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Dr. Andrew Rynne
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What do my lab test reports indicate?

Answered by
Dr.
Dr. Indranil Ghosh

Oncologist

Practicing since :2004

Answered : 1500 Questions

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Posted on Tue, 30 Aug 2016 in Cancer
Question: I need to know how to understand what this means? What should I request my DR do as far as other test is any?I AM A 50 YEAR OLD FEMALE. 10/04/1965.



Lumbar degenerative disc disease 02/13/2013
Facet arthropathy, lumbar 02/13/2013
Lumbar radiculitis 02/13/2013
Morbid obesity with BMI of 40.0-44.9, adult (HCC) 02/13/2013
Sprain and strain of other specified sites of hip and thigh 03/11/2013
Displacement of lumbar intervertebral disc without myelopathy 03/11/2013
Hypertension, essential, benign 03/12/2013
Essential hypertension 03/12/2013
Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene (HCC) 03/12/2013
PAD (peripheral artery disease) (HCC) 03/12/2013
CAD S/P stenting 03/12/2013
Other and unspecified angina pectoris (HCC) 06/07/2013
Foot pain 10/03/2013
Hypomagnesemia 10/03/2013
Sleep apnea 10/10/2013
Dyslipidemia, goal LDL below 70 02/21/2014
Cataract 05/01/2014
Allergic rhinitis 05/21/2014
GERD (gastroesophageal reflux disease) 08/21/2014
Gout 10/15/2014
Abnormal LFTs (liver function tests) 11/18/2014
Restless leg syndrome 12/18/2014
Vitamin D deficiency 02/23/2015
Myalgia 10/14/2015
Pityriasis rosea 02/08/2016
Abscess of groin, left 06/08/2016 XXXXXXX K XXXXXXX
MAMMO SCREEN COMBO HD BILATERAL
8/10/2016 11:26 AM

HISTORY: 50 years. Female. Asymptomatic for breast disease.

Added Risk Factors: Maternal aunt with ovarian cancer
Breast Procedures: None.
COMPARISON: 3/2014 no other studies for comparison

TECHNIQUE: Digital mammographic craniocaudad and medial lateral oblique (2D) views of each breast were performed, with additional digital tomosynthesis (3D) imaging of each breast in 2 projections. Computerized aided detection software was utilized.

FINDINGS:

Breast Tissue: The breasts are almost entirely fatty.

There are multiple, bilateral, scattered benign-appearing calcifications.
No significant masses, calcifications, or areas of architectural distortion are seen.


Impression


1. Benign findings. Normal interval follow-up is recommended in 12 months.

ASSESSMENT: BI-RADS Category 2 - Benign.

Per National MQSA guidelines, a letter of notification will be sent to the patient.

8/11/2016 2:00 PM

ALSO SEE THIS TEST
XXXXXXX K XXXXXXX
US ABDOMEN LIMITED
8/10/2016 10:38 AM

History: 50 years. Female. Preoperative evaluation for cardiovascular clearance.

TECHNIQUE:
Imaging was performed using a curved array transducer. Grayscale and color flow techniques were utilized.

COMPARISON:
None.

FINDINGS:
Pancreas: Pancreatic tail is obscured the remainder the pancreas is normal in sonographic appearance.
Liver: Diffuse distal acoustic shadowing suggesting fatty infiltration. No focal mass or intrahepatic biliary dilatation. Anatomic flow direction of portal venous and hepatic venous blood flow.
Gallbladder: Multiple small layering gallstones are identified.
Gallbladder Wall: Gallbladder wall thickness is normal measuring 2.5 mm.
Common bile duct: The common bile duct is normal measuring 4.3 mm.
Peritoneal Findings: No ascites identified.
Incidental Findings: None.



Impression


1. Cholelithiasis but no sonographic evidence of cholecystitis
2. Fatty infiltration of the liver but no evidence of biliary dilatation or mass. 8/10/2016 10:52 AM






NY QUESTION IS THIS, HOW WORRIED SHOULD I BE??

THANK YOU XXXXXXX XXXXXXX

509-528-1023

YYYY@YYYY
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Follow up: Dr. Indranil Ghosh 1 hour later
I am at hopes I sent my question out correctly.
doctor
Answered by Dr. Indranil Ghosh 3 hours later
Brief Answer:
No reason for worry

Detailed Answer:
Hi
Thanks for your query.

You have sent out your question properly.

The recent two tests, mammogram and ultrasound abdomen are ok. Mammogram is entirely normal while abdomen scan shows gall stones and fatty liver which are seen in many healthy individuals and treatment is not always required.

Further tests would depend upon symptoms faced now. If there are no symptoms, then not to worry.

Hope this helps.
Regards
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Indranil Ghosh 42 minutes later
OK so I'm awaiting further cardiovascular work up. if all goes well I'm facing a bariatric surgery. I have to do this. because of my PAD. my only option for treatment is a bilateral illiac surgery. as things are that surgery only gives me a 30% chance of survival. so weight must come off. I'm nervous.
thank you again
doctor
Answered by Dr. Indranil Ghosh 2 hours later
Brief Answer:
I understand

Detailed Answer:
These reports are no contraindication to bariatric surgery or vascular surgery. You can certainly go ahead
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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The User accepted the expert's answer

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