What Causes Pain Below The Breast Radiating To Arm And Upper Back?
Need surgery consider it
Detailed Answer:
Thank you for asking
Pain right hyoochondrium referring to back and tip of shoulder worsening by meals with ultrasound suggesting of liver sludge is all very classic of cholecystitis a gall bladder infection. It needs to assess pancreatic function too as some times that sludge involve pancreas and cause acute pancreatitis which also presents this way. GERD may cause this pain too but proton pump inhibitors and diet lifestyle modification should have sufficed.
In nut shell no matter what doctors say you need to get rid of this gall bladder.schedule a date with a laporoscopic hepatobiliary surgeon and let them take care of your this complain. Minimal invasive techniques are available and easily recoverable from.
Don't waste time and go through the procedure. You eventually have to get rid of this gallbladder.
I hope it helps.take care and don't forget to close the discussion please.
may the odds be ever in your favour.
Regards XXXXXXX
Narrative
--Attending MD:
A00317--Ordering MD: XXXXXXX KARRIKER
Date of Birth: 06/09/1963
Sex: F
Admit Date: 11/18/2013 08:45
PROCEDURE: VUS 0524- US ABDOMEN COMPLETE - Nov 18 2013
Accession#: B0000
INTERPRETATION:
Complete abdominal ultrasound.
HISTORY: Right upper quadrant pain.
TECHNIQUE: Real-time images through the abdomen were obtained using the
transabdominal probe.
FINDINGS: The echotexture of the liver is diffusely increased, suggesting
diffuse fatty infiltration. Liver measures 13.8 cm in the sagittal plane.
There are 3 small cysts within the liver, 2 cysts being in the right
hepatic lobe, measuring 0.7 x 0.6 x 0.6 cm, and 0.7 x 0.8 x 0.7 cm, and a
single cyst in the left lobe, measuring 0.3 x 0.4 x 0.5 cm. Gallbladder
contains some sludge, but no gallstones, and is nontender. A 4 mm
hyperechoic focus is noted near the neck of the gallbladder, without
shadowing, which may represent a small polyp. There is also questionable
focus of diminished echogenicity or thickening in the anterior wall of
the gallbladder. It is not clear whether this is a real finding. A single
small echogenic focus with common tail artifact is noted, suggesting mild
adenomyomatosis. The pancreas is only partially visualized. The head and
body of the pancreas are reasonably well seen and are grossly normal.
Tail of the pancreas is obscured by overlying bowel gas. Common bile duct
measures 3.7 mm. Portal vein is patent and demonstrates hepatopetal flow.
Spleen is normal, measuring 9.4 cm. The right and left kidneys measure
10.5 cm and 10.8 cm respectively, have normal cortical thicknesses and
echo textures, and show no hydronephrosis, calculi, or masses. A 1.1 cm
simple cyst is noted within the left kidney. IVC is normal. Aorta
measures 1.7 cm.
CONCLUSION:
1. Partial visualization of the pancreas.
2. No gallstones identified.
3. Gallbladder sludge, without gallbladder tenderness or pericholecystic
fluid.
4. Possible adenomyomatosis of the gallbladder.
5. Question gallbladder polyp and focus of gallbladder wall thickening. A
followup gallbladder ultrasound in 3 months is recommended.
6. Left renal cyst.
7. 3 small simple hepatic cysts.
8. Fatty infiltration of the liver.
___________________________________________________________
Read by: XXXXXXX W. DUNLOP,MD 138867 on Nov 18 2013 11:35A
MECKLENBURG RADIOLOGY ASSOCIATES, PA.
Transcribed by: PSC on Nov 18 2013 11:45A
Signed by: DR. XXXXXXX W. DUNLOP,MD on: Nov 18 2013 11:45A
Component Results
There is no component information for this result.
General Information
Collected:
11/18/2013 9:45 AM
Resulted:
11/18/2013 11:47 AM
Ordered By: XXXXXXX K Karriker, MD
Result Status:
Final result
Back to the Test Results List
cholycystectomy b it is
Detailed Answer:
Thank you for asking
I read through your report and I want you to know that findings are suggestive of gall bladder infection.polyp in the gall bladder makes it more worth it for surgery.get one.
As far as fatty liver is concerned that is a mere imbalance between demand and supply of triglycerides and in western diets and alcohols and bears that is pretty common.obesity and weight gain also cause that. That is a later long term issue and needs abstinence and lifestyle modification from alcohol and weight gain etc.
Right now let's get rid of the gall bladder.thats the culprit for your pain.
Take care and do as directed.
Khan
get the surgery
Detailed Answer:
thank you for asking again miss asia
i just realized you are my Muslim sister and are having ramadan. good to hear you hate drinking. running in family explains. familila hypertriglyceridemias are main reasons for deranged lipid profile. and yes that is a one major risk factor for gallbladder issues. in nut shell, deranged lipid profile and fatty liver due to familial tendencies has played its role in gall bladder infections. please consider the surgery. it is nothing to worry about. these days one port surgeries using hardly 2 to cm cut are devised to remove gall bladder.
minimal invasive approach and get rid of this gall bladder for ever. or these issues will keep recurring with bigger sludges and stones and Allah Forbid common bile ducts blockages and that would be a disaster we dont want to face. now is the time. get the surgery. Bismillah it.
Take care
Asalam O Alaekum and happy festive Ramadan XXXXXXX XXXXXXX