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What Does This CT Scan Report Indicate?
Question: Looking for answers of what this means on my CT Scan. My doctor did CT, and Ultrasound and has sent me to a surgical oncologist with no explanation as to why. Nobody has told me what all this means. From what I have been able to read, it appears that I have some form of Cancer either Lymphoma or Leukemia? Am I understanding this correctly. I tried to ask the surgical Oncolygist questions but he was rude and quite intimidating and did not want to explain or answer questions I have. PLEASE HELP ME UNDERSTAND.
CT shows
Findings:
Multiple Lymph nodes are indentified in the necks in the Posterior Cervical Space and in the suboccipital region. The nodes are enhanced fairly homogeneously. The largest of the nodes is located at the C3 level in the right posterior Lateral Neck measureing about 17mm in Diameter. The nodes are sharply marginated and are not matted.
There is no definite lesion identified in the upper aerodigestive tract. The thyroid gland, submandibular salivary glands and parotid glands appear normal EXCEPT there is enhancement at the posterior aspect of the tail of the right parotid gland most likely related to a periparotid lymph node. Multiple additional nodes are also indentified throughout the Lymph node bearing chains of the neck but none of the additional nodes are particularly suspicious since they are within the range of normal limits in size. They are not matted and are Inhomogeneous in enhancement.
CT Impression shows
1. Multiple Lymph nodes in the neck including Suboccipital, postauricular, and right Periparotid Lymph Nodes.
Please correlate clinically for Lymphoproliferative disorder including Lymphoma.
2. No evidence for lesion of the upper aerodigestive tract.
I don't know what questions to ask and am quite frankly concerned that nobody is telling me why I am having all these tests and why I had surgery where they took a lymphnode leaving me with a 3 inch scar on my neck that is healing.
DO I HAVE SOME FORM OF CANCER? From what I am reading maybe Leukemia or Lymphoma? XXXXXXX
CT shows
Findings:
Multiple Lymph nodes are indentified in the necks in the Posterior Cervical Space and in the suboccipital region. The nodes are enhanced fairly homogeneously. The largest of the nodes is located at the C3 level in the right posterior Lateral Neck measureing about 17mm in Diameter. The nodes are sharply marginated and are not matted.
There is no definite lesion identified in the upper aerodigestive tract. The thyroid gland, submandibular salivary glands and parotid glands appear normal EXCEPT there is enhancement at the posterior aspect of the tail of the right parotid gland most likely related to a periparotid lymph node. Multiple additional nodes are also indentified throughout the Lymph node bearing chains of the neck but none of the additional nodes are particularly suspicious since they are within the range of normal limits in size. They are not matted and are Inhomogeneous in enhancement.
CT Impression shows
1. Multiple Lymph nodes in the neck including Suboccipital, postauricular, and right Periparotid Lymph Nodes.
Please correlate clinically for Lymphoproliferative disorder including Lymphoma.
2. No evidence for lesion of the upper aerodigestive tract.
I don't know what questions to ask and am quite frankly concerned that nobody is telling me why I am having all these tests and why I had surgery where they took a lymphnode leaving me with a 3 inch scar on my neck that is healing.
DO I HAVE SOME FORM OF CANCER? From what I am reading maybe Leukemia or Lymphoma? XXXXXXX
Brief Answer:
Lymph node has been removed to establish the diagnosis.
Detailed Answer:
Hello!
Thank you for the query.
It is too early to tell if you have lymphoma or leukemia. There are some enlarged lymph nodes in the neck and cervical area. Lymph nodes can get enlarge for many different reasons including infection and lymphoma (leukemia gives rather blood coagulation problems and recurring infection at first).
As they have found enlarged lymph nodes, to establish the diagnosis, lymph node has been removed and send to pathologist. The pathologist will check this lymph node under a microscope and give the final diagnosis.
Depending of this diagnosis, chemotherapy might be necessary. And depending of this diagnosis, prognosis can be established as well.
If you are young person, Hodkins lymphoma can be the most probable diagnosis. If so, your prognosis is very very good.
Hope this will help. Feel free to ask further questions.
Regards.
Lymph node has been removed to establish the diagnosis.
Detailed Answer:
Hello!
Thank you for the query.
It is too early to tell if you have lymphoma or leukemia. There are some enlarged lymph nodes in the neck and cervical area. Lymph nodes can get enlarge for many different reasons including infection and lymphoma (leukemia gives rather blood coagulation problems and recurring infection at first).
As they have found enlarged lymph nodes, to establish the diagnosis, lymph node has been removed and send to pathologist. The pathologist will check this lymph node under a microscope and give the final diagnosis.
Depending of this diagnosis, chemotherapy might be necessary. And depending of this diagnosis, prognosis can be established as well.
If you are young person, Hodkins lymphoma can be the most probable diagnosis. If so, your prognosis is very very good.
Hope this will help. Feel free to ask further questions.
Regards.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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