Should You See a Doctor for Liver and Kidney Scan Results? - Gastroenterology and Hepatology

Share to:

Do I need to see a doctor?


The CT scan report of your father indicates: Apical fibrosis in both lungs; otherwise, the remaining lung is clear.
There are left renal stones, a calcified spot in the liver, calcification of the coronary arteries, and a small cyst on the spleen.
Should we be concerned about any serious issues, and does he need to go to the hospital for further examination? Thank you!

joey, 30~39 year old female. Ask Date: 2009/05/08

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello,
Lungs: There may be fibrosis due to pneumonia, often a result of scarring from old pulmonary tuberculosis.

Kidneys: Right kidney stone; if symptomatic, seek care from a urologist.

Liver: Calcifications may also indicate intrahepatic stones; if asymptomatic, no treatment is necessary.

Coronary arteries: Calcification is often a result of aging.

Spleen: Cyst, also known as a fluid-filled sac, is not of major concern.

Wishing you good health,
Dr.
Chi-Feng Chen, Taoyuan Hospital, Department of Health.

Reply Date: 2009/05/08

More Info


Based on the details provided in your father’s CT scan report, there are several findings that warrant further discussion and possibly additional evaluation. Let's break down the findings and their implications:
1. Apical Fibrosis in Both Lungs: This finding suggests that there may be some scarring or fibrosis at the apex (top) of both lungs. While apical fibrosis can be benign and associated with conditions like old infections or environmental exposures, it can also indicate more serious lung conditions. It is important to correlate this finding with any symptoms your father may be experiencing, such as shortness of breath, chronic cough, or any history of lung disease.

2. Left Renal Stones: The presence of renal stones (kidney stones) can lead to significant discomfort and complications, such as obstruction or infection. If your father is experiencing pain, hematuria (blood in urine), or any urinary symptoms, it would be advisable to consult a urologist for further evaluation and management. Depending on the size and location of the stones, treatment options may vary from conservative management to surgical intervention.

3. Liver Calcified Spot: A calcified spot in the liver can be due to a variety of reasons, including previous infections (like hepatitis), benign lesions, or even malignancies. It is essential to evaluate the clinical context of this finding. If your father has a history of liver disease or elevated liver function tests, further imaging or follow-up may be necessary to rule out any serious conditions.

4. Coronary Artery Calcification: This finding indicates the presence of calcified plaques in the coronary arteries, which can be a sign of atherosclerosis (hardening of the arteries). It is a risk factor for cardiovascular disease, and it would be prudent for your father to discuss this with his primary care physician or a cardiologist, especially if he has risk factors such as hypertension, diabetes, or a family history of heart disease.

5. Small Spleen Cyst: Spleen cysts are often benign and may not require treatment unless they are symptomatic or significantly large. However, it is still important to monitor this finding, especially in the context of other health issues.

Given these findings, it is advisable for your father to follow up with his healthcare provider. They can provide a comprehensive assessment of the CT results in the context of his overall health, medical history, and any symptoms he may be experiencing. It may also be beneficial to get referrals to specialists, such as a pulmonologist for the lung findings, a urologist for the kidney stones, and a cardiologist for the coronary artery calcification.

In conclusion, while some of these findings may not be immediately alarming, they do warrant further investigation and monitoring. It is always better to err on the side of caution and seek professional medical advice to ensure that any potential issues are addressed promptly. Your father's health and well-being should be the priority, and open communication with his healthcare team will be crucial in managing his conditions effectively.

Similar Q&A

Understanding Hematuria: When to Worry and Next Steps

Hello Doctor: In May, I had a health check-up for healthy adults, which showed a positive/negative result for occult blood. Yesterday, I had a urine test, and the result was the same. I later consulted a urologist, who said that my kidney function and liver function are normal, a...


Dr. Chen Sirong reply Oncology
Cindy / 40 years old / Female 1. The urine test report only shows trace blood, and everything else is normal. So, I was advised to continue regular monitoring. Doctor, do I really not need further tests? A: That's correct. If it remains the same after three months, the phys...

[Read More] Understanding Hematuria: When to Worry and Next Steps


Understanding Urine and Stool Test Results: When to See a Family Doctor

Recently, I underwent a health check-up due to work requirements, and the test results showed positive reactions for proteinuria and fecal occult blood. Should I see a family medicine doctor, or which specialist should I consult? I have read online that the symptoms associated wi...


Dr. Chen Yuchao reply Family Medicine
The health check report shows positive reactions for proteinuria and fecal occult blood. Please schedule a follow-up examination and treatment with a family medicine physician.

[Read More] Understanding Urine and Stool Test Results: When to See a Family Doctor


Understanding Abnormal Blood and Urine Test Results in Liver Health

In the year 2012, a health check-up was conducted, and the results suggested the following follow-up: weight loss (44 kg/160 cm), low white blood cell count, positive urine protein, weakly positive urine ketones, positive urine bilirubin, elevated liver function indices (GPT), el...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: 1. For chronic hepatitis B carriers with abnormal liver function, regular follow-up is necessary. 2. If there are symptoms of jaundice, such as intermittent high indirect bilirubin, it may sometimes be necessary to check for hemolytic anemia, G6PD deficiency, and other con...

[Read More] Understanding Abnormal Blood and Urine Test Results in Liver Health


Should I See a Nephrologist After Urology Tests for Abdominal Pain?

I have lower abdominal pain and bilateral flank pain, along with a feeling of pressure and discomfort. I went to see a urologist, who performed a urinalysis and an ultrasound of my bladder and kidneys, indicating that there are no issues related to their specialty. I would like t...


Dr. Xu Weikai reply Urology
Hello, urology and nephrology are different specialties; one is internal medicine focused on the kidneys, while the other is surgery related to the kidneys.

[Read More] Should I See a Nephrologist After Urology Tests for Abdominal Pain?


Related FAQ

Which Department Should I See?

(Gastroenterology and Hepatology)

Kidneys

(Gastroenterology and Hepatology)

Ct Scan

(Gastroenterology and Hepatology)

Health Check-Up Report

(Gastroenterology and Hepatology)

Blood Test

(Gastroenterology and Hepatology)

Hepatitis B Screening

(Gastroenterology and Hepatology)

Colonoscopy

(Gastroenterology and Hepatology)

Belly

(Gastroenterology and Hepatology)

Family Medicine

(Gastroenterology and Hepatology)

Cholecystitis

(Gastroenterology and Hepatology)