Review of Recent CT Scan Findings
Assessment of the latest CT scan post partial nephrectomy for renal cell carcinoma (RCC). I am a 38-year-old male, previously diagnosed with RCC last year, who underwent a partial nephrectomy. Below, I share my earlier scan results alongside my latest imaging report for evaluation of my current health condition. **Previous Imaging Report (Pre-Operative)** --- **MRI of the Upper Abdomen with CT Sections** **Date of Examination:** July 26, 2024 **Findings:** Evaluation of liver lesion; Tumor markers within normal limits. - **Liver:** Normal size and lobulated structure with expected signal intensity. There are two lesions within segment VIII (2.6 x 1.9 cm) and segment IV (2.0 x 1.7 cm) displaying altered signal intensities. The lesions show intermediate to hyperintense characteristics on T2, hypointense on T1, with no signal drop on opposed phase, hyperintensity on Diffusion Weighted Imaging (DWI), peripheral nodular enhancement during the arterial phase, and a progressive enhancement pattern in subsequent phases. - **IHBRs:** Not dilated. - **Hepatic Vein (HV) and Portal Vein (PV) radicals:** Appear normal. - **Gallbladder, Pancreas, Spleen, Adrenals:** All normal. - **Left Kidney:** A well-defined intra-renal lesion located in the posterior cortex, measuring 2.0 cm in each dimension with specific characteristics indicating a possible cystic RCC. - **Right Kidney:** Normal size, showing no masses or hydronephrosis. No significant lymphadenopathy or ascites observed. **Conclusion:** The identified lesions in segments VIII and IV are likely hemangiomas. The lesion in the left kidney is suspected to be neoplastic, likely representing a cystic RCC. --- **Latest Imaging Report** --- **Low Dose CT Scan of the KUB with CT Urogram** **Technique:** Scanning performed from the xiphisternum to the pubis with IV contrast administration of 50 ml. Various phase images (corticomedullary, nephrographic, excretory) were captured. **Observations:** - **Left Kidney:** Underwent partial nephrectomy on September 5, 2024 (confirmed as RCC). No significant size changes noted, currently measuring 9.7 x 4.1 cm with post-operative artifacts, some cortical thinning and perinephric fat stranding visible posteriorly. - **Right Kidney:** Normal dimensions, measuring 9.3 x 4.3 cm, no parenchymal thinning, scarring, or calcifications detected. Slight prominence of the right renal pelvis is observed, demonstrating standard enhancement during respiratory phases. - **Ureters:** Both ureters are not dilated, and the corresponding vesico-ureteric junctions appear to be normal. - **Bladder:** Exhibiting normal distention, no signs of calculi or wall thickening. Prostate reflects normal morphology for my age. - **Lymph Nodes:** Some small para-aortic lymph nodes detected. - **Free Fluid:** Absent within the abdominal cavity. - **Lesions:** Two hypodense lobulated lesions in the liver, specifically in segments VIII and IV, with characteristics suggestive of hemangiomas. - **Appendix:** Noted to be slightly enlarged, measuring 7 mm in diameter without surrounding inflammation. **Summary:** The previous CT from August 6, 2024, along with the recent findings, highlights post-surgical changes in the left kidney, shows evidence of two liver lesions likely consistent with hemangiomas, and describes minor para-aortic lymphadenopathy. **Biopsy Report:** In case further evaluation is required, here are the biopsy findings from my partial nephrectomy: - **Specimen Size:** 3 x 2 x 1.8 cm - **Tumor Size:** 1.8 x 1.5 cm - **Location:** Polar. - **Characteristics:** Both solid and cystic components with clear tumor margins. - **Microscopic Analysis:** Moderately differentiated clear cell variant of RCC, grade II according to ISUP/WHO classification. No signs of necrosis or vascular invasion were noted. --- This overview contains essential insights into my recent scans and pathology results for professional assessment. Thank you for your assistance.
Answers (1)
3/31/2025, 7:41:11 PM
OpenHealth AI
Based on your recent CT scan findings following your partial nephrectomy for renal cell carcinoma (RCC), there are a few key points to consider regarding your current health condition. You're experiencing changes in your left kidney post-surgery, and there are also hemangiomas in your liver. Here’s a structured overview and actionable guidance tailored to your situation.
Summary of Key Findings:
- Left Kidney: Post-surgical changes observed with some cortical thinning and fat stranding after your nephrectomy. Important to monitor for potential complications.
- Right Kidney: Appears normal, with no significant issues detected.
- Liver: Two hypodense lobulated lesions likely to be hemangiomas, generally benign but warrant monitoring.
- Lymph Nodes: Slight lymphadenopathy noted, which should be monitored as it may require further evaluation.
Understanding Your Situation:
- Post-operative Changes: It’s normal to see changes in the kidney following surgery. Cortical thinning could indicate some reactive changes, but it’s important to watch for any symptoms like pain or changes in urination.
- Liver Hemangiomas: These are generally benign growths and are often just monitored unless symptomatic.
- Lymphadenopathy: Small enlarged lymph nodes can be a common reaction to surgery or infection, but any significant changes should be evaluated.
Next Steps for Monitoring and Care:
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Monitor Symptoms: Pay close attention to any new abdominal pain, changes in urine output, or other unusual symptoms. If they arise, document them and consider them for your next check-up.
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Follow-Up Imaging: Continue with follow-up imaging as recommended by your healthcare provider. Regular assessments will help track any changes in the kidney and liver over time.
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Stay Hydrated and Maintain Kidney Health: Ensure you’re drinking enough fluids and follow a kidney-friendly diet to support overall kidney health. Avoid excess salt and processed foods.
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Consider a Support Network: Given your medical history, consider seeking support groups or connecting with others who have undergone similar experiences. Emotional support can be beneficial during recovery.
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Regular Check-Ups: Keep up with regular appointments with your urologist or oncologist. They will know how to interpret your results and adjust your care plan based on ongoing evaluations.
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Discuss Concerns with Your Doctor: If you have specific worries about your lymph nodes or liver lesions, bring these up in your next appointment for clarification or additional testing.
Conclusion:
While there are changes noted in your CT scan, many of them are not uncommon following surgery for RCC. It’s crucial to keep an open line of communication with your healthcare team, adhere to scheduled follow-ups, and take an active role in monitoring your health. If you have any additional questions or concerns, consider reaching out to your healthcare provider for personalized advice.
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