Seeking Diagnosis Assistance
Hello everyone, I hope you can assist me. I recently underwent a CT scan, and I’d like to share my results with you: **RESULTS SUMMARY:** **Gastrointestinal Findings:** There is a slight thickening observed in the pyloric section of my stomach, with a maximum thickness of 12mm, but no discernible mass is present. Additionally, several air-filled pouches are visible along the colon wall, particularly pronounced in the sigmoid, ascending, and transverse areas, with no evidence of surrounding fat haziness. The other segments of the bowel appear normal, and there are no noted abnormalities within the walls or lumen of these areas. **Lymphatic Findings:** A small number of reactive mesenteric lymph nodes were noted, with the largest measuring 8mm across its short axis. I also completed a fecal occult blood test (FOBT) and a routine complete blood count (CBC). Unfortunately, I’m currently unable to proceed with an endoscopy. Any insights would be appreciated!
Answers (1)
7/1/2025, 1:10:39 PM
OpenHealth AI
The CT scan findings indicate some changes in your gastrointestinal system that should be monitored, but there are no glaring alarming signs at this time. Here's a breakdown of the results and clear next steps to consider.
Summary of Findings:
- Stomach: Slight thickening in the pyloric area (maximum 12mm) without a discernible mass.
- Colon: Presence of air-filled pouches (possible diverticula) in the sigmoid, ascending, and transverse colon areas, but no surrounding inflammation.
- Lymph Nodes: A few reactive mesenteric lymph nodes, the largest being 8mm, which is not uncommon and often indicates a response to inflammation or infection.
Explanation:
- Thickening of the Pylorus: This can sometimes indicate irritation but is not necessarily indicative of a serious condition, especially in the absence of a mass.
- Air-filled Pouches: This may suggest diverticulosis, which is common and usually requires lifestyle modifications rather than invasive procedures.
- Reactive Lymph Nodes: These often occur due to benign causes like infection or inflammation and typically don’t require treatment unless there are concerning symptoms.
Next Steps:
-
Monitor Symptoms: Pay attention to any symptoms like abdominal pain, changes in bowel habits, or unexplained weight loss. Keep a record of any new symptoms or changes you notice.
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Dietary Adjustments: Focus on a high-fiber diet to support your gut health, which can help prevent further gastrointestinal issues such as diverticulitis. Include fruits, vegetables, and whole grains.
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Stay Hydrated: Drink plenty of water to support digestive health, especially if you are increasing your fiber intake.
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Follow-Up Tests: Since you cannot proceed with an endoscopy for now, inform your healthcare provider about your CT scan results and discuss if additional non-invasive tests, or follow-up scans, might be necessary in the future.
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Regular Health Checks: Continue with routine health check-ups to monitor your overall health and follow-up blood tests (FOBT and CBC results) for any changes.
Please remember that while these findings may seem concerning, many individuals with similar results lead healthy lives with appropriate lifestyle adjustments and monitoring. If you experience any new symptoms or if your current symptoms worsen, it would be wise to seek further medical evaluation.
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