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Analysis of abdominal ultrasound - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
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General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   I would like someone interpret my ultrasound report
Doctor :   hello.
User :   good day to you
Doctor :   Can you sent it to YYYY@YYYY
User :   i can just copy paste it already
Doctor :   ok
Doctor :   Did you copy paste it?
User :   i dont know why i cant see it
Doctor :   Try again
User :   Exam: ULTRASOUND OF THE WHOLE ABDOMEN: 7-5-2010 Findings: The Liver measures 16 cm. at the midclavicular line. The organs appears hyperechoic. No focal lesions are seen. The gall bladder is not visualized. A bright echo, measuring about 7.6 mm., is persistently noted at the porta hepatis region, close to the common duct outline. No evidence of bowel dilatation is seen. The spleen and the pancreas are within normal in sizes, forms and echotextures. The abdominal aorta and the para-aortic regions are unremarkable. No evidence of bowel dilatation, mass lesion nor intra-peritoneal fluid collections in the visualized abdomen.
User :   The right Kidney measures about 11.3 x 5.7 cm. The cortical thickness are about 1.7 cm. The cortico-medullary junctions appear intact. A shadowing echo of about 2.4 cm. size is noted within the middle/lower pole central echo complex region, with mild calyceal dilatations noted at the superior pole. The Left kidney measures about 12.5 x 6.1 cm. The cortical thickness is at about 2.6 cm. The cortico-medullary junctions are intact. A tiny bright echo of about 2.7 mm. size is noted at the anterior superior pole cortico-medullary region of the kidney. No evidence of ureteral dilatations. The urinary bladder shows the distal end of the stent within its lumen. No intraluminalcalculus is seen. Post-voiding examination shows a residual urine volume of about 35.6 cc. during this occasion. TVS shows non-demonstration of the uterine fundus and corpus. A prominent mid pelvic structures of about 12, 7.1 and 7.3 mm. sizes. The right ovary is noted, measuring about 3.9 x 3.5 x 3.1 cm. Small anechoic foci are noted within its outline. The Left ovary is not identified. The rest of the pelvic areas are unremarkable.
User :   Impression: â?¢ Mild hepatomegaly, with fatty infiltration. â?¢ Non-demonstrated gall bladder, consistent with a post-cholecystectomy status of the patient. â?¢ Presence of a persistent â??brightâ?? echo of about 7.6 mm. size at the distal gall bladder fossa region. â?¢ The considerations should include: sa focus of duodenal gas, phlebolith, food particle, calcification, or a calculuswithin the cystic duct. â?¢ Close ultrasound monitoring suggested â?¢ No evidence of biliary dilatation â?¢ Mild hydronephrotic change the right kidney, from a calculus (nephrolithiasis) of about 2.4 cm. size within the mid lower medullary region of the kidney. â?¢ Tiny non-obstructing nephrolith, as described, left kidney. â?¢ Presence of a distal end of a stent within the urinary bladder, suggestively coming from the ureteral region. â?¢ Presence of significant urinary bladder retention of urine. Consider cystitis. Please correlate â?¢ Status post-hysterctomy, with prominent Nabothian Cysts within the residual cervix, as described. â?¢ Prominent right ovary, with developing follicles â?¢ Non-demonstrated left ovary â?¢ Negative for intra-pelvic fluid
Doctor :   Let read it.
Doctor :   Have you under gone gall bladder removal surgery.
User :   yes last april 27, 2010
Doctor :   Ok.
Doctor :   Do you have any current symptoms?
User :   then a ureteral stent was placed in my right ureter last june 12, 2010
Doctor :   Ok.
User :   pain and difficulty in brething in the center of my chest
Doctor :   Ok.
User :   i still have right kidney spasms
Doctor :   Give me your age?
User :   now my left upper abdomen under the ribs is having pain also
User :   27
Doctor :   Ok.
User :   and my sweat, body is like always dead cold
User :   very severe fatigue
User :   sometime dizzy
User :   always very pail
Doctor :   It looks like there is renal stone a size of 2.4cm in right kidney.
User :   yes, i will be having shock wave for that next week
Doctor :   Ok.
User :   im really concern with the center of my chest
User :   its like so much pressure being pushed to my chest
Doctor :   The ultra sound is only of abdomen right?
User :   yes whole abdominal
Doctor :   Ok.
Doctor :   Have you undergone any surgery on uterus?
User :   but suggested that a TVS should follow to take a good look at mycervix and ovary cause thats also causing me so much pain
User :   yeu subtotal hysterectomy June 15, 2005
Doctor :   Ok.
User :   and left salpingo-oophorectomy Jan. 13, 2007
Doctor :   Ok.
Doctor :   From the ultrasound report we can say that 1) there is a renal stone,
User :   even this very moment, there is something really wrong with my chest fo much pressure that its hard to breath
Doctor :   2) there is signs of inflammation of the bladder.
Doctor :   could be due to infection.
User :   what bladder?
Doctor :   Urinary bladder.
User :   ok
User :   pls continue
Doctor :   Others are fine.
User :   what about the bright echo in the site where my gall bladder was removed
Doctor :   Also there is mild enlargement of the liver.
Doctor :   Do you consume alcohol?
User :   no
Doctor :   Give me your height and weight?
User :   5'2"
Doctor :   Ok.
User :   78kls
Doctor :   You are bit over weight for your height.
Doctor :   That could be the reason for the mild enlargement of the liver.
User :   yes i gained weight since after my hysterectomy
Doctor :   Ok.
Doctor :   About the bright echo in the site gall bladder.
User :   but honestly i dont eat that much cause i always feel so full
Doctor :   It could be due to gas in the intestine.
Doctor :   or calcification or a stone .
User :   whats calcification?
Doctor :   It is condition where there is deposition of calcium in the tissues.
Doctor :   The tissue become hard.
Doctor :   Is there anything else?
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