What do these blood and ultrasound reports indicate?
Ferritin Level (308ng/ml)
From what I have read, there is a probability of Lymphoma, ANxiety or any number of issues. My question is, what is considered elevated enough with Ferritin levels to suggest lymphoma or what else should I look for to determine what is going on with me.
More information for this question from the Ultrasound:
The liver measures 17.6 cm. There is coarsened echotexture from fatty infiltration.
There is hepatopedal portal flow.
The portal vein measures 1.0 cm.
The gallbladder is normal.
No evidence for gallstones.
The gallbladder wall is 2.2 mm.
Common hepatic duct is normal and measures 4.3 mm.
Pancreas is not well detailed.
The spleen is normal and measures 14.6 x 6.2 x 7.1 cm.
Right kidney is 10.8 cm.
Left kidney is 12.4 cm.
There is no free fluid.
Aorta and IVC are normal, as visualized.
The patient was not tender during the exam.
1. Fatty liver.
2. Enlarged spleen.
does not look like lymphoma
Thanks for your query.
Ferritin is a very non-specific marker. It can be elevated in many conditions including liver disease. Overall, I don't see any possibility of lymphoma here.
The ultrasound findings suggest some degree of chronic liver disease probably due to fatty liver.
I feel that the hematology consult will not reveal anything more.
The liver problem can be taken care of by medicines and lifestyle changes.
Hope this helps.
if really swollen then would require evaluation
Small lymph nodes are normal. But if they are really swollen, like >1.5-2 cm then we need to evaluate. Common causes are infection, especially viral or bacterial.
If the examining doctor feels, he may order a course of antibiotics or fine needle aspiration. Cancer is one of the causes but should not think of it right away before ruling out common causes.
yes, that points away from cancer
As I have already said, probability of cancer is very low in your case.
There is no cause for worrying so much.
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