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Arteriovenous malformation - cerebral - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1700 Questions
Doctor :   HI
User :   Hi
Doctor :   How can I help you ?
User :   Hi, I had a CT scan for unrelated pain and this was incidently picked up. Was wondering if this sounds like an AVM to you and what confuses me the most is the it says its going into the paraspinal area as well. does that mean the AVM is also spinal?? Also if its not an AVM doesthis sound like a possible cancer? I know you cant say 100% anything since you havent seen the images but any ideas would be greatly apprecaited. Thank you. Here is what the NON CONTRAST CT report states.. Serpiginous nodular density in the right lower lobe anteromedially extending into the paraspinal area probably represents a small unusual vascular malformation. I then went on and had a CT with contrast and it stated this... Tubular enhancing structure in a right lower lobe medially probably reflects a vascular malformation. My concerns are that the non contrast report saying it goes into the paraspinal area. and my second concern is if it could possibly be something worse, like cancer. Any input appreciated! Thank you so much!
User :   Ive heard many doctors are not that familar with lung avms so ive been having trouble finding info
Doctor :   Pls. give me few secs to go through your question.
User :   okay thank you very much
User :   by avm i mean Arterio Venous Malformation
Doctor :   Ok, I Have gone through.
Most of the AVM's can be clearly made out in CT Scan as vascular malformations and in 99% is very accurate in its findings.
User :   so it doesnt sound like it could be a cancer to you?
User :   i am more worried about it being a cancer even though they said they think its an avm
Doctor :   If you can forward the CT Scan reports than we can actually see and let you know.

User :   also do you know whatit means by it extends into the paraspinal area? is that a part of the lung in CT terms or does it mean it literally extends near the spine?
Doctor :   An MRI, could be more helpful.
Doctor :   May I know in which lung you have seen this /
Doctor :   ?
User :   the right lower lung
User :   the ct report states: Serpiginous nodular density in the right lower lobe anteromedially extending into the paraspinal area
User :   Does that mean its extending out of my lung into the spinal area?
Doctor :   The bottom post part is called the Inferior lobe of the Right lung.
Doctor :   No, it doesnt state that it extended in to the spinal area.
Doctor :   It stated that the , it is in the antero- medial part in the right lung, which is nearer to the Para Spinous area and is not necessarily extended outside lung cavity.
User :   oh ok, it scared me when i read paraspinal, i thought that meant outside of the lung
Doctor :   If would have extended they would have considered the report as Metastasis in sorrounding structures
Doctor :   So please do not worry .
Doctor :   Hope you have followed.
User :   Thank you so much. I really apprecaite it.
User :   the lesion is 2cmsx1cms
User :   they called it a tubular enhancing structure
Doctor :   Ok.
User :   I just hope its not a cancer
User :   for the record also, i am a 28 year old female, non smoker
Doctor :   No, its not,They would also have mentioned , please correlate histopathologically, suspecting a malignancy and there is a considerable amount of dysplasia would have been the report
Doctor :   so do not worry.
Doctor :   Ok,
User :   1 more quick question, if you dont mind. I was just getting over the flu at the time as well, and thought i could have been getting pnemonia, could a sickness, like a cold in the lung causes a lesion like this on CT scan? that you know of?
Doctor :   there are numerous treatment options, Treatment options for AVMs include embolization, radiation, and surgery or a combination of these methods. Recent studies have revealed that for most cases, embolization is the safest and most effective procedure. To avoid bleeding, the aneurysm must be eliminated. Parietal treatment of the AVM is not known to offer any benefit except for very specific conditions. Each treatment has its advantages and disadvantages. Treatment decisions should be made with your doctor.Please go ahead.
User :   thank you so much, i truly appreciate it.
Doctor :   No, A flu could not have caused a AVM.
Doctor :   That is a totally different entity.
User :   Okay, i see.
User :   Thank you again. I can relax a little untill my appointment.
Doctor :   Thank you for consulting me
Doctor :   Take care
Doctor :   Bye for now.
User :   you too.
User :   :)
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