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How Are The Following CT Scan Reports Different From Each Other?
I had a CT scan back in 2015 which reported enlarged mesenteric lymph nodes throughout the root of the small bowel mesentery and enlarged left periaortic retroperitoneal lymph nodes extending into the iliac chain. The conclcusion was possibly sclerosing mesenteritis. I moved to a new state and they wanted another CT scan performed since it had been so long. Last week the new report was retroperitoneal and central mesenteric lymph nodes enlarged with the largest in the left periaortic region and several upper normal sized porta hepatis region lymph nodes. However, this radiologist said check for Lymphoma. My question is, how different was my CT scan four years ago versus now to get so much different results?
Tue, 16 Oct 2018
Hi,
Enlargement of the lymph nodes definitely have a large differential diagnosis varying from reactive hyperplasia, to infection to lymphoma. However, clinical features play an important role, the definitive diagnosis relies on fine needle aspiration cytology or biopsy histopathology.
In my opinion, mesenteric lymphadenopathy is mostly a reactive process and if that process is controlled, it will subside but slowly.
Hope I have answered your query.
Let me know if I can assist you further.
Regards,
Dr. Peeyush Kumar Saini,
Pathologist and Microbiologist
Enlargement of the lymph nodes definitely have a large differential diagnosis varying from reactive hyperplasia, to infection to lymphoma. However, clinical features play an important role, the definitive diagnosis relies on fine needle aspiration cytology or biopsy histopathology.
In my opinion, mesenteric lymphadenopathy is mostly a reactive process and if that process is controlled, it will subside but slowly.
Hope I have answered your query.
Let me know if I can assist you further.
Regards,
Dr. Peeyush Kumar Saini,
Pathologist and Microbiologist
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