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What Does This CT Scan Report Indicate?

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Posted on Fri, 4 Sep 2015
Question: Hi, I am a 30 year old male, 6'2", 284 pounds. No major health issues outside of mild high blood pressure.

I was admitted to the hospital with a high fever (105 F) of undetermined cause. The fever subsided after about a week, and I have since been asymptomatic.

I received a CT scan in the hospital, which noted, among other things, a "cystic lesion involving the anterior spleen measuring 3.6 cm x 3.7 cm. The spleen is enlarged measuring 18 cm in length. A splenule noted at the helium. The adrenal glands, kidneys, pancreas, and spleen are unremarkable. The abdominal aorta is normal size and caliber. The liver demonstrated decreased attenuation compatible with hepatic steatosis."

I am very concerned about the cyst on my spleen and my spleen's size. My primary physician wants me to wait a few weeks and have my spleen scanned again with an ultrasound. I have occasional left-side pain that I did not have before I was sick, and while one of the areas of pain is in the general location of the spleen, I did vomit excessively while I was sick, and my doctor thinks I likely have pulled muscles or stressed ribs.

Should I be concerned about my spleen's size and the cyst?
doctor
Answered by Dr. Indranil Ghosh (12 minutes later)
Brief Answer:
better to wait it out

Detailed Answer:
Hi
Thanks for your query.

From the history it appears that you had some infection, probably viral which has subsided now. Viral infections can cause low blood counts as well as increased spleen size. So that part is perfectly fine.

We can surely wait some time before getting another scan and blood work.

Splenic cyst may be found in normal individuals also and not normally of concern. It is probably unrelated to the pain. However, if fever returns we need to be careful regarding a splenic abscess or pus collection. For the time being, waiting is OK.

Hope this helps.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indranil Ghosh (2 minutes later)
Thank you, I also have a follow-up question based on your answer. If the splenic enlargement was caused by a virus, about how long would it normally take for the spleen to return to its normal size?
doctor
Answered by Dr. Indranil Ghosh (7 minutes later)
Brief Answer:
it is variable

Detailed Answer:
May take 2-4 weeks usually
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indranil Ghosh (1 minute later)
Thank you.
doctor
Answered by Dr. Indranil Ghosh (8 hours later)
Brief Answer:
you are welcome

Detailed Answer:
Wish you all the best
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Indranil Ghosh

Oncologist

Practicing since :2004

Answered : 1712 Questions

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What Does This CT Scan Report Indicate?

Brief Answer: better to wait it out Detailed Answer: Hi Thanks for your query. From the history it appears that you had some infection, probably viral which has subsided now. Viral infections can cause low blood counts as well as increased spleen size. So that part is perfectly fine. We can surely wait some time before getting another scan and blood work. Splenic cyst may be found in normal individuals also and not normally of concern. It is probably unrelated to the pain. However, if fever returns we need to be careful regarding a splenic abscess or pus collection. For the time being, waiting is OK. Hope this helps. Regards