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What Does My Ultrasound Scan Report Indicate?

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Posted on Thu, 16 Nov 2017
Question: Dear Doctor,

Kindly help me interpret my annual medical check reports and let me know if it is normal.

I also did Ultra sound and the doctor confirmed it OK.
doctor
Answered by Dr. Antoneta Zotaj (3 hours later)
Brief Answer:
A couple of indexes are a bit high- explanation given; the rest of the tests are normal

Detailed Answer:
Hello,

Thank you for uploading your labs so i can have a look at them. I will take them one by one and explain.

CBC- no anemia, you have normal total number of wbc (white blood cells) while the differential goes a little towards the lymphocytes dominating over the granulocytes (different types of white blood cells) but this is nothing to worry as long as the total number of white cells is normal. Platelets are normal also. So nothing to worry with the CBC (the very first test)

ERS- is normal (your body is not reacting to any current infection or other factors)
Blood sugar and lipids are normal

PSA is normal (prostate antigen)

Urinalysis is normal

Liver tests are normal but GGT which is higher. This is high in general if a patient uses alcohol, in certain drugs use and in some chronic conditions but it is not a specific test which means its presence not necessarily indicates a specific diagnosis.

Kidney function test- creatinine is high. On the other hand the eGFR is normal. This is reassuring. Creatinine can be high even when you are dehydrated (have not been drinking well that day), certain medications might elevate it and also having a lot of meat at the time of around the test might affect it. Men tend to have increased creatinine compared to women especially if they have a lot of muscular mas (are muscular).

I would say that:
1. would be of great help to compare the results of the creatinine and GGT with the results of the previous year. If they were normal in previous tests than nothing to worry and just repeating the tests in 1-2 months is important.
2. if they are found high the previous year also than we might need to consider examinations to find the cause of it.
3. The rest of the tests is normal and nothing to worry with them.

I hope this is helpful and answers to your question but please feel free to let us know if anymore clarification is needed on this.

Kind regards,

Antoneta Zotaj, MD
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Antoneta Zotaj (47 minutes later)
Dear Doctor,

I really appreciate your honest feedback, all I want is to be OK health wise and I need to know on time if anything is wrong with me.

Back to your question, I have never done these two tests before in my life and the comparism would be difficult in this case.

Kindly advise on what I should do next.

Many thanks.

Regards.
doctor
Answered by Dr. Antoneta Zotaj (43 minutes later)
Brief Answer:
No worries, just repeat GGT and creatinine in a month time

Detailed Answer:
Hello again,

If you don't have a previous result of these tests than you don't need to worry. You will need to repeat only those two tests in a month time.
Make sure you drink well this time, especially the couple of days before the test so you are not dehydrated.

If you are using alcohol you will need to reduce it to not more than 2-3 drinks a day (i don't mean heavy drinks with this)

Avoid excess amount of meat in case you eat a lot of meat. Having meat 2-3 times a week is ok.

In a month time you can repeat both GGT and Creatinine and we can compare the results with the ones you uploaded today. There is no need to rush and have the tests done earlier so just relax and have them done when advised.

I understand you might be anxious about your XXXXXXX but most likely these results will come out normal when you repeat them.

P.S: how about the urinalysis, is OTP written in the test the same as negative or zero? If not please let me know as this might be important.

I hope this is helpful and answers to your question but please feel free to let us know if anymore concerns related to this.

Kind regards,

Antoneta Zotaj, MD
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Antoneta Zotaj (2 hours later)
Dear Doctor,

I do not drink alcohol at all, however, I take a lot of meat which I need to work on and take enough water as advised.

You are right about the interpretation of OTP which is normal.

Thanks.

Regards.
doctor
Answered by Dr. Antoneta Zotaj (48 minutes later)
Brief Answer:
UA being normal and you not using alcohol is very reassuring

Detailed Answer:
Hello again,

Thank you for the clarification on the urinalysis (UA). So it is obvious the urinalysis is normal and this is important if we have "high" creatinine, it is another reassuring factor.

It is great you do not drink alcohol, this rules out GGT being high due to alcohol also.

So please don't worry and have the tests (creatinine and GGT) repeated in a month and let us know for any questions or concerns related to it.

Kind regards

Antoneta Zotaj, MD


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Antoneta Zotaj (8 hours later)
Dear Doctor,

Thank you so much for this analysis, I would do the test as advised .

Many thanks for the supports always.

Regards.
doctor
Answered by Dr. Antoneta Zotaj (14 minutes later)
Brief Answer:
Pleasure to help you

Detailed Answer:
Hello,

I am glad this was helpful to you.

Take care and let us know when you have the tests done and for any concerns.

Regards,

Antoneta Zotaj, MD
Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
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Dr. Antoneta Zotaj

General & Family Physician

Practicing since :2004

Answered : 4436 Questions

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What Does My Ultrasound Scan Report Indicate?

Brief Answer: A couple of indexes are a bit high- explanation given; the rest of the tests are normal Detailed Answer: Hello, Thank you for uploading your labs so i can have a look at them. I will take them one by one and explain. CBC- no anemia, you have normal total number of wbc (white blood cells) while the differential goes a little towards the lymphocytes dominating over the granulocytes (different types of white blood cells) but this is nothing to worry as long as the total number of white cells is normal. Platelets are normal also. So nothing to worry with the CBC (the very first test) ERS- is normal (your body is not reacting to any current infection or other factors) Blood sugar and lipids are normal PSA is normal (prostate antigen) Urinalysis is normal Liver tests are normal but GGT which is higher. This is high in general if a patient uses alcohol, in certain drugs use and in some chronic conditions but it is not a specific test which means its presence not necessarily indicates a specific diagnosis. Kidney function test- creatinine is high. On the other hand the eGFR is normal. This is reassuring. Creatinine can be high even when you are dehydrated (have not been drinking well that day), certain medications might elevate it and also having a lot of meat at the time of around the test might affect it. Men tend to have increased creatinine compared to women especially if they have a lot of muscular mas (are muscular). I would say that: 1. would be of great help to compare the results of the creatinine and GGT with the results of the previous year. If they were normal in previous tests than nothing to worry and just repeating the tests in 1-2 months is important. 2. if they are found high the previous year also than we might need to consider examinations to find the cause of it. 3. The rest of the tests is normal and nothing to worry with them. I hope this is helpful and answers to your question but please feel free to let us know if anymore clarification is needed on this. Kind regards, Antoneta Zotaj, MD