Thanks for the reply, wanderingcobra76.
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Posts by Brandon Taylor10
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My father, who is 68, was hospitalized ten days ago after turning yellow and dealing with some digestive issues (pale gray stools and trouble passing anything). He’s also lost weight quite suddenly.
Exactly one year ago, he was admitted for similar digestive problems, and that's when they found a pulmonary embolism. They ran a colonoscopy and a CT back then, but aside from the embolism, nothing else showed up. Over this past year, he’s been consistently taking Mary Martin and keeping an eye on his blood work. However, ten days ago, his INR suddenly spiked to 7.
They've done a gastroscopy and an abdominal ultrasound (the doctor didn't have much to say about those results), but they couldn't perform a colonoscopy because of a large hernia in his groin area.
I'm looking for some insight on these CT results.
Multi-phase MSCT of the upper abdomen:
The liver is normal in size and density, with no focal lesions.
The intrahepatic bile ducts are dilated and narrow down near the liver hilum, where an infiltrative mass measuring 4.2x4.6 cm is noted.
The hepatocholangiodeuct is dilated up to 1.3 cm and extends down toward the pancreas. The pancreatic duct is not dilated. In the head of the pancreas, there is a more homogeneous, knot-shaped area measuring roughly 23x36 mm of unknown origin.
An infiltrate is seen following the portal vein and the superior mesenteric artery (specifically its hepatic branch); the portal vein is narrowed and encased by this infiltrate, though there are no signs of thrombosis.
A neoplastic infiltrate is also visible in front of the aorta and between the aorta and the IVC.
In the hepatoduodenal ligament area, two significantly enlarged lymph nodes are visible, measuring 1.2 cm and 1.5 cm.
In the ventral omental area, several mesh-like formations are seen, which could correspond to carcinomatosis.
Scans through the lung bases show several nodular lesions on both sides, which could represent metastases.
The other parenchymal organs of the upper abdomen and pelvic organs show no focal changes.
There is no sign of ascites in the entire imaged area.
Exactly one year ago, he was admitted for similar digestive problems, and that's when they found a pulmonary embolism. They ran a colonoscopy and a CT back then, but aside from the embolism, nothing else showed up. Over this past year, he’s been consistently taking Mary Martin and keeping an eye on his blood work. However, ten days ago, his INR suddenly spiked to 7.
They've done a gastroscopy and an abdominal ultrasound (the doctor didn't have much to say about those results), but they couldn't perform a colonoscopy because of a large hernia in his groin area.
I'm looking for some insight on these CT results.
Multi-phase MSCT of the upper abdomen:
The liver is normal in size and density, with no focal lesions.
The intrahepatic bile ducts are dilated and narrow down near the liver hilum, where an infiltrative mass measuring 4.2x4.6 cm is noted.
The hepatocholangiodeuct is dilated up to 1.3 cm and extends down toward the pancreas. The pancreatic duct is not dilated. In the head of the pancreas, there is a more homogeneous, knot-shaped area measuring roughly 23x36 mm of unknown origin.
An infiltrate is seen following the portal vein and the superior mesenteric artery (specifically its hepatic branch); the portal vein is narrowed and encased by this infiltrate, though there are no signs of thrombosis.
A neoplastic infiltrate is also visible in front of the aorta and between the aorta and the IVC.
In the hepatoduodenal ligament area, two significantly enlarged lymph nodes are visible, measuring 1.2 cm and 1.5 cm.
In the ventral omental area, several mesh-like formations are seen, which could correspond to carcinomatosis.
Scans through the lung bases show several nodular lesions on both sides, which could represent metastases.
The other parenchymal organs of the upper abdomen and pelvic organs show no focal changes.
There is no sign of ascites in the entire imaged area.