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Lab results - looking for opinions [PLEASE READ 1ST POST]

Started by vividsailor7 · · 👁 296 views · 3.9K replies

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Participants vividsailor7redcrane22Sandra Rivera37swiftbear86melloworca6Dana Martin87ironskipper80mellowgardener15goldenmarlin6analogbison13Nicholas Myersstormygardener34Roger RodriguezDonna Mitchell3Kenneth Vaughn2Laura Ward98briskseal32Susan Vaughn46Zachary Lewis4driftingmason52rustyheron55Laura Chavez47vividstag24lonecanyon8 …
Patrick Moore Patrick Moore Newcomer
3 messages
joined Jul 2015
#1821 ·
Megan Jones27 said:I have no idea why the image isn't showing up...

Here it is again: Attachment 15449

Look, I don't work in healthcare or anything... but just looking at this as a regular person, your blood work looks totally fine to me.👍😁
Nicole Gonzalez35 Nicole Gonzalez35 Newcomer
2 messages
joined Aug 2015
#1822 ·
Could someone please help me interpret my father's color Doppler results?

"Morphological analysis of the extracranial carotid circulation using color and power Doppler shows thickened intimal walls in both the ACC and ACE.
The right ICA shows no signs of stenotic or occlusive processes, with normal hemodynamics.
The left ICA forms a coil in its initial segment, but there are no signs of stenotic or occlusive processes, and hemodynamics are normal.
In the V2 segment, both vertebral arteries show physiological direction of circulation and normal lumen width; the left is normal, while the right shows attenuated hemodynamics."

Thanks!!!
feralwolf feralwolf Newcomer
1 message
joined Jun 2015
#1823 ·
I know this isn't strictly lab results, but I see people posting other stuff here all the time. If there's a better thread for this, please move it.

We’re looking at a 50-year-old woman. An ultrasound picked up something on her gallbladder, but the doctor wasn't sure what it was. She was sent for a CT scan, but even then, they couldn't pin it down.
Should she jump straight to an MRI, or just wait out that recommended 3-6 month window? And is it even safe to do an MRI right after a CT?
What's the play with these cysts?

Abdominal Ultrasound

Liver is normal shape and size; one cyst (14mm) seen in the right lobe and one (10mm) in the left.
Intrahepatic and extrahepatic bile ducts aren't dilated.
Gallbladder is normal size, though the wall shows diffuse slight thickening with tiny echoes against the back wall—could be cholesterolosis or a small polyp. Near the infundibulum wall, there's a fixed, hyperechoic mass about 10-11mm that doesn't show blood flow on Doppler. It might just be adherent sludge, but we can't rule out mucosal thickening or a polyp.
Pancreas and spleen look fine—normal size, smooth contours, homogeneous texture.
Both kidneys have normal shape, size, and parenchymal thickness.
In the caudal area of the right kidney—a 31mm cortical cyst.
No signs of kidney duct dilation or obvious stones.
Bladder is slightly underfilled but looks normal.
No free peritoneal fluid detected.

Conclusion: Liver cysts. Right kidney cyst. Small gallbladder polyp or cholesterolosis; hyperechoic content near the infundibulum could be adherent sludge, but mucosal thickening/polyp cannot be ruled out.

MSCT of the abdomen recommended.

Abdominal MSCT

Patient referred for abdominal MSCT due to suspicious changes in the gallbladder. Scan performed using a multi-phase protocol with water-soluble contrast following the digestive tract.
Liver is normal size and regular. A 13mm cyst is visible in segment II. Another simple cyst (~17mm) is sitting right against the gallbladder wall. There's also a tiny punctate hypodense lesion (likely a cyst) in segment VIII, about 2-3mm. No other suspicious lesions found.
Gallbladder is normally positioned with normal wall thickness. No proliferative changes noted. Intrahepatic bile ducts are normal, CBD is about 7mm.
Pancreas, spleen, and adrenal glands are normal. Left kidney is normal; right kidney has a ~32mm cortical cyst. No hydronephrosis.
No enlarged or swollen lymph nodes in the retroperitoneum.
Aorta is normal.

Follow-up ultrasound in 3-6 months (fasting). If the findings persist, further imaging via MRCP is advised.
Justin Thomas11 Justin Thomas11 Newcomer
5 messages
joined Oct 2007
#1824 ·
I’m looking for someone to help me make sense of these results because my OB-GYN is out on vacation right now.
Pregnant, 9 weeks along—physiological urethral flora at 10 to 3 CFU/ml.
Thanks!
northernraven3 northernraven3 Newcomer
4 messages
joined Apr 2012
#1825 ·
I have a quick question... if I've got this wrong, please just let me know where I should be looking for answers
My leukocyte levels have been running high for about five years now—things like 10.7, 10.5, 11.0. Then recently, it was back up to 10.5, and then five months later, I ended up in the ER because my heart was racing from stress, and it hit 14.7. I guess I’m starting to get pretty worried since nobody ever suggested I get this checked out, but I did end up with strep throat last week: CRP was 35.5 (normal is up to 5) and leukocytes were 10.7
As for meds, I take Keppra and Depakote for epilepsy. My neurologist thinks it isn't related to the medication.
Thanks in advance
Bryan Barnes2 Bryan Barnes2 Member
16 messages
joined Dec 2022
#1826 ·
Nicole Gonzalez35 said:Could someone please help me interpret my father's color Doppler results?

"Morphological analysis of the extracranial carotid circulation using color and power Doppler shows thickened intima walls in both the ACC and ACE.
The right ICA shows no signs of stenotic or occlusive processes, with normal hemodynamics.
The left ICA forms a coil in its initial segment, but shows no signs of stenotic or occlusive processes and normal hemodynamics.
In the V2 segment, both vertebral arteries show physiological direction of circulation and normal lumen width—the left is normal, while the right shows attenuated hemodynamics."

Thanks!!!

It’s almost a perfectly normal result—just some minor deviations.
Given the mention of thickened intima, he should probably have his lipid panel rechecked (total cholesterol, LDL, HDL, and triglycerides).

feralwolf said:I know this isn't specifically about lab work, but I see people posting all sorts of findings here. If there's a more appropriate thread, please let me know so I can move this.

This involves a 50-year-old woman who had something found on her gallbladder during an ultrasound. The doctor wasn't quite sure what it was, so she was referred for a CT scan, but even there, they weren't certain.
Would it be wise to get an MRI immediately, or should she wait for that recommended 3-6 month follow-up? Is it safe to perform an MRI right after a CT?
What should be done regarding cysts?

There's no need to rush—a CT scan is generally a more definitive tool than an ultrasound. Follow the recommendation: wait for the 3-6 month check-up, and if any doubts remain, consider an MRCP.

Kate Hall75 said:Please help me interpret these results since my gynecologist is currently on vacation.
Pregnant, 9 weeks—physiological urethral flora at 10 to 3 CFU/ml.
Thanks!

Normal results.

northernraven3 said:I have one question... if I've gone about this wrong, please point me toward the right place to ask.
For the last five years, my white blood cell count has been elevated. It's been 10.7, 10.5, 11.0; most recently, it was 10.5 again, and then over a five-month period ending in an ER visit because my heart was racing (due to stress), it hit 14.7. I'm starting to feel quite worried now because nobody ever sent me to get this checked out, but I ended up with bacterial tonsillitis last week: CRP 35.5 (0-5) and white blood cells at 10.7.
Regarding my medication (for epi grand mal)—I'm currently taking Keppra and Depakote. My neurologist insists—though I'm not entirely convinced—that this isn't a side effect of the drugs.
Thanks in advance.

Without a full differential blood count, providing a concrete answer is impossible. An isolated data point showing elevated total leukocytes just isn't enough to go on.
Theoretically, leukocytosis could simply be the body's stress response to pain—much like an alarm system triggering without an actual fire—rather than an indication of a deeper pathological issue.

In any case, there simply isn't sufficient data here for a serious analysis.
briskeagle39 briskeagle39 Member
17 messages
joined Jan 2011
#1827 ·
A 9-year-old boy—naturally quite thin, though otherwise healthy
Over the last week, he’s been complaining about fatigue and a dull headache right across his forehead (which sounds a lot like a tension headache to me)... I suspect it might be linked to the wild temperature swings lately—switching between blasting AC and that scorching American summer asphalt
The biggest issue, honestly, is his mood—he's feeling really down, worrying constantly about these symptoms, even though he insists the pain isn't constant or particularly intense
Of course, we saw his GP (though he isn't seeing his pediatrician anymore)
We decided to go private for some blood work to rule out any potential infections—just to make things easier when we follow up with the specialist taking over his care

Here are the results: image

It looks like they need to re-run the platelet count via a proper venous draw, but if this thrombocytopenia is actually real, I am spiraling a bit—especially seeing it alongside anemia...
He’s never dealt with anemia before, and while this doesn't seem catastrophic, it's still unsettling...
To save me from endless guessing, could anyone with medical expertise (since I certainly don't have any!) please help me interpret these results? Please...
Bryan Barnes2 Bryan Barnes2 Member
16 messages
joined Dec 2022
#1828 ·
Yes, a repeat blood count is necessary. However—and this is important—you really need to insist that they test the platelets in a citrate solution.
There is a condition known as pseudothrombocytopenia (false thrombocytopenia). Essentially, in certain individuals (which isn't all that rare), the blood reacts with the EDTA acid used in the collection tube. This causes the platelets to clump together, which results in a falsely low TRC reading—even though the actual number and function of the platelets are perfectly normal.

Furthermore, while we are looking at a mild normocytic anemia—and considering the patient's thin build—I would recommend some additional testing (at minimum Fe, UIBC, TIBC, and ferritin), and if possible, an expanded metabolic panel. This is primarily to determine if there is an underlying iron deficiency and to assess how the other organs are functioning.

It simply doesn't make sense to jump to conclusions before these additional tests are completed.
briskeagle39 briskeagle39 Member
17 messages
joined Jan 2011
#1829 ·
We repeated the CBC, and those platelet numbers were definitely a lab error.
Unfortunately, we didn't go to the same lab this time—so I don't want to make any direct comparisons regarding the other parameters...
But that platelet count was clearly a mistake, just as they themselves suggested might be possible.

Just a quick summary:
RBC 4.47
Hb 130
Hematocrit 0.390
MCV, MCH, and MCHC are all normal

Platelet 232 (!)

Leukocytes 6.0
CBC is normal

By the way, this test was also done using capillary blood—that was the doctor's decision.

Thank you all so much for the response. 🙂
Bryan Barnes2 Bryan Barnes2 Member
16 messages
joined Dec 2022
#1830 ·
And this—well, it looks much better now. 🙂
feralwolf feralwolf Newcomer
1 message
joined Jun 2015
#1831 ·
Sandra Vaughn50 said:No need to rush. An MSCT is way more superior than an ultrasound anyway. Just stick to what was recommended—follow up in 3 to 6 months. If things still look sketchy or you have doubts, go get an MRCP.


Thanks a million! 🙂 Honestly, what really eats at me is this whole "we don't know yet" situation. If it turns out to be something malignant, is waiting another 3 to 6 months just going to make the entire mess even more complicated? Great. Just great.
Bryan Barnes2 Bryan Barnes2 Member
16 messages
joined Dec 2022
#1832 ·
feralwolf said:Thank you so much 🙂—actually, my main concern is this lingering uncertainty—because if we are looking at something malignant, I worry that waiting those extra 3-6 months might just make the whole situation more complicated.

Based on the MSCT results, the gallbladder looks perfectly fine—no growths, and the wall thickness is totally normal.

An Ultrasound can often be misleading—due to how different structures overlap—which is why additional diagnostics are recommended; it’s about using more precise methods to rule out any suspicion once and for all.
feralwolf feralwolf Newcomer
1 message
joined Jun 2015
#1833 ·
Thanks 🙂
vividranger23 vividranger23 Newcomer
1 message
joined Aug 2015
#1834 ·
Could someone please help me make sense of these lab results? 🙂 I had my hormone levels checked on day 3 of my cycle because I've been struggling with some skin issues (I'm 23 years old).

ESTRADIOL 162.0 pmol/L (reference range: follicular phase 77-921, ovulation phase 139-2382, luteal phase 77-1145, menopause <37-102)
LH 4.0 IU/L (ref. range: follicular phase 1.8-11.8, ovulation phase 7.60-89.1, luteal phase 0.6-14.0, menopause >15)
FSH (3.5-12.5) 6.2 IU/L (ref. range: follicular phase 3.0-8.1, ovulation phase 2.6-16.7, luteal phase 1.4-5.5, menopause >26.7)
PROLACTIN 13.0 µg/L (ref. range: 5.2-26.5)
TOTAL TESTOSTERONE 1.8 nmol/L (ref. range: 0.4-2.0)
SHBG 91.0 nmol/L (ref. range: 15-120)
DHEAS 8.4 µmol/L (ref. range 2-10)

thanks in advance 🙂
Nicholas Myers Nicholas Myers Active Member
163 messages
joined Jan 2012
#1835 ·
Megan Jones27 said:I would be grateful if someone could help me interpret my latest KKS results!

I owe you an answer. I’ve been away from the forum for a while, so I wasn't able to get back to you sooner.

I’d mostly go along with the response you already received—the results look clean. If you’re still dealing with the symptoms you mentioned, we'll need to dig deeper, but that starts with a thorough internal medicine evaluation. A perfectly normal lab report doesn't mean much if you're still feeling unwell.

vividranger23 said:Could someone please help me interpret these results? 🙂 I had my hormone levels checked on day three of my cycle due to some skin issues. I'm 23.

ESTRADIOL 162.0 pmol/L (Reference range: follicular phase 77-921, ovulation phase 139-2382, luteal phase 77-1145, menopause LH 4.0 IU/L (Ref. range: follicular phase 1.8-11.8, ovulation phase 7.60-89.1, luteal phase 0.6-14.0, menopause >15)
FSH (3.5-12.5) 6.2 IU/L (Reference range: follicular phase 3.0-8.1, ovulation phase 2.6-16.7, luteal phase 1.4-5.5, menopause >26.7)
PROLACTIN 13.0 µg/L (ref. interval: 5.2-26.5)
Total Testosterone 1.8 nmol/L (ref. interval: 0.4-2.0)
SHBG 91.0 nmol/L (ref. interval: 15-120)
DHEAS 8.4 µmol/L (Ref. interval 2-10)

Thanks in advance. 🙂

The results look clean. However, it’s worth noting that free testosterone is a far more sensitive marker for hyperandrogenism than total levels.
Kenneth Ramos6 Kenneth Ramos6 Newcomer
2 messages
joined Sep 2015
#1836 ·
Hey there! I was wondering—how can I go about checking my testosterone levels? Is there a specific test I should ask for, or is it just part of a standard blood panel?
Also, any idea how long it usually takes to get the results back?
Nicholas Myers Nicholas Myers Active Member
163 messages
joined Jan 2012
#1837 ·
Blood draws are best scheduled between days two and five of your cycle. You won't be able to get this done at a local community clinic; you'll need to head to a hospital lab using a specialist referral or just go through a private lab. Depending on which facility you choose, you might get your results the same day, or you could be looking at a few days' wait.
Terry Williams19 Terry Williams19 Newcomer
1 message
joined Aug 2015
#1838 ·
Can someone take a look at these results and tell me what you think?
Result Ref. Interval
Platelets 136* 158-424
MPV 10.4 6.8-10.4
Neutrophil
granulocytes
Lymphocytes 20.6 20-46

Urine
Red blood cells 2-3* 0-2
White blood cells 2-3* 0-5
Lots of epithelial cells
Some bacteria present
Brenda Stewart59 Brenda Stewart59 Newcomer
9 messages
joined Apr 2016
#1839 ·
Could someone please point me in the right direction? I'm feeling a bit lost here...

Does anyone know where in the greater metropolitan area I can get these specific tests done?

T3 (one of the thyroid hormones)

Total IgE

ANA/ENA

CH50, C3, C4, C1Q, C1-INH

Serum protein electrophoresis and immunoelectrophoresis


I've spent my afternoon calling local labs one after another, but it’s been an exercise in futility. Everyone acts like they're being difficult, insisting I show up with a doctor's referral first, only for me to arrive and find out they don't even offer half of what I actually need. "😠
Betty Hughes6 Betty Hughes6 Newcomer
5 messages
joined Mar 2012
#1840 ·
Can someone help me make sense of these lab results? I had them done because I started seeing flashes in my right eye. I already went to the ophthalmologist, and everything looked fine—they even checked my retina:

Hematology:

White blood cells 6.8 ref. range 5.0 - 13.0
Red blood cells 4.62 2.9 - 5.0
Hemoglobin 14.6* 9.0 - 13.8
Hematocrit 0.41* 0.32 - 0.40
MCV 89.4* 73.8 - 89.4
MCH 31.6* 24.3 - 29.2
MCHC 35.4* 30.0 - 35.0
Platelets 227 150 - 450
RDW 13.4 11.9 - 16.2
MPV 8.6 6.9 - 11.3

Clinical Biochemistry:

Serum Glucose 5.4 ref. range 3.9 - 6.2
Urea 5.1 2.5 - 7.5
Creatinine 80 65 - 110
Cholesterol 5 < 5.3
Triglycerides 2.22* 0.4 - 1.9
AST 18 0 - 38
ALT 20 0 - 48

Urinalysis

Appearance Clear ref. clear
Color Yellow yellow
Protein trace opaque neg
Glucose neg neg
Ketones neg neg
Bilirubin neg neg
Urobilinogen 1 - 16 1 - 16

Microscopic Urine Sediment Exam

Red blood cells 4 - 5* ref. 0 - 1
White blood cells 1 - 3* 0 - 5
Epithelial cells rare
Mucus Mass

NOTE: I went for a long bike ride the day before, which left my leg muscles pretty sore. Wondering if that could be tied to any of this...

Looking for thoughts or advice.

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