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Hello Dr XXXXXXX Chail.I Emailed A Scan ( Different Mrcp)
Question: Hello Dr XXXXXXX Chail.I emailed a scan ( different mrcp) that I think correlates with bulg in common bile duct.I also sent a ct just done of his neck done sunday due to him feeling a flap type lump in his throat with dripping .He can not even speak right now.
I know you are very busy and I am not trying to rush you; just did not receive usual confirmation I get from the clinic that they received the emails.
I know we have a lot of questions and scans.
We are willing to pay extra if needed for your time.
Please ask the clinic to forward the scans emailed.I resent the Mid Town mrcp in jpeg as they requested but have not heard back from them.
Please confirm that they received the emails.
Thank you
I know you are very busy and I am not trying to rush you; just did not receive usual confirmation I get from the clinic that they received the emails.
I know we have a lot of questions and scans.
We are willing to pay extra if needed for your time.
Please ask the clinic to forward the scans emailed.I resent the Mid Town mrcp in jpeg as they requested but have not heard back from them.
Please confirm that they received the emails.
Thank you
Hello Dr XXXXXXX Chail.I emailed a scan ( different mrcp) that I think correlates with bulg in common bile duct.I also sent a ct just done of his neck done sunday due to him feeling a flap type lump in his throat with dripping .He can not even speak right now.
I know you are very busy and I am not trying to rush you; just did not receive usual confirmation I get from the clinic that they received the emails.
I know we have a lot of questions and scans.
We are willing to pay extra if needed for your time.
Please ask the clinic to forward the scans emailed.I resent the Mid Town mrcp in jpeg as they requested but have not heard back from them.
Please confirm that they received the emails.
Thank you
I know you are very busy and I am not trying to rush you; just did not receive usual confirmation I get from the clinic that they received the emails.
I know we have a lot of questions and scans.
We are willing to pay extra if needed for your time.
Please ask the clinic to forward the scans emailed.I resent the Mid Town mrcp in jpeg as they requested but have not heard back from them.
Please confirm that they received the emails.
Thank you
Brief Answer:
Received emails with mid town mrcp 5 and neck files and images
Detailed Answer:
Hi,
Thanks for writing in to us.
I just received the emails which you sent.
It contains attachments mid town mrcp 5 and neck.
Please let me know your questions and I will get back to you with a reply.
Regards,
Received emails with mid town mrcp 5 and neck files and images
Detailed Answer:
Hi,
Thanks for writing in to us.
I just received the emails which you sent.
It contains attachments mid town mrcp 5 and neck.
Please let me know your questions and I will get back to you with a reply.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Received emails with mid town mrcp 5 and neck files and images
Detailed Answer:
Hi,
Thanks for writing in to us.
I just received the emails which you sent.
It contains attachments mid town mrcp 5 and neck.
Please let me know your questions and I will get back to you with a reply.
Regards,
Received emails with mid town mrcp 5 and neck files and images
Detailed Answer:
Hi,
Thanks for writing in to us.
I just received the emails which you sent.
It contains attachments mid town mrcp 5 and neck.
Please let me know your questions and I will get back to you with a reply.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
In secretin mrcp you could see a bulg in the bile duct.In the midtown image there is a blister looking thing on the common bile duct.You can also see a shadow of this on the eastland ct scan previously sent.One opinion suspected choledocal cyst.I wonder if it is due to compression of celiac trunk and sma.
The neck ct was just done because XXXXXXX can not even talk without pain.He reports it feels like it is dripping in his throat and says he feels a flap type piece of skin in his throat.He is coughing up chunks with brown stuff in it as well.He was treated for barretts esophagus (3 treatments) last one was sept. 10th but his throat has become more painful rather than less so.
Please also note if you see sma in this mrcp.
Thank You Dr Chail
XXXXXXX ( Logans mom
The neck ct was just done because XXXXXXX can not even talk without pain.He reports it feels like it is dripping in his throat and says he feels a flap type piece of skin in his throat.He is coughing up chunks with brown stuff in it as well.He was treated for barretts esophagus (3 treatments) last one was sept. 10th but his throat has become more painful rather than less so.
Please also note if you see sma in this mrcp.
Thank You Dr Chail
XXXXXXX ( Logans mom
In secretin mrcp you could see a bulg in the bile duct.In the midtown image there is a blister looking thing on the common bile duct.You can also see a shadow of this on the eastland ct scan previously sent.One opinion suspected choledocal cyst.I wonder if it is due to compression of celiac trunk and sma.
The neck ct was just done because XXXXXXX can not even talk without pain.He reports it feels like it is dripping in his throat and says he feels a flap type piece of skin in his throat.He is coughing up chunks with brown stuff in it as well.He was treated for barretts esophagus (3 treatments) last one was sept. 10th but his throat has become more painful rather than less so.
Please also note if you see sma in this mrcp.
Thank You Dr Chail
XXXXXXX ( Logans mom
The neck ct was just done because XXXXXXX can not even talk without pain.He reports it feels like it is dripping in his throat and says he feels a flap type piece of skin in his throat.He is coughing up chunks with brown stuff in it as well.He was treated for barretts esophagus (3 treatments) last one was sept. 10th but his throat has become more painful rather than less so.
Please also note if you see sma in this mrcp.
Thank You Dr Chail
XXXXXXX ( Logans mom
Brief Answer:
Not looking like a choledochal cyst
Detailed Answer:
Hi,
Thanks for writing in to us.
I reviewed the images in mail which you have marked in a green circle. It is closed to the duodenal luminal signal intensity and looks to be away from the biliary tree and makes me think it to be from the duodenum and not a choledochal cyst. It also does not fit in to the area of possible compression by the celiac axis or SMA.
The SMA is likely the area in blue circle in the image link below
https://ibb.co/RDsr1p7
If the throat pain is recent and only for few days then a flu and infection might be the commonest cause. Hope he recovers fast. There is no mass lesion in the neck CT scan images visualised.
Regards,
Not looking like a choledochal cyst
Detailed Answer:
Hi,
Thanks for writing in to us.
I reviewed the images in mail which you have marked in a green circle. It is closed to the duodenal luminal signal intensity and looks to be away from the biliary tree and makes me think it to be from the duodenum and not a choledochal cyst. It also does not fit in to the area of possible compression by the celiac axis or SMA.
The SMA is likely the area in blue circle in the image link below
https://ibb.co/RDsr1p7
If the throat pain is recent and only for few days then a flu and infection might be the commonest cause. Hope he recovers fast. There is no mass lesion in the neck CT scan images visualised.
Regards,
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
Not looking like a choledochal cyst
Detailed Answer:
Hi,
Thanks for writing in to us.
I reviewed the images in mail which you have marked in a green circle. It is closed to the duodenal luminal signal intensity and looks to be away from the biliary tree and makes me think it to be from the duodenum and not a choledochal cyst. It also does not fit in to the area of possible compression by the celiac axis or SMA.
The SMA is likely the area in blue circle in the image link below
https://ibb.co/RDsr1p7
If the throat pain is recent and only for few days then a flu and infection might be the commonest cause. Hope he recovers fast. There is no mass lesion in the neck CT scan images visualised.
Regards,
Not looking like a choledochal cyst
Detailed Answer:
Hi,
Thanks for writing in to us.
I reviewed the images in mail which you have marked in a green circle. It is closed to the duodenal luminal signal intensity and looks to be away from the biliary tree and makes me think it to be from the duodenum and not a choledochal cyst. It also does not fit in to the area of possible compression by the celiac axis or SMA.
The SMA is likely the area in blue circle in the image link below
https://ibb.co/RDsr1p7
If the throat pain is recent and only for few days then a flu and infection might be the commonest cause. Hope he recovers fast. There is no mass lesion in the neck CT scan images visualised.
Regards,
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Hi Dr Chail.Can you please answer the inquiry I sent several days ago.We are about to see the Gastro and I need to take the opinions with me.
Thank You
XXXXXXX Massingill XXXXXXX conners mom
Thank You
XXXXXXX Massingill XXXXXXX conners mom
Hi Dr Chail.Can you please answer the inquiry I sent several days ago.We are about to see the Gastro and I need to take the opinions with me.
Thank You
XXXXXXX Massingill XXXXXXX conners mom
Thank You
XXXXXXX Massingill XXXXXXX conners mom
Thank you very much Sir
Thank you very much Sir
Could it be a klatskin tumor?What do you think it is please?
Could it be a klatskin tumor?What do you think it is please?
Brief Answer:
Klatskins tumour is ruled out
Detailed Answer:
Hi,
Thanks for writing in to us.
An obvious klatskins tumour is not possible with these sets of images. In klatskin tumour there is a lot of dilatation of the intra hepatic biliary tree and is not seen in the images of XXXXXXX Therefore klatskins is ruled out.
Im sorry about not being able to remember any previous query that you sent several days ago. Please remind me and I shall reply back urgently.
Regards.
Klatskins tumour is ruled out
Detailed Answer:
Hi,
Thanks for writing in to us.
An obvious klatskins tumour is not possible with these sets of images. In klatskin tumour there is a lot of dilatation of the intra hepatic biliary tree and is not seen in the images of XXXXXXX Therefore klatskins is ruled out.
Im sorry about not being able to remember any previous query that you sent several days ago. Please remind me and I shall reply back urgently.
Regards.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
Klatskins tumour is ruled out
Detailed Answer:
Hi,
Thanks for writing in to us.
An obvious klatskins tumour is not possible with these sets of images. In klatskin tumour there is a lot of dilatation of the intra hepatic biliary tree and is not seen in the images of XXXXXXX Therefore klatskins is ruled out.
Im sorry about not being able to remember any previous query that you sent several days ago. Please remind me and I shall reply back urgently.
Regards.
Klatskins tumour is ruled out
Detailed Answer:
Hi,
Thanks for writing in to us.
An obvious klatskins tumour is not possible with these sets of images. In klatskin tumour there is a lot of dilatation of the intra hepatic biliary tree and is not seen in the images of XXXXXXX Therefore klatskins is ruled out.
Im sorry about not being able to remember any previous query that you sent several days ago. Please remind me and I shall reply back urgently.
Regards.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Really happy to hear you do not think it is klatskin.
It is closed to the duodenal luminal signal intensity and looks to be away from the biliary tree and makes me think it to be from the duodenum and not a choledochal cyst.
This is what your response was to the question days ago.
I am referring to the blister looking thing on his bile duct I sent you and just wondered what you think it could be.
I can reemail it if you need.
Thank you so very much Sir
It is closed to the duodenal luminal signal intensity and looks to be away from the biliary tree and makes me think it to be from the duodenum and not a choledochal cyst.
This is what your response was to the question days ago.
I am referring to the blister looking thing on his bile duct I sent you and just wondered what you think it could be.
I can reemail it if you need.
Thank you so very much Sir
Really happy to hear you do not think it is klatskin.
It is closed to the duodenal luminal signal intensity and looks to be away from the biliary tree and makes me think it to be from the duodenum and not a choledochal cyst.
This is what your response was to the question days ago.
I am referring to the blister looking thing on his bile duct I sent you and just wondered what you think it could be.
I can reemail it if you need.
Thank you so very much Sir
It is closed to the duodenal luminal signal intensity and looks to be away from the biliary tree and makes me think it to be from the duodenum and not a choledochal cyst.
This is what your response was to the question days ago.
I am referring to the blister looking thing on his bile duct I sent you and just wondered what you think it could be.
I can reemail it if you need.
Thank you so very much Sir
Brief Answer:
Can be a transient bulge of the bile duct
Detailed Answer:
Hi,
Thanks for sending me the details.
That particular area can be a transient bulge in the bile duct and not anything serious. There are no features of any dilatation of the biliary tree.
Regards,
Can be a transient bulge of the bile duct
Detailed Answer:
Hi,
Thanks for sending me the details.
That particular area can be a transient bulge in the bile duct and not anything serious. There are no features of any dilatation of the biliary tree.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Can be a transient bulge of the bile duct
Detailed Answer:
Hi,
Thanks for sending me the details.
That particular area can be a transient bulge in the bile duct and not anything serious. There are no features of any dilatation of the biliary tree.
Regards,
Can be a transient bulge of the bile duct
Detailed Answer:
Hi,
Thanks for sending me the details.
That particular area can be a transient bulge in the bile duct and not anything serious. There are no features of any dilatation of the biliary tree.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Dr Chail.Can you send me the frame from ct angiography with the angle measurement? I have 1 measurement but not the angle meaasurement.
Thank you
Thank you
Hi Dr Chail.Can you send me the frame from ct angiography with the angle measurement? I have 1 measurement but not the angle meaasurement.
Thank you
Thank you
Brief Answer:
Please find angle and distance measurement as follows
Detailed Answer:
Hi,
Thanks for writing in to us .
Please find the angle and distance measuring in the images link given below
https://ibb.co/kmmhDhX
Angle is 17 to 19 degrees and distance is 5.5 mm.
Regards,
Please find angle and distance measurement as follows
Detailed Answer:
Hi,
Thanks for writing in to us .
Please find the angle and distance measuring in the images link given below
https://ibb.co/kmmhDhX
Angle is 17 to 19 degrees and distance is 5.5 mm.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Please find angle and distance measurement as follows
Detailed Answer:
Hi,
Thanks for writing in to us .
Please find the angle and distance measuring in the images link given below
https://ibb.co/kmmhDhX
Angle is 17 to 19 degrees and distance is 5.5 mm.
Regards,
Please find angle and distance measurement as follows
Detailed Answer:
Hi,
Thanks for writing in to us .
Please find the angle and distance measuring in the images link given below
https://ibb.co/kmmhDhX
Angle is 17 to 19 degrees and distance is 5.5 mm.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Scan copy attached
Scan copy attached
Brief Answer:
Request you to please send me they query related to the images sent
Detailed Answer:
Hi,
Thanks for writing in to us.
I am not able to understand the query related to the images you have attached.
Request you to please send me they query related to the images you have sent.
Regards,
Request you to please send me they query related to the images sent
Detailed Answer:
Hi,
Thanks for writing in to us.
I am not able to understand the query related to the images you have attached.
Request you to please send me they query related to the images you have sent.
Regards,
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
Request you to please send me they query related to the images sent
Detailed Answer:
Hi,
Thanks for writing in to us.
I am not able to understand the query related to the images you have attached.
Request you to please send me they query related to the images you have sent.
Regards,
Request you to please send me they query related to the images sent
Detailed Answer:
Hi,
Thanks for writing in to us.
I am not able to understand the query related to the images you have attached.
Request you to please send me they query related to the images you have sent.
Regards,
Above answer was peer-reviewed by :
Dr. Raju A.T
Thank you for your response Sir and giving me the angle.
I think I attached the wrong images to the last email.
I will resend it.The scan I will be sending via email is of Logan's neck.
He was having a lot of pain and could not speak without sharp pain in his neck so they did a ct scan.He feels a lump in his throat and has dripping he can feel.He is coughing up brown stuff.
I just wanted to know if you see anything wrong with his esophagus.
He had 3 ablations for barretts esophagus and after last ablation his throat gradually felt worse.
Thank You Dr Chail
Logan's Mom
I think I attached the wrong images to the last email.
I will resend it.The scan I will be sending via email is of Logan's neck.
He was having a lot of pain and could not speak without sharp pain in his neck so they did a ct scan.He feels a lump in his throat and has dripping he can feel.He is coughing up brown stuff.
I just wanted to know if you see anything wrong with his esophagus.
He had 3 ablations for barretts esophagus and after last ablation his throat gradually felt worse.
Thank You Dr Chail
Logan's Mom
Thank you for your response Sir and giving me the angle.
I think I attached the wrong images to the last email.
I will resend it.The scan I will be sending via email is of Logan's neck.
He was having a lot of pain and could not speak without sharp pain in his neck so they did a ct scan.He feels a lump in his throat and has dripping he can feel.He is coughing up brown stuff.
I just wanted to know if you see anything wrong with his esophagus.
He had 3 ablations for barretts esophagus and after last ablation his throat gradually felt worse.
Thank You Dr Chail
Logan's Mom
I think I attached the wrong images to the last email.
I will resend it.The scan I will be sending via email is of Logan's neck.
He was having a lot of pain and could not speak without sharp pain in his neck so they did a ct scan.He feels a lump in his throat and has dripping he can feel.He is coughing up brown stuff.
I just wanted to know if you see anything wrong with his esophagus.
He had 3 ablations for barretts esophagus and after last ablation his throat gradually felt worse.
Thank You Dr Chail
Logan's Mom
Hi Dr Chail
I sent the ct of the neck in dicom and jpeg because sometimes dicom does not make it to you correctly via email.
XXXXXXX can feel a lump he says feels like a flap of skin in his throat after the last ablation done on the 10th of september.
Please advise on what you see.
I sent the ct of the neck in dicom and jpeg because sometimes dicom does not make it to you correctly via email.
XXXXXXX can feel a lump he says feels like a flap of skin in his throat after the last ablation done on the 10th of september.
Please advise on what you see.
Hi Dr Chail
I sent the ct of the neck in dicom and jpeg because sometimes dicom does not make it to you correctly via email.
XXXXXXX can feel a lump he says feels like a flap of skin in his throat after the last ablation done on the 10th of september.
Please advise on what you see.
I sent the ct of the neck in dicom and jpeg because sometimes dicom does not make it to you correctly via email.
XXXXXXX can feel a lump he says feels like a flap of skin in his throat after the last ablation done on the 10th of september.
Please advise on what you see.
Brief Answer:
Where exactly is the flap of skin in the throat.
Detailed Answer:
Hi,
Thanks for writing in to us.
Got the images some time back.
Can you please white back where exactly XXXXXXX finds the flap of skin? Is is in the throator on the left of neck.
There is no lesion in the esophagus and oropharynx areas,
There are few tiny lymph nodes likely in level II of the left of neck. Theres no serious concern.
Regards,
Where exactly is the flap of skin in the throat.
Detailed Answer:
Hi,
Thanks for writing in to us.
Got the images some time back.
Can you please white back where exactly XXXXXXX finds the flap of skin? Is is in the throator on the left of neck.
There is no lesion in the esophagus and oropharynx areas,
There are few tiny lymph nodes likely in level II of the left of neck. Theres no serious concern.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Where exactly is the flap of skin in the throat.
Detailed Answer:
Hi,
Thanks for writing in to us.
Got the images some time back.
Can you please white back where exactly XXXXXXX finds the flap of skin? Is is in the throator on the left of neck.
There is no lesion in the esophagus and oropharynx areas,
There are few tiny lymph nodes likely in level II of the left of neck. Theres no serious concern.
Regards,
Where exactly is the flap of skin in the throat.
Detailed Answer:
Hi,
Thanks for writing in to us.
Got the images some time back.
Can you please white back where exactly XXXXXXX finds the flap of skin? Is is in the throator on the left of neck.
There is no lesion in the esophagus and oropharynx areas,
There are few tiny lymph nodes likely in level II of the left of neck. Theres no serious concern.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Dr Chail.We are taking him to a Dr tomorrow for his throat so, hopefully they will figure it out.He has 2 large knots at back right side of his throat.
I did want to ask about what looks like a large air ball in his vena cava on ct angiography.Pictures matching on internet say could be air embolism.I will pay again for you to look at it again but could not figure out how to do that.
Please send me an invoice via email like they did before so I can have you look back at ct angiography to look at vena cava.
Thank you
I did want to ask about what looks like a large air ball in his vena cava on ct angiography.Pictures matching on internet say could be air embolism.I will pay again for you to look at it again but could not figure out how to do that.
Please send me an invoice via email like they did before so I can have you look back at ct angiography to look at vena cava.
Thank you
Hi Dr Chail.We are taking him to a Dr tomorrow for his throat so, hopefully they will figure it out.He has 2 large knots at back right side of his throat.
I did want to ask about what looks like a large air ball in his vena cava on ct angiography.Pictures matching on internet say could be air embolism.I will pay again for you to look at it again but could not figure out how to do that.
Please send me an invoice via email like they did before so I can have you look back at ct angiography to look at vena cava.
Thank you
I did want to ask about what looks like a large air ball in his vena cava on ct angiography.Pictures matching on internet say could be air embolism.I will pay again for you to look at it again but could not figure out how to do that.
Please send me an invoice via email like they did before so I can have you look back at ct angiography to look at vena cava.
Thank you
would you suggest surgical repair of the sma syndrome?
would you suggest surgical repair of the sma syndrome?
Brief Answer:
There is mucosal thickenin gin the posterior wall of nasopharynx area
Detailed Answer:
Hi,
Thanks for writing in to us.
On detailed observation and keeping in mind the problems XXXXXXX has, I feel there is mild mucosal thickening of the posterior wall of nasopharynx area.
Please find the picture in the below link marked in blue circle.
https://ibb.co/cgrYggP
Right now please continue medical treatment for some time. I would like to know from when the problems intensified. Surgery can be done only if medical treatment is not working for 6 months to a year and if there is stasis in the stomach and duodenum and ulcers in the stomach.
Regards,
There is mucosal thickenin gin the posterior wall of nasopharynx area
Detailed Answer:
Hi,
Thanks for writing in to us.
On detailed observation and keeping in mind the problems XXXXXXX has, I feel there is mild mucosal thickening of the posterior wall of nasopharynx area.
Please find the picture in the below link marked in blue circle.
https://ibb.co/cgrYggP
Right now please continue medical treatment for some time. I would like to know from when the problems intensified. Surgery can be done only if medical treatment is not working for 6 months to a year and if there is stasis in the stomach and duodenum and ulcers in the stomach.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
There is mucosal thickenin gin the posterior wall of nasopharynx area
Detailed Answer:
Hi,
Thanks for writing in to us.
On detailed observation and keeping in mind the problems XXXXXXX has, I feel there is mild mucosal thickening of the posterior wall of nasopharynx area.
Please find the picture in the below link marked in blue circle.
https://ibb.co/cgrYggP
Right now please continue medical treatment for some time. I would like to know from when the problems intensified. Surgery can be done only if medical treatment is not working for 6 months to a year and if there is stasis in the stomach and duodenum and ulcers in the stomach.
Regards,
There is mucosal thickenin gin the posterior wall of nasopharynx area
Detailed Answer:
Hi,
Thanks for writing in to us.
On detailed observation and keeping in mind the problems XXXXXXX has, I feel there is mild mucosal thickening of the posterior wall of nasopharynx area.
Please find the picture in the below link marked in blue circle.
https://ibb.co/cgrYggP
Right now please continue medical treatment for some time. I would like to know from when the problems intensified. Surgery can be done only if medical treatment is not working for 6 months to a year and if there is stasis in the stomach and duodenum and ulcers in the stomach.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Sir
In the last statement, are you referring to his head in last coment about surgery or, the sma?
We have been seeing Drs for 4 years about his digestion and he has had the same problems , can not eat, move bowels without laxative,early satiety,intermittent puking until he almost passes out as well as intermittent blood and mucious in his stool.Once he was doing both at the same time but only greenish mucous stuff came out of his bowels.When fireman arrived he was concerned with continued rapid rate of his pulse.He also sometimes wakes up unable to breath with his heart racing. XXXXXXX has never been able to eat more than a snack size meal with bowel movements being only ever 2-4 days.
Now I am concerned because of fat in his stool, not absorbing b-12 or b-9.
His symptoms have worsened over the past 4 years and he tells me he feels like he is deteriorating inside.
He used to be very energetic but is now tired all of the time and says his stomach feels weird at times when it hurts; whatever that means.
Thank you for your close evaluation Dr Chail
Logan's Mom
He has had stomach ulcers and tears in his intestines as well.
In the last statement, are you referring to his head in last coment about surgery or, the sma?
We have been seeing Drs for 4 years about his digestion and he has had the same problems , can not eat, move bowels without laxative,early satiety,intermittent puking until he almost passes out as well as intermittent blood and mucious in his stool.Once he was doing both at the same time but only greenish mucous stuff came out of his bowels.When fireman arrived he was concerned with continued rapid rate of his pulse.He also sometimes wakes up unable to breath with his heart racing. XXXXXXX has never been able to eat more than a snack size meal with bowel movements being only ever 2-4 days.
Now I am concerned because of fat in his stool, not absorbing b-12 or b-9.
His symptoms have worsened over the past 4 years and he tells me he feels like he is deteriorating inside.
He used to be very energetic but is now tired all of the time and says his stomach feels weird at times when it hurts; whatever that means.
Thank you for your close evaluation Dr Chail
Logan's Mom
He has had stomach ulcers and tears in his intestines as well.
Hello Sir
In the last statement, are you referring to his head in last coment about surgery or, the sma?
We have been seeing Drs for 4 years about his digestion and he has had the same problems , can not eat, move bowels without laxative,early satiety,intermittent puking until he almost passes out as well as intermittent blood and mucious in his stool.Once he was doing both at the same time but only greenish mucous stuff came out of his bowels.When fireman arrived he was concerned with continued rapid rate of his pulse.He also sometimes wakes up unable to breath with his heart racing. XXXXXXX has never been able to eat more than a snack size meal with bowel movements being only ever 2-4 days.
Now I am concerned because of fat in his stool, not absorbing b-12 or b-9.
His symptoms have worsened over the past 4 years and he tells me he feels like he is deteriorating inside.
He used to be very energetic but is now tired all of the time and says his stomach feels weird at times when it hurts; whatever that means.
Thank you for your close evaluation Dr Chail
Logan's Mom
He has had stomach ulcers and tears in his intestines as well.
In the last statement, are you referring to his head in last coment about surgery or, the sma?
We have been seeing Drs for 4 years about his digestion and he has had the same problems , can not eat, move bowels without laxative,early satiety,intermittent puking until he almost passes out as well as intermittent blood and mucious in his stool.Once he was doing both at the same time but only greenish mucous stuff came out of his bowels.When fireman arrived he was concerned with continued rapid rate of his pulse.He also sometimes wakes up unable to breath with his heart racing. XXXXXXX has never been able to eat more than a snack size meal with bowel movements being only ever 2-4 days.
Now I am concerned because of fat in his stool, not absorbing b-12 or b-9.
His symptoms have worsened over the past 4 years and he tells me he feels like he is deteriorating inside.
He used to be very energetic but is now tired all of the time and says his stomach feels weird at times when it hurts; whatever that means.
Thank you for your close evaluation Dr Chail
Logan's Mom
He has had stomach ulcers and tears in his intestines as well.
Hi Dr Chail
Just wanted to tell you that the only reason I wanted opinions from other Doctors about XXXXXXX is because they are not helping here.I have 3 other opinions from other radiologist from different websites and they all agree with you.
Logans throat is getting better and I wonder if because the contrast was hot ( he said) if they should have waited until his throat healed more from the last ablation.
The Ct seemed to make it worse.
We trust the opinions we have gotten from you and other Drs not living in the US much more than the ones here because your opinions match and we can see this ourselves.I have enrolled in radiology classes online so I may help my family.
I do not have anymore questions at this time but we all want to Thank You for being a Good Doctor.
XXXXXXX
Just wanted to tell you that the only reason I wanted opinions from other Doctors about XXXXXXX is because they are not helping here.I have 3 other opinions from other radiologist from different websites and they all agree with you.
Logans throat is getting better and I wonder if because the contrast was hot ( he said) if they should have waited until his throat healed more from the last ablation.
The Ct seemed to make it worse.
We trust the opinions we have gotten from you and other Drs not living in the US much more than the ones here because your opinions match and we can see this ourselves.I have enrolled in radiology classes online so I may help my family.
I do not have anymore questions at this time but we all want to Thank You for being a Good Doctor.
XXXXXXX
Hi Dr Chail
Just wanted to tell you that the only reason I wanted opinions from other Doctors about XXXXXXX is because they are not helping here.I have 3 other opinions from other radiologist from different websites and they all agree with you.
Logans throat is getting better and I wonder if because the contrast was hot ( he said) if they should have waited until his throat healed more from the last ablation.
The Ct seemed to make it worse.
We trust the opinions we have gotten from you and other Drs not living in the US much more than the ones here because your opinions match and we can see this ourselves.I have enrolled in radiology classes online so I may help my family.
I do not have anymore questions at this time but we all want to Thank You for being a Good Doctor.
XXXXXXX
Just wanted to tell you that the only reason I wanted opinions from other Doctors about XXXXXXX is because they are not helping here.I have 3 other opinions from other radiologist from different websites and they all agree with you.
Logans throat is getting better and I wonder if because the contrast was hot ( he said) if they should have waited until his throat healed more from the last ablation.
The Ct seemed to make it worse.
We trust the opinions we have gotten from you and other Drs not living in the US much more than the ones here because your opinions match and we can see this ourselves.I have enrolled in radiology classes online so I may help my family.
I do not have anymore questions at this time but we all want to Thank You for being a Good Doctor.
XXXXXXX
Brief Answer:
Thanks for asking your questions
Detailed Answer:
Hi,
Thanks for writing in to us.
Keeping in mind the problems XXXXXXX has been having since long, it is important to know if 6 months are over since the problems got worse and from the time stomach ulcers were diagnosed. Literature says to try treatment with medicines for 6 months to a year and then proceed to surgery after detailed clinical evaluation.
I wish you and XXXXXXX the best for your health.
Regards,
Thanks for asking your questions
Detailed Answer:
Hi,
Thanks for writing in to us.
Keeping in mind the problems XXXXXXX has been having since long, it is important to know if 6 months are over since the problems got worse and from the time stomach ulcers were diagnosed. Literature says to try treatment with medicines for 6 months to a year and then proceed to surgery after detailed clinical evaluation.
I wish you and XXXXXXX the best for your health.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Thanks for asking your questions
Detailed Answer:
Hi,
Thanks for writing in to us.
Keeping in mind the problems XXXXXXX has been having since long, it is important to know if 6 months are over since the problems got worse and from the time stomach ulcers were diagnosed. Literature says to try treatment with medicines for 6 months to a year and then proceed to surgery after detailed clinical evaluation.
I wish you and XXXXXXX the best for your health.
Regards,
Thanks for asking your questions
Detailed Answer:
Hi,
Thanks for writing in to us.
Keeping in mind the problems XXXXXXX has been having since long, it is important to know if 6 months are over since the problems got worse and from the time stomach ulcers were diagnosed. Literature says to try treatment with medicines for 6 months to a year and then proceed to surgery after detailed clinical evaluation.
I wish you and XXXXXXX the best for your health.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
His stomach ulcer wnet away supposedly after gallbladder removed but other symptoms of violent puking and mucious bloody stools increased.Problems at his antrum have been reported for about 3 years XXXXXXX has never been able to eat more than what is a snack size meal before his is stuffed full and when he ate a lot once surprising all of us, he eneded up in pain so severe we had to take him to the hospital.He was a chubby baby on breast milk but could never tolerate aany other milk unlike my other 2 kids.I just think since it has been all of his life and because I had excessive amniotic fluid ( and because duct around duodenum) that annular pancreas is highly suspect.Also Dr XXXXXXX told me he could clearly see tissue around d2 junction of his duodenum.The reason they ruled out annular pancreas is because upper gi did not show narrowing on upper gi.I have read that narrowing can be intermittent ( in case studies) and that the size of circumference of tissue is usually not the problem but pathology in the tissue itself.Literature says you can get pancreatitis in the ectopic tissue itself without getting it at the same time in the pancreas.I do not beleive conservative treatment is helping my son as we have tried for over 3 years.Taking anti acid and milk of magnesia is only treatment drs here offered though we have taken him for intravenous vitamins ourselves.If they do not help XXXXXXX here by the end of this year we are taking him to XXXXXXX or, Mexico for treatment.What would you do if it were your son Sir?
Thank You
Thank You
His stomach ulcer wnet away supposedly after gallbladder removed but other symptoms of violent puking and mucious bloody stools increased.Problems at his antrum have been reported for about 3 years XXXXXXX has never been able to eat more than what is a snack size meal before his is stuffed full and when he ate a lot once surprising all of us, he eneded up in pain so severe we had to take him to the hospital.He was a chubby baby on breast milk but could never tolerate aany other milk unlike my other 2 kids.I just think since it has been all of his life and because I had excessive amniotic fluid ( and because duct around duodenum) that annular pancreas is highly suspect.Also Dr XXXXXXX told me he could clearly see tissue around d2 junction of his duodenum.The reason they ruled out annular pancreas is because upper gi did not show narrowing on upper gi.I have read that narrowing can be intermittent ( in case studies) and that the size of circumference of tissue is usually not the problem but pathology in the tissue itself.Literature says you can get pancreatitis in the ectopic tissue itself without getting it at the same time in the pancreas.I do not beleive conservative treatment is helping my son as we have tried for over 3 years.Taking anti acid and milk of magnesia is only treatment drs here offered though we have taken him for intravenous vitamins ourselves.If they do not help XXXXXXX here by the end of this year we are taking him to XXXXXXX or, Mexico for treatment.What would you do if it were your son Sir?
Thank You
Thank You
The envision imaging scan shows contrast not passing and narrowing where the ducts are.Can you please sned me a link to the images you see that in where the ducts are?I will pay whatever you want.I am trying to show the drs here as much as possible and will pay whatever you want Sir.Thank you
The envision imaging scan shows contrast not passing and narrowing where the ducts are.Can you please sned me a link to the images you see that in where the ducts are?I will pay whatever you want.I am trying to show the drs here as much as possible and will pay whatever you want Sir.Thank you
Brief Answer:
Envision scan link is attached
Detailed Answer:
Hi,
Thanks for writing in to us.
Giving thoughts on XXXXXXX being my son or a close relative, I would have tried conservative treatment for a few months to years. Since you are saying that he had a problem with feeding since childhood, I would have waiting for a while before thinking of surgery. There is no indication for emergency surgery but as we know, the hepatobiliary system surgeries also have limitations. If there was no response to ulcer treatment or persistent dilatation of duodenum then I might choose surgery earlier.
However XXXXXXX has got cholecystectomy done and that has not been able to solve all his problems.
Please find the link of the probable area below from the envision scan.
https://ibb.co/qDkCJwg
Regards,
Envision scan link is attached
Detailed Answer:
Hi,
Thanks for writing in to us.
Giving thoughts on XXXXXXX being my son or a close relative, I would have tried conservative treatment for a few months to years. Since you are saying that he had a problem with feeding since childhood, I would have waiting for a while before thinking of surgery. There is no indication for emergency surgery but as we know, the hepatobiliary system surgeries also have limitations. If there was no response to ulcer treatment or persistent dilatation of duodenum then I might choose surgery earlier.
However XXXXXXX has got cholecystectomy done and that has not been able to solve all his problems.
Please find the link of the probable area below from the envision scan.
https://ibb.co/qDkCJwg
Regards,
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Brief Answer:
Envision scan link is attached
Detailed Answer:
Hi,
Thanks for writing in to us.
Giving thoughts on XXXXXXX being my son or a close relative, I would have tried conservative treatment for a few months to years. Since you are saying that he had a problem with feeding since childhood, I would have waiting for a while before thinking of surgery. There is no indication for emergency surgery but as we know, the hepatobiliary system surgeries also have limitations. If there was no response to ulcer treatment or persistent dilatation of duodenum then I might choose surgery earlier.
However XXXXXXX has got cholecystectomy done and that has not been able to solve all his problems.
Please find the link of the probable area below from the envision scan.
https://ibb.co/qDkCJwg
Regards,
Envision scan link is attached
Detailed Answer:
Hi,
Thanks for writing in to us.
Giving thoughts on XXXXXXX being my son or a close relative, I would have tried conservative treatment for a few months to years. Since you are saying that he had a problem with feeding since childhood, I would have waiting for a while before thinking of surgery. There is no indication for emergency surgery but as we know, the hepatobiliary system surgeries also have limitations. If there was no response to ulcer treatment or persistent dilatation of duodenum then I might choose surgery earlier.
However XXXXXXX has got cholecystectomy done and that has not been able to solve all his problems.
Please find the link of the probable area below from the envision scan.
https://ibb.co/qDkCJwg
Regards,
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Hello Dr Chail
Thank you for the answers and the link from the scan.Could pancreas tissue not easily seen be causing the problem?
Dr XXXXXXX said he could see tissue surrounding the transducer at the d2 junction of his duodenum or, could that be caused by the incomplete divisium?
He can never eat much but one of our trips to the hospital was when he managed to eat a large meal he really liked.He feels full really fast usually and always has.
* Please clarify why you sent the first image.
His gallbladder was removed because it was not working at all and surgeon said he had to stop and get pediatric tools to remove it because it was the size of a childs.
I am concerned also because his bile duct was 1.8 before gallbladder removed and is now over 9.I know they enlarge after gallbladder removed but seems like a lot of increase.
Please ,clarify why you circled first image.
Thank you Sir
Thank you for the answers and the link from the scan.Could pancreas tissue not easily seen be causing the problem?
Dr XXXXXXX said he could see tissue surrounding the transducer at the d2 junction of his duodenum or, could that be caused by the incomplete divisium?
He can never eat much but one of our trips to the hospital was when he managed to eat a large meal he really liked.He feels full really fast usually and always has.
* Please clarify why you sent the first image.
His gallbladder was removed because it was not working at all and surgeon said he had to stop and get pediatric tools to remove it because it was the size of a childs.
I am concerned also because his bile duct was 1.8 before gallbladder removed and is now over 9.I know they enlarge after gallbladder removed but seems like a lot of increase.
Please ,clarify why you circled first image.
Thank you Sir
Hello Dr Chail
Thank you for the answers and the link from the scan.Could pancreas tissue not easily seen be causing the problem?
Dr XXXXXXX said he could see tissue surrounding the transducer at the d2 junction of his duodenum or, could that be caused by the incomplete divisium?
He can never eat much but one of our trips to the hospital was when he managed to eat a large meal he really liked.He feels full really fast usually and always has.
* Please clarify why you sent the first image.
His gallbladder was removed because it was not working at all and surgeon said he had to stop and get pediatric tools to remove it because it was the size of a childs.
I am concerned also because his bile duct was 1.8 before gallbladder removed and is now over 9.I know they enlarge after gallbladder removed but seems like a lot of increase.
Please ,clarify why you circled first image.
Thank you Sir
Thank you for the answers and the link from the scan.Could pancreas tissue not easily seen be causing the problem?
Dr XXXXXXX said he could see tissue surrounding the transducer at the d2 junction of his duodenum or, could that be caused by the incomplete divisium?
He can never eat much but one of our trips to the hospital was when he managed to eat a large meal he really liked.He feels full really fast usually and always has.
* Please clarify why you sent the first image.
His gallbladder was removed because it was not working at all and surgeon said he had to stop and get pediatric tools to remove it because it was the size of a childs.
I am concerned also because his bile duct was 1.8 before gallbladder removed and is now over 9.I know they enlarge after gallbladder removed but seems like a lot of increase.
Please ,clarify why you circled first image.
Thank you Sir
Brief Answer:
The image is showing likely narrowing in the duodenum area.
Detailed Answer:
Hi,
Thanks for writing in to us.
I was replying to your query "The envision imaging scan shows contrast not passing and narrowing where the ducts are.Can you please send me a link to the images you see that in where the ducts are".
The circle is showing the area of possible mild narrowing at the D2 level.
XXXXXXX had a dysfunctional gall bladder and did not serve any function. There are certain outcomes after a cholecystectomy surgery and having a dilated common bile duct is a known outcome. I am not sure if the problems are intensifying post the gall bladder surgery and if the symptoms can relate to dumping syndrome.
Regards,
The image is showing likely narrowing in the duodenum area.
Detailed Answer:
Hi,
Thanks for writing in to us.
I was replying to your query "The envision imaging scan shows contrast not passing and narrowing where the ducts are.Can you please send me a link to the images you see that in where the ducts are".
The circle is showing the area of possible mild narrowing at the D2 level.
XXXXXXX had a dysfunctional gall bladder and did not serve any function. There are certain outcomes after a cholecystectomy surgery and having a dilated common bile duct is a known outcome. I am not sure if the problems are intensifying post the gall bladder surgery and if the symptoms can relate to dumping syndrome.
Regards,
Above answer was peer-reviewed by :
Dr. Yogesh D
Brief Answer:
The image is showing likely narrowing in the duodenum area.
Detailed Answer:
Hi,
Thanks for writing in to us.
I was replying to your query "The envision imaging scan shows contrast not passing and narrowing where the ducts are.Can you please send me a link to the images you see that in where the ducts are".
The circle is showing the area of possible mild narrowing at the D2 level.
XXXXXXX had a dysfunctional gall bladder and did not serve any function. There are certain outcomes after a cholecystectomy surgery and having a dilated common bile duct is a known outcome. I am not sure if the problems are intensifying post the gall bladder surgery and if the symptoms can relate to dumping syndrome.
Regards,
The image is showing likely narrowing in the duodenum area.
Detailed Answer:
Hi,
Thanks for writing in to us.
I was replying to your query "The envision imaging scan shows contrast not passing and narrowing where the ducts are.Can you please send me a link to the images you see that in where the ducts are".
The circle is showing the area of possible mild narrowing at the D2 level.
XXXXXXX had a dysfunctional gall bladder and did not serve any function. There are certain outcomes after a cholecystectomy surgery and having a dilated common bile duct is a known outcome. I am not sure if the problems are intensifying post the gall bladder surgery and if the symptoms can relate to dumping syndrome.
Regards,
Above answer was peer-reviewed by :
Dr. Yogesh D
Hi Dr Chail
On the ultrasound scan sent, we wanted to know if you can see pancreas tissue around d2 junction duodenum and or the divisium / hernias in the scan.You sent the images of the sma from that scan but wanted to know if you could look for the other things on it.I can email the scan again as well as pay again if needed.
Thank you
On the ultrasound scan sent, we wanted to know if you can see pancreas tissue around d2 junction duodenum and or the divisium / hernias in the scan.You sent the images of the sma from that scan but wanted to know if you could look for the other things on it.I can email the scan again as well as pay again if needed.
Thank you
Hi Dr Chail
On the ultrasound scan sent, we wanted to know if you can see pancreas tissue around d2 junction duodenum and or the divisium / hernias in the scan.You sent the images of the sma from that scan but wanted to know if you could look for the other things on it.I can email the scan again as well as pay again if needed.
Thank you
On the ultrasound scan sent, we wanted to know if you can see pancreas tissue around d2 junction duodenum and or the divisium / hernias in the scan.You sent the images of the sma from that scan but wanted to know if you could look for the other things on it.I can email the scan again as well as pay again if needed.
Thank you
Brief Answer:
There is difficulty in visualisation of the pancreas around the D2 segment
Detailed Answer:
Hi,
Thanks for writing in to us.
There is difficulty in visualisation of the pancreas around the D2 segment on ultrasound images as I am not able to get the continuity of images like a movie clip. Telling from single images is difficult.
Regards,
There is difficulty in visualisation of the pancreas around the D2 segment
Detailed Answer:
Hi,
Thanks for writing in to us.
There is difficulty in visualisation of the pancreas around the D2 segment on ultrasound images as I am not able to get the continuity of images like a movie clip. Telling from single images is difficult.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
There is difficulty in visualisation of the pancreas around the D2 segment
Detailed Answer:
Hi,
Thanks for writing in to us.
There is difficulty in visualisation of the pancreas around the D2 segment on ultrasound images as I am not able to get the continuity of images like a movie clip. Telling from single images is difficult.
Regards,
There is difficulty in visualisation of the pancreas around the D2 segment
Detailed Answer:
Hi,
Thanks for writing in to us.
There is difficulty in visualisation of the pancreas around the D2 segment on ultrasound images as I am not able to get the continuity of images like a movie clip. Telling from single images is difficult.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi, Dr Chail
The reading on us doppler arterial mesenteric is:
celiac artery origin PSV 301 cm/sec ,end diastolic velocity EDV 132 cm/sec.
this sugest possible stenosis.another spectral doppler velocity is 193 cm/s PSV.Says can be explained by median arcuate ligament compression in slightly different positions.
Question,don't compression syndromes most always show compression relief in different positions?That is what I have read in many case studies.Also, if compressions were constant, wouldn't a person just pass out?
Common hepatic artery : the proximal common hepatic artery PSV three 46 cm/s. peak end diastolic velocity 117 cm/s.
Question: isn't common hepatic artery reading an abnormal reading?
superior mesenteric artery SMA PSV 128 cm/s , EDV 33.7 cm/sec.
Would you say that with everything combined ,scans,synptoms ( including,inguinal ,small hiatal hernia,varicocele,raised diaphragm etc. as well as this doppler reading that XXXXXXX has a compression syndrome ( SMA or MALS ?
Thank You
The reading on us doppler arterial mesenteric is:
celiac artery origin PSV 301 cm/sec ,end diastolic velocity EDV 132 cm/sec.
this sugest possible stenosis.another spectral doppler velocity is 193 cm/s PSV.Says can be explained by median arcuate ligament compression in slightly different positions.
Question,don't compression syndromes most always show compression relief in different positions?That is what I have read in many case studies.Also, if compressions were constant, wouldn't a person just pass out?
Common hepatic artery : the proximal common hepatic artery PSV three 46 cm/s. peak end diastolic velocity 117 cm/s.
Question: isn't common hepatic artery reading an abnormal reading?
superior mesenteric artery SMA PSV 128 cm/s , EDV 33.7 cm/sec.
Would you say that with everything combined ,scans,synptoms ( including,inguinal ,small hiatal hernia,varicocele,raised diaphragm etc. as well as this doppler reading that XXXXXXX has a compression syndrome ( SMA or MALS ?
Thank You
Hi, Dr Chail
The reading on us doppler arterial mesenteric is:
celiac artery origin PSV 301 cm/sec ,end diastolic velocity EDV 132 cm/sec.
this sugest possible stenosis.another spectral doppler velocity is 193 cm/s PSV.Says can be explained by median arcuate ligament compression in slightly different positions.
Question,don't compression syndromes most always show compression relief in different positions?That is what I have read in many case studies.Also, if compressions were constant, wouldn't a person just pass out?
Common hepatic artery : the proximal common hepatic artery PSV three 46 cm/s. peak end diastolic velocity 117 cm/s.
Question: isn't common hepatic artery reading an abnormal reading?
superior mesenteric artery SMA PSV 128 cm/s , EDV 33.7 cm/sec.
Would you say that with everything combined ,scans,synptoms ( including,inguinal ,small hiatal hernia,varicocele,raised diaphragm etc. as well as this doppler reading that XXXXXXX has a compression syndrome ( SMA or MALS ?
Thank You
The reading on us doppler arterial mesenteric is:
celiac artery origin PSV 301 cm/sec ,end diastolic velocity EDV 132 cm/sec.
this sugest possible stenosis.another spectral doppler velocity is 193 cm/s PSV.Says can be explained by median arcuate ligament compression in slightly different positions.
Question,don't compression syndromes most always show compression relief in different positions?That is what I have read in many case studies.Also, if compressions were constant, wouldn't a person just pass out?
Common hepatic artery : the proximal common hepatic artery PSV three 46 cm/s. peak end diastolic velocity 117 cm/s.
Question: isn't common hepatic artery reading an abnormal reading?
superior mesenteric artery SMA PSV 128 cm/s , EDV 33.7 cm/sec.
Would you say that with everything combined ,scans,synptoms ( including,inguinal ,small hiatal hernia,varicocele,raised diaphragm etc. as well as this doppler reading that XXXXXXX has a compression syndrome ( SMA or MALS ?
Thank You
Brief Answer:
The Doppler speeds are showing a likely error
Detailed Answer:
Hi,
Thanks for writing in to us.
Doppler measurements are to be taken carefully. I think the readings of celiac artery and common hepatic are showing an error. There are technical errors in measurement of the readings.
The compression is a subjective matter and the symptoms vary a lot in different patients. The distal duodenum is compressed and symptoms can vary due to the distension of stomach and gastroduodenal area.
I have re checked the origin of the celiac artery and it is measuring 11 mm and there is no sudden compression in the area.
There fore I will not think about MALS.
The SMA syndrome findings are more consistent with the images.
Regards,
The Doppler speeds are showing a likely error
Detailed Answer:
Hi,
Thanks for writing in to us.
Doppler measurements are to be taken carefully. I think the readings of celiac artery and common hepatic are showing an error. There are technical errors in measurement of the readings.
The compression is a subjective matter and the symptoms vary a lot in different patients. The distal duodenum is compressed and symptoms can vary due to the distension of stomach and gastroduodenal area.
I have re checked the origin of the celiac artery and it is measuring 11 mm and there is no sudden compression in the area.
There fore I will not think about MALS.
The SMA syndrome findings are more consistent with the images.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
The Doppler speeds are showing a likely error
Detailed Answer:
Hi,
Thanks for writing in to us.
Doppler measurements are to be taken carefully. I think the readings of celiac artery and common hepatic are showing an error. There are technical errors in measurement of the readings.
The compression is a subjective matter and the symptoms vary a lot in different patients. The distal duodenum is compressed and symptoms can vary due to the distension of stomach and gastroduodenal area.
I have re checked the origin of the celiac artery and it is measuring 11 mm and there is no sudden compression in the area.
There fore I will not think about MALS.
The SMA syndrome findings are more consistent with the images.
Regards,
The Doppler speeds are showing a likely error
Detailed Answer:
Hi,
Thanks for writing in to us.
Doppler measurements are to be taken carefully. I think the readings of celiac artery and common hepatic are showing an error. There are technical errors in measurement of the readings.
The compression is a subjective matter and the symptoms vary a lot in different patients. The distal duodenum is compressed and symptoms can vary due to the distension of stomach and gastroduodenal area.
I have re checked the origin of the celiac artery and it is measuring 11 mm and there is no sudden compression in the area.
There fore I will not think about MALS.
The SMA syndrome findings are more consistent with the images.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Can you please send me your readings?
Thank You
Thank You
Can you please send me your readings?
Thank You
Thank You
Brief Answer:
I feel the common hepatic artery measurements are false positive
Detailed Answer:
Hi,
Thanks for writing in to us.
There be erroneous recording of PSV due to technical limitation in the angle of measurement.
I still feel that the velocity cannot reach 345 cm/ sec in common hepatic artery and is false positive.
Other than the above, there is a compression by the SMA. The celiac artery origin measurement looks normal in many images.
Regards,
I feel the common hepatic artery measurements are false positive
Detailed Answer:
Hi,
Thanks for writing in to us.
There be erroneous recording of PSV due to technical limitation in the angle of measurement.
I still feel that the velocity cannot reach 345 cm/ sec in common hepatic artery and is false positive.
Other than the above, there is a compression by the SMA. The celiac artery origin measurement looks normal in many images.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
I feel the common hepatic artery measurements are false positive
Detailed Answer:
Hi,
Thanks for writing in to us.
There be erroneous recording of PSV due to technical limitation in the angle of measurement.
I still feel that the velocity cannot reach 345 cm/ sec in common hepatic artery and is false positive.
Other than the above, there is a compression by the SMA. The celiac artery origin measurement looks normal in many images.
Regards,
I feel the common hepatic artery measurements are false positive
Detailed Answer:
Hi,
Thanks for writing in to us.
There be erroneous recording of PSV due to technical limitation in the angle of measurement.
I still feel that the velocity cannot reach 345 cm/ sec in common hepatic artery and is false positive.
Other than the above, there is a compression by the SMA. The celiac artery origin measurement looks normal in many images.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Dr Chail
I was looking through images and wonder about some of them; if could be thoracic outlet syndrome or chest lession.I also noticed some things in his throat.I am emailing a small folder with some images from the ct angiography as well as neck ct.It is not many images but, shows some I wwas wondering about.I already paid the 45.oo and will email to healthcaremagic now.
Thank you for all of your great help Sir
XXXXXXX ( Logans Mom
I was looking through images and wonder about some of them; if could be thoracic outlet syndrome or chest lession.I also noticed some things in his throat.I am emailing a small folder with some images from the ct angiography as well as neck ct.It is not many images but, shows some I wwas wondering about.I already paid the 45.oo and will email to healthcaremagic now.
Thank you for all of your great help Sir
XXXXXXX ( Logans Mom
Hi Dr Chail
I was looking through images and wonder about some of them; if could be thoracic outlet syndrome or chest lession.I also noticed some things in his throat.I am emailing a small folder with some images from the ct angiography as well as neck ct.It is not many images but, shows some I wwas wondering about.I already paid the 45.oo and will email to healthcaremagic now.
Thank you for all of your great help Sir
XXXXXXX ( Logans Mom
I was looking through images and wonder about some of them; if could be thoracic outlet syndrome or chest lession.I also noticed some things in his throat.I am emailing a small folder with some images from the ct angiography as well as neck ct.It is not many images but, shows some I wwas wondering about.I already paid the 45.oo and will email to healthcaremagic now.
Thank you for all of your great help Sir
XXXXXXX ( Logans Mom
Brief Answer:
Any clinical suspicion of thoracic outlet syndrome? CT images are not showing any area of subclavian arteries obstruction
Detailed Answer:
Hi,
Hope you and XXXXXXX are doing well.
I viewed all the images and the images of the CT scan you sent earlier. There are no obvious features of thoracic outlet syndrome. I want to know if XXXXXXX has any difference in pulse rates between both hands and if there is pulse variation on keeping the hand above the level of head.Z
The neck area is showing normal anatomical structures.
Regards,
Any clinical suspicion of thoracic outlet syndrome? CT images are not showing any area of subclavian arteries obstruction
Detailed Answer:
Hi,
Hope you and XXXXXXX are doing well.
I viewed all the images and the images of the CT scan you sent earlier. There are no obvious features of thoracic outlet syndrome. I want to know if XXXXXXX has any difference in pulse rates between both hands and if there is pulse variation on keeping the hand above the level of head.Z
The neck area is showing normal anatomical structures.
Regards,
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
Any clinical suspicion of thoracic outlet syndrome? CT images are not showing any area of subclavian arteries obstruction
Detailed Answer:
Hi,
Hope you and XXXXXXX are doing well.
I viewed all the images and the images of the CT scan you sent earlier. There are no obvious features of thoracic outlet syndrome. I want to know if XXXXXXX has any difference in pulse rates between both hands and if there is pulse variation on keeping the hand above the level of head.Z
The neck area is showing normal anatomical structures.
Regards,
Any clinical suspicion of thoracic outlet syndrome? CT images are not showing any area of subclavian arteries obstruction
Detailed Answer:
Hi,
Hope you and XXXXXXX are doing well.
I viewed all the images and the images of the CT scan you sent earlier. There are no obvious features of thoracic outlet syndrome. I want to know if XXXXXXX has any difference in pulse rates between both hands and if there is pulse variation on keeping the hand above the level of head.Z
The neck area is showing normal anatomical structures.
Regards,
Above answer was peer-reviewed by :
Dr. Raju A.T
Thank you, we will check what you suggested.
Just sent the images because they look odd and was wondering about them and we know there are a lot of images so, things can be missed.
Can you please tell me what the bright signal images on the right side are in the axial images I sent?
Thank you again Dr Chail
Just sent the images because they look odd and was wondering about them and we know there are a lot of images so, things can be missed.
Can you please tell me what the bright signal images on the right side are in the axial images I sent?
Thank you again Dr Chail
Thank you, we will check what you suggested.
Just sent the images because they look odd and was wondering about them and we know there are a lot of images so, things can be missed.
Can you please tell me what the bright signal images on the right side are in the axial images I sent?
Thank you again Dr Chail
Just sent the images because they look odd and was wondering about them and we know there are a lot of images so, things can be missed.
Can you please tell me what the bright signal images on the right side are in the axial images I sent?
Thank you again Dr Chail
Brief Answer:
The bright area is contrast in the lumen of the veins
Detailed Answer:
Hi,
Thanks for writing back with an update.
The bright area on the right is the contrast flowing in to the veins. It is bright due to the increased density of the contrast and is later on diluted as it reaches the rest of the vessels.
Regards,
The bright area is contrast in the lumen of the veins
Detailed Answer:
Hi,
Thanks for writing back with an update.
The bright area on the right is the contrast flowing in to the veins. It is bright due to the increased density of the contrast and is later on diluted as it reaches the rest of the vessels.
Regards,
Above answer was peer-reviewed by :
Dr. Yogesh D
Brief Answer:
The bright area is contrast in the lumen of the veins
Detailed Answer:
Hi,
Thanks for writing back with an update.
The bright area on the right is the contrast flowing in to the veins. It is bright due to the increased density of the contrast and is later on diluted as it reaches the rest of the vessels.
Regards,
The bright area is contrast in the lumen of the veins
Detailed Answer:
Hi,
Thanks for writing back with an update.
The bright area on the right is the contrast flowing in to the veins. It is bright due to the increased density of the contrast and is later on diluted as it reaches the rest of the vessels.
Regards,
Above answer was peer-reviewed by :
Dr. Yogesh D
Thank you very much Dr Chail
Thank you very much Dr Chail
Brief Answer:
Thanks for sending your query.
Detailed Answer:
Hi,
Thanks for sending your query.
Regards,
Thanks for sending your query.
Detailed Answer:
Hi,
Thanks for sending your query.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Thanks for sending your query.
Detailed Answer:
Hi,
Thanks for sending your query.
Regards,
Thanks for sending your query.
Detailed Answer:
Hi,
Thanks for sending your query.
Regards,
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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