CT Scan Findings and Proposed Next Steps
Yesterday, I underwent a CT scan, and I received the results uploaded to my app just before the facility closed today. I haven't yet reviewed my doctor's comments, but they typically respond quickly, so I expect to hear back from them by Monday. Fortunately, I had a pre-scheduled appointment with my OBGYN on Wednesday, which should provide clarity soon concerning my situation. Initially, I consulted the doctor regarding a lump in my chest, expecting to confirm if it was a hernia, but the scan revealed additional findings as outlined below. I’m interested in hearing your insights as a medical professional on what you would suggest as the next steps for your patient based on these CT scan results. I’m looking for a general sense of direction since this information doesn’t directly pertain to the hernia I was seeking to rule out. ### CT Scan Results: **Summary of Findings:** 1. No acute issues detected within the abdominal or pelvic areas. There is no abdominal wall hernia present. 2. Notable bilateral cystic lesions on the adnexa, with measurements of up to 6.6 cm on the right and 4.0 cm on the left. A pelvic ultrasound is advisable for further assessment. 3. A linear expansion of soft tissue is observed between the ovarian lesions and the uterine fundus, suggesting the possibility of deep pelvic endometriosis. 4. Evidence of hepatomegaly detected. -------- FINAL REPORT -------- **Procedure Details:** - Type: CT of Abdomen and Pelvis without Contrast - Date of Procedure: July 10, 2025, at 8:37 MDT - Reason for Imaging: Suspected abdominal pain and hernia - Previous Scan for Comparison: September 25, 2023 **Technique:** CT imaging of the abdomen and pelvis was conducted without intravenous contrast. Techniques for reducing radiation exposure were utilized to ensure minimal risk, incorporating automatic exposure control and patient-specific adjustments based on body size. Note: The evaluation of certain abdominal organs is limited without the use of IV contrast. **Observations:** - **Lungs:** Findings are normal at the bases. - **Liver:** Presenting hepatomegaly measuring 20.3 cm. - **Biliary System:** Post-cholecystectomy status with trace pneumobilia. - **Pancreas:** Appears normal. - **Spleen:** Exhibits borderline enlargement with a size of 13 cm. - **Adrenal Glands:** Normal appearance. - **Kidneys:** No signs of hydronephrosis or stones. - **Vascular Structures:** Normal assessment. - **Retroperitoneum:** Appears normal. - **Bowel/Mesentery:** Observed a small sliding-type hiatal hernia, yet no dilations noted in the bowel segments. - **Abdominal Wall:** Normal condition. - **Pelvic Organs:** Bilateral cystic lesions identified, measuring 5.6 x 6.2 x 6.6 cm on the right and 3.7 x 4.0 x 3.9 cm on the left. A linear soft tissue mass between the ovarian lesions raises concerns for deep pelvic endometriosis. - **Bones:** Findings are normal for the age group. - **Other Observations:** None recorded.
Answers (1)
7/12/2025, 2:20:40 AM
OpenHealth AI
Based on your CT scan results, there are several findings that warrant attention, including cystic lesions in the pelvic region and concerns about possible deep pelvic endometriosis. Here's a summary of the main points and steps you can take.
Summary of Findings:
- No abdominal wall hernia detected.
- Notable cystic lesions in the ovaries, suggesting the need for further assessment through a pelvic ultrasound.
- Possible deep pelvic endometriosis indicated by a soft tissue mass between the ovarian lesions.
- Presence of hepatomegaly, indicating enlargement of the liver.
Explanation:
The cystic lesions on your ovaries and the suggestion of endometriosis could be contributing to your symptoms, and it's essential to follow up on these findings. While the lack of an abdominal hernia addresses part of your initial concern, the other findings require evaluation to understand their implications for your health.
Next Steps:
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Pelvic Ultrasound: Since the CT scan recommends further investigation of the cystic lesions, prioritize scheduling a pelvic ultrasound. This will provide clearer images and information about the nature of the cysts and assist in diagnosing any related conditions.
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Doctor Follow-Up: Review the comments from your doctor regarding the CT scan results. They're crucial for understanding the significance of each finding and any specific recommendations tailored to your health situation.
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Prepare for Your OBGYN Appointment: Write down any questions or concerns you have about the scan results, especially regarding the cystic lesions and possible endometriosis. Discuss your symptoms, their duration, and any related issues during your appointment.
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Monitor Symptoms: Keep track of any symptoms you experience, such as pain, changes in menstrual patterns, or any new symptoms that could arise before your appointments. This information can help your healthcare provider with diagnosis and management.
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Lifestyle Considerations: While awaiting further evaluations, consider incorporating a balanced diet, staying hydrated, and managing stress levels, as these can support overall reproductive health.
Remember, there's a lot of information being assessed, and it's important to take it one step at a time. Your upcoming appointments will provide clarity and direction based on these findings. If you have any immediate questions or feelings of anxiety, don't hesitate to reach out for support.
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