Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

191 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Could I be worry about CT abdomen information ?

CT ABDOMEN‎ Clinical Info‎: ‎generalized abdominal pain for the last ‎04 ‎months‎. ‎Chronic gastritis‎. ‎Ultrasound ‎ shows thickening of small bowel loops‎. ‎Weight loss‎. ‎? ‎Abdominal tuberculosis‎. ‎ 8 ‎mm‎, ‎post oral‎, ‎pre and post intravenous contrast‎, ‎axial images through abdomen are submitted‎.‎ Basilar lungs are clear ‎& ‎no pleural effusion ‎/ ‎thickening is noted‎. ‎Liver is homogenous with no focal ‎ lesion‎. ‎No intra or extra hepatic cholestasis is noted‎. ‎Gall bladder without opaque cholelithiasis is ‎ normal‎. ‎Spleen‎, ‎pancreas and both adrenals ‎& ‎kidneys are normal‎. ‎Soft tissue density thickening ‎ in the distal ileum noted‎. ‎This is causing indentation on cecal contrast column‎. ‎Rest of the ‎ small and large bowel loops are unremarkable‎. ‎This approximately measures ‎2‎.‎4 ‎x ‎2‎.‎0 ‎x ‎ 2‎.‎3 ‎cm ‎(‎CC x AP x TR‎) (‎evident images ‎# ‎33‎-‎35 ‎+‎C‎)‎. ‎Opacified abdominal aorta‎, ‎IVC‎, ‎portal ‎ vein ‎& ‎mesenteric vessels are normal‎. ‎No evidence of abdominal free fluid or adenopathy is ‎ recognized‎. ‎Bony skeleton ‎& ‎soft tissues are intact‎. ‎ CONCLUSION‎:‎ Findings are suggestive of infective etiology involving distal ileum‎. ‎Clinico‎-‎lab‎. ‎correlation and ‎ further evaluation by small bowel follow through examination is recommended‎. ‎ I want to know whether patient has intestinal TB or not?
Fri, 24 Jun 2011
Report Abuse
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  
Lab Tests ,  
Medical Topics ,  
Orthopaedic Surgeon 's  Response
Welcome to Healthcare Magic
Good Day
He needs to get a few tests done like PCR which is expensive but will confirm presence or absence of Tuberculosis. Also since there is weight loss it is better to get started on Anti-tubercular treatment anyway and there will be relief. Patient needs to eat protein rich food like cereals, oats, pulses, eggs, chicken, lean meat. Drink enough water 1-2 litres a day. Patient can be started on Government ATT therapy by RNTCP approved Doctor at a Hospital. Do not delay. Better to be safe than sorry later.
I find this answer helpful
  User's Response
Dr.A.K.Singh's  Response
chronic gastritis,thickened bowel loop,weight loss hmmmmmmmm simptoms ressemble?????????????? IT.no lymphedenopathy reported.go for IgG,IgM,THEN GET CLEAR PICTURE
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

Hi my nemesis XXXXX . I woke up an a week ago with a horrible bruise on my left hip that came out of no where. I was having severe abdominal pain and went to the er . They tried to tell me it was just a bruise even did a ct scan and blood work. All of that came back ol except for a very small cyst on my ovarie. Well the bruise is almost gone.but I have a medium sized knot remaining and its tender . Should I be worried ? Could it be a hernia and if so even with a ct scan could they have missed something ?

doctor1 MD

About two months ago i was seen in the hospital for i thought was the flu and sever abdonable pain to which they found lesions all over my spleen . Have had the work up from A to Z!!! CT, Pet Scan , blood work you name it! Went two weeks ago to the Rhumatoligist and had all my blood work taken again by him! Still we have no idea why I have these lesions on my spleen. From general Doctor, Surgeon, Oncologist and IR who did my biopsy . This past Thursday I went to the hospital for the same thing sever stomach pain. They did a complete work up of blood and the CT, the CT showed no changes to the spleen and blood work all normal!!! But I still have this intense pain in my lower left side and in the middle of my abdomen. I have had this issue for years now since I was 25 after the gallbladder was taken out, and now 33 in the last 2 months I am having more and more worse pain then I have ever had before!!! Please help thank you.

doctor1 MD

My Dr received information from my CT Abdomen pelvis.w contrast results it says there is a reticulonodular opacity in the lingua which is new from prior exam and could be infectious or inflammatory what am I looking at? I went in for lower pain in below right rib.

Recent questions on  Liver

doctor1 MD

my husband was diagnosed with hemochromotosis in June 2013, after 8 hospital stays and numerous test he now has liver failure, diabetes and stage D heart failure. His EF rate was betweeen 5-10% now at 20% according to latest Echo, but he can barely walk or talk without being winded. He is on the liver and transplant list as a 1B waiting at home on dobutomine, how long can one stay on the drug without damage to organs? The dr wants to do a right heart cath to measure pressures now sure why...thanks

doctor1 MD

good morning, I am 54 and have crohns disease, just 2 days ago my brother who is 39 has also been diagnosed with crohns disease, my other brother who is 51, had a operation on his liver to remove/drain away an abcess, he was in hospital for a week and told to stay off work for 3 months, is this a sign of crohns disease

doctor1 MD

Dr. sandeep lakhtakia in hyderbad
sir, i have liver desease since last two and half years, i am taking medicine1. alcolive bd 2. ursocol 300 bd 3. amlicure bd also mild diffuse fatty liver due alcohal, i came from channai last knight thru bus and having rear pain just right to 3rd to 4th rib in the back, i have a dought is there any further detoriation in my liver, though the blood result is ok except total billirium is 1.6 mg/dl also i want to visit u pl. tell me the time when i should meet u.
Dr. S pal has advise me.
ss verma, begumpet airport

doctor1 MD

I have been having symptoms that no one can diagnose for about two years. Assuming no rare disease, and no microbes or parisites, i believe 99.99 of all of my symptoms are related to my vagus nerve and digestive system as a whole!Now with that being said about on oct 14th i went out for some beers to watch a football game. I hardly ever drink though!!!!That night and next day i had all over body itching and have had it ever since!!About two days earlier my throat was hurting and i remember two days before that my teacher told me she was sick!!I have had the sore throat ever since then(about seven weeks), then out of nowhere on about NOV 8th my joints and muscles and bones have become very tender and ache, in particular my hands and wrists and knees and hips.!!!I have a high GGT liver enzyme with all other liver numbers normal, Low vitamin D in the past and now i found out that my Autonuclear test was positive when i asked to be tested for lupus!!!They did other autoimmune tests and they were normal!!!Never had any throat cultures done!!My doctor thinks that my throat hurts because of heartburn at night!!I am very concerned about the joint pain and the sore throat and NON stop itching that is NOW waking me up at night as of last night!!PLEASE HELP as the Veterans ADMIN sucks!!!!!

doctor1 MD

I HAVE TINGLING PAIN IN MY RIGHT SIDE BELOW THE RIB CAGE . BUT ONLY WHEN I SIT IT GOING COMPLETELY AWAY WHEN I LAY DOWN?

doctor1 MD

I have been taking atorvastatin 40 mg for 4 months - through carotid endarterectomy surgery - with horrible subjective side effects which, objectively, include very low hematocrit of 32.9% and other low red blood cell counts. Primary Care...

doctor1 MD

Hi Doctor, I am xxxxxxx XXXXXXX from XXXXXXX Age 38 years. Last month i have got my LFT done where SGPT was 132 and SGOT was 82 because i consume liquor on a regular basis thats why got those test done; but all of sudden i realized that last week...