because it suggests that there may be a buildup of plaque (fatty deposits) in the arteries, which can lead to coronary artery disease (CAD). The presence of calcification is often used as a marker for cardiovascular risk, and it may warrant further investigation or monitoring, especially if you have risk factors such as high cholesterol, hypertension, or a family history of heart disease.
4. No Enlarged Lymph Nodes: The report states that there are no enlarged lymph nodes in the mediastinum or other visible areas, which is a positive finding. Enlarged lymph nodes can sometimes indicate infection or malignancy, so their absence is reassuring.
5. No Heart Enlargement or Pleural Effusion: The report confirms that there is no enlargement of the heart or fluid accumulation in the chest cavity (pleural effusion). This is a good sign, as it suggests that your heart is functioning well and that there are no immediate concerns regarding heart failure or other serious conditions.
6. Normal Appearance of Other Organs: The spleen, pancreas, and both kidneys appear normal, which is also a positive finding. Additionally, the adrenal glands are within normal limits, indicating that there are no abnormalities in these areas.
7. No Evidence of Bone Lesions: The report mentions that there is no clear evidence of osteolytic (bone-destroying) or osteosclerotic (bone-hardening) lesions, which is reassuring as it suggests that there are no significant bone-related issues.
Recommendations:
Given these findings, it is crucial to discuss them with your healthcare provider. They may recommend follow-up imaging or additional tests to monitor the liver lesion and assess your cardiovascular health further. Lifestyle modifications, such as a healthy diet, regular exercise, and managing risk factors like cholesterol and blood pressure, may also be advised to improve your overall health and reduce the risk of cardiovascular disease.
In summary, while there are some findings that require attention, many aspects of your report are reassuring. Regular follow-ups and open communication with your healthcare provider will be essential in managing your health effectively.
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