Curious About a 14mm Lesion on My Spleen
I don’t mean to stress myself out, but I can’t help but wonder about the significance of a new finding since my latest scan. Honestly, I'd almost forgotten about my spleen until this recent development came up. I’m seeking insights regarding my doctors’ interpretation of the scan results mentioned below: (Any personal details related to me or the healthcare team have been omitted) M24, EXAMINATION: Abdominal Ultrasound. REASON FOR EXAM: Slightly elevated liver function tests and ongoing pain in the upper abdomen. Possible non-alcoholic fatty liver disease or another underlying cause. Previous ultrasound conducted in 2021. The scan was somewhat limited due to gas in the intestines. Notably, a new lesion measuring 14mm was detected in the lower lateral section of the spleen. This lesion is hypoechoic, well-defined, and solid with no blood flow identified, indicating uncertain pathology. The liver appears normal in size and shape, but shows signs consistent with fatty infiltration. The blood flow in the visible portal vein is normal. The gallbladder, which is seen partially, has normal thin walls with no stones present. There’s no noticeable enlargement of the intrahepatic bile ducts. Both kidneys look healthy. The pancreas is obscured by gas from the intestines. No free fluid in the abdominal cavity is noted. CONCLUSION: A solitary splenic lesion that remains indeterminate on ultrasound. If symptoms persist in the left upper quadrant, a referral for an MRI is recommended. And yes, it seems I have quite the tendency towards gas!
Answers (1)
6/29/2025, 2:10:43 PM
OpenHealth AI
It's completely normal to feel concerned about unexpected findings on a medical scan, especially when they involve something you don’t usually think about, like your spleen. A 14mm lesion on the spleen can arise from various causes, and the interpretation of the scan is crucial for understanding its significance.
Understanding Your Situation:
- Lesion Characteristics: The lesion being hypoechoic (darker on ultrasound) and well-defined without blood flow suggests it may not be a malignant tumor, but it's important to determine its nature.
- Context of Symptoms: The ultrasound was prompted by elevated liver function tests and abdominal pain. It’s essential for any lesions to be correlated with symptoms you’re experiencing to assess their relevance.
Next Steps:
-
Monitor Your Symptoms: Keep track of any changes in your symptoms, particularly in your left upper abdomen. Notate the intensity, frequency, and any new symptoms (like changes in pain or discomfort).
-
Follow the Recommendation: Given that your ultrasound report suggests a potential referral for further imaging (MRI), it might be beneficial to discuss this with your healthcare provider, especially if symptoms persist. An MRI could provide a clearer picture of the lesion.
-
Lifestyle Adjustments: Since you mentioned a propensity for gas, consider dietary changes that might help reduce gastrointestinal discomfort. This could include:
- Limiting carbonated beverages.
- Eating smaller meals more frequently.
- Avoiding foods that are known to cause gas (beans, certain vegetables, etc.).
-
Stay Informed but Not Overwhelmed: Researching your condition is natural, but avoid excessive worrying. Many lesions can be benign. Understanding that the next steps can clarify concerns can be reassuring.
-
Focus on General Health: Continue to maintain your overall health with balanced nutrition, regular exercise, and adequate hydration, which can also support liver health.
If you have any increased concerns or notice significant changes in your symptoms, prioritize seeking professional advice sooner rather than later. Remember, you are not alone in this, and many patients have questions similar to yours—that’s why we ask questions and seek clarity.
Related Questions
Seeking Clarity
Greetings, everyone! I’m a 17-year-old male, weighing 61 kg and standing at 180 cm. Recently, I’ve noticed that my sperm has a slight yellowish hue. Is this something I should be concerned about? I came across some information online suggesting that it could be related to urine or certain infections, but I don’t think that applies to me since I’ve never engaged in sexual activities and generally lead a typical life for someone my age. Apologies for any errors in my English. I would appreciate any insights you could provide! :)
Recovery Insights for Distal Tibia Fracture
Hello everyone! I'm a 20-year-old woman who recently sustained a significant injury while climbing, and I'm looking for insights on recovery, any similar experiences, and advice on how to safely return to physical activities. On June 2nd, I took a fall from approximately 10 feet while bouldering, which I initially thought was just a severe sprain but was later confirmed to be a fracture through medical evaluation. This past week, I underwent a CT scan that revealed I have a comminuted and impacted intra-articular fracture of the distal tibia, primarily affecting the medial tibial plafond with only minimal involvement of the medial malleolus. During my appointment with the doctor on Friday, I learned that the fracture has approximately 3mm of displacement, and importantly, there is no displacement at either end of the bone. Thankfully, this means I won't require surgery. For the last three weeks, I have been diligently avoiding putting any weight on my leg while also applying ice and keeping my limb elevated. My doctor has provided a recovery timeline of 5 to 7 additional weeks where I must refrain from any weight-bearing activity before a follow-up assessment to gauge my healing progress. Being an active individual, coping without being able to walk has been quite challenging. I am eager to re-engage in climbing, bodyweight training, and particularly, cardio workouts. I would love to hear from anyone who has experienced a similar injury. Do you have recommendations for a safe return to training or any thoughts on my recovery timeline? Additionally, I'm scheduled to start a guiding position right when I’m due for another consultation with my orthopedic specialist, and I want to maintain my fitness to lead a backpacking trip in the second week of September (covering under 30 miles over five days). I appreciate any insights and thanks for taking the time to read my post!
Understanding Wedge Fracture Concerns
Greetings, medical professionals, My partner is a 45-year-old male with a body weight of 390 pounds. We have been actively working on his weight management, and he has successfully shed 50 pounds over the past four months. He is dealing with several health issues, including: - Psoriatic arthritis, for which he is prescribed Humira. - Previous injuries affecting both knees and one Achilles tendon, for which he takes Meloxicam. - A severely deteriorated left hip, needing a replacement urgently according to a recent orthopedic assessment, but he needs to reduce his weight before undergoing any surgical procedures safely. Recently, he visited a pain management clinic to explore potential therapies or interventions that could assist him. During this consultation, we discovered that he has an unresolved wedge fracture in one of his lumbar vertebrae. This region of his back has been troublesome for a considerable period, but since there was no identifiable injury, he has been managing the pain with heat, ice, and a TENS unit. Following his appointment, we acquired a back brace, which he reports provides increased stability. Should he consider having this fracture addressed? Is it reparable? If not, should he seek further medical evaluation, and if so, which type of specialist would be best suited for this situation? Given that this fracture appears to have existed for an extended duration, we suspect it resulted from his long career of driving trucks, particularly during activities like hooking up trailers. Thank you for your attention to this matter.
Seeking Insights on a Skin Issue
I am a 37-year-old male, weighing 75 kg and standing at 167 cm tall. I lead an active lifestyle and do not smoke. Recently, I’ve developed an unusual condition affecting the back of my thighs, my hamstrings, and some inner thigh areas. This started after I was stung by an unknown creature while swimming in Italy two weeks ago, particularly after I sat on a submerged rock. The affected areas tend to become quite itchy, especially following a warm shower. I consulted an AI for advice, and it suggested possibilities like tinea cruris, dermatitis, or psoriasis. Has anyone experienced something similar? Any thoughts or suggestions would be greatly appreciated!
Is Tinnitus Possible for the Deaf?
**Age**: 63 years **Gender**: Male **Height**: 6 feet 1 inch **Weight**: 175 pounds **Ethnicity**: Caucasian **Duration of Symptoms**: 100 years **Affected Area**: In relation to others **Any Relevant Medical Conditions**: None **Present Medication**: None