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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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CT Scan Revealed Degenerative Changes Lumber Spine With Degenerative Disc Disease. Explain?

My grand mother aged 68 yrs having these problems and the ct scan shows this: 1.left renal pelvic calculas 2. degenerative changes lumber spine with degenerative disc disease 3. gall bladder mass infiltrating hepatic parenchyma, 1st part of duodenum and hepatic flexure of colon with blocked C.B.D and I.H.B.R.D......... CA gall bladder.
Tue, 18 Dec 2012
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Gastroenterologist 's  Response
Hello, alpikaa,
I am sorry to see this report.
She is only 68 years young and seems to have major problem.
Gallbladder cancer is not that common at her age , but can occur.
From the description of CT findings, she may have primary cancer
of the gallbladder which is causing blockage of the main channel
that carries the bile from the liver to the gallbladder and also
portion of the channel inside the liver .Bile from the gallbladder
is usually released into the duodenum. There seems to be a mass
effect with pressure on the duodenum and also the part of the colon
that is close to the liver.
It is very difficult to say whether this is operable without additional
studies which might include, endoscopy, ERCP, MRCP, CT-guided biopsy
etc.
She needs to be seen by a top specialist , may be at a university hospital
setting where all these are available.
I wish her well.
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CT Scan Revealed Degenerative Changes Lumber Spine With Degenerative Disc Disease. Explain?

Hello, alpikaa, I am sorry to see this report. She is only 68 years young and seems to have major problem. Gallbladder cancer is not that common at her age , but can occur. From the description of CT findings, she may have primary cancer of the gallbladder which is causing blockage of the main channel that carries the bile from the liver to the gallbladder and also portion of the channel inside the liver .Bile from the gallbladder is usually released into the duodenum. There seems to be a mass effect with pressure on the duodenum and also the part of the colon that is close to the liver. It is very difficult to say whether this is operable without additional studies which might include, endoscopy, ERCP, MRCP, CT-guided biopsy etc. She needs to be seen by a top specialist , may be at a university hospital setting where all these are available. I wish her well.