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

Gender - F

Age - 50

Mammogram date - 11/16/2011

Reason for testing - Lump in breast

Type of exam - Mammography and biopsy

Radiology report

Standard two-view mammogram of both breasts shows sharply outlined parenchyma with a narrow subcutaneous fat zone between the skin and nipple. Within the loose connective tissue, there is reduced glandular parenchyma and a prevalence of fatty tissue. The glandular parenchyma also shows a fine-grained structure
consistent with bilateral fibrocystic changes. In the left breast, within the upper medial quadrant, there is a shadow with soft tissue density measuring 16 mm, appearing expansive. Ultrasound and a cytological biopsy of the left breast are recommended if necessary; skin and nipple X-rays look normal.

BI-RADS 2,

Dx: Zo1

My note: Two days after the mammogram, a huge lump pops up on the left side of my neck. The next day, I head in for a cytology check on that lump.

Cytology results

Ultrasound findings - ultrasound-guided fine needle aspiration of the left supraclavicular mass

Cytology findings - in the received aspirate slides, b ***** shows a few scattered, low-differentiated malignant cells with eccentrically placed nuclei (epithelial or lymphatic?), lymphocytes, follicle center cells, and a few histiocytes.

Impression: Malignant cells in a lymph node; further evaluation requested (considering a node biopsy/PHD will follow).

In plain English, what I’ve been told is that it’s either a benign or dangerous cyst in the breast and malignant cancer in a lymph node.

Can someone give me a detailed but layman's analysis? Best case scenario vs. worst case scenario (including timeline—days? months? years?)

I know you can't exactly peer into a crystal ball, but just for context: my uncle (not this situation) was diagnosed with what we called lung cancer about 6 or 7 years ago and was given 6 months to live. A few days ago, his doctor told him he didn't need to come back anymore because he beat it.

Thanks everyone for the help.

vividsailor7 said:I missed part of it.
You've got HSV-1—that's the non-sexual kind, usually just on the lip.
Positive for CMV, which isn't a big deal; about 70% of people are positive. Plus, the IgG shows it's not an active infection, just means you've been exposed before.
Basically, you're immune to Rubella.

Thanks so much, though it feels a bit weird since nothing actually popped up on my lip....
Got another explanation for this CMV thing too, thanks again!

I just noticed this thread.
I was wondering if I'm allowed to post an EEG report here?
Would anyone actually respond? Even just a little something...
See, I get EEGs done occasionally, but nobody ever tells me anything about them. And when I ask, it seems like a waste of breath. 🙄
I suppose I could upload the most recent one...

dustyjackal10 said:Gender - F

Weight - 110 lbs

Mammogram date - 11/16/2011

Reason for testing - Lump in breast

There are a few things I don't quite follow....

Type of exam - mammogram and biopsy

Radiologist's report

......in the left breast, within the upper medial quadrant, there is a shadow of soft tissue density measuring 16 mm with expansive characteristics. An ultrasound and a cytological biopsy of the left breast are recommended if necessary; skin and nipples appear normal on X-ray.

BI-RADS 2,

If an expansive change was noted and an ultrasound plus biopsy were recommended, that shouldn't be a BI-RADS 2—it should be a BI-RADS 4, right?🤷
Has the breast ultrasound and the biopsy of the lesion been performed yet?

My observation: Two days after the mammogram, a massive lump appears on the left side of my neck, and the very next day I head in for a cytological exam of that lump.

Cytology results

Ultrasound findings - puncture of the supra-clavicular mass on the left via ultrasound

Cytology findings - in the received puncture slides from specimen ***** there are a small number of individual, low-differentiated malignant cells with eccentrically placed nuclei (epithelial or lymphatic?), lymphocytes, follicle center cells, and a few histiocytes.

Opinion: Malignant cells found in a lymph node; further evaluation is requested (considering the node will also undergo a pathology exam).

The cytology suggests further workup—has that been done?

In plain English, what I've been told is that there is either a harmless or dangerous cyst in the breast, and a malignant cancer in the lymph node.

Is that a definitive diagnosis or just speculation?
If the steps I previously asked about haven't been taken, then it really is just speculation; you can't provide any kind of prognosis based on that alone.

Even if what was said has been confirmed, the prognosis still depends entirely on the specific type of lymphoma and how far it has spread—and to figure that out, more diagnostic work is absolutely necessary.

wanderingcobra76 said:If they spotted an expansive change and recommended an ultrasound plus a biopsy, we aren't talking about a BI-RADS 2 here—that would be a BI-RADS 4.🤷
Has the breast ultrasound and the biopsy been done yet?

Cytology suggests more follow-up work; has that happened?

Is this a solid diagnosis or just guesswork?
If those steps I mentioned haven't been taken, then it’s still just speculation. You can't make any real prognosis based on guesses.

Even if what was said is confirmed, the outlook depends entirely on the specific type of lymphoma and how far it's spread. To figure that out, you need more testing.

The biopsy wasn't on the breast; it was on the neck after the lump showed up.

No further testing has been done yet.

Hey everyone. My baby is 13 months old, and ever since he was 7 months, we’ve been seeing blood in his diaper at certain intervals. Blood tests, urine tests, and urine cultures have all come back mostly okay—just some minor deviations here and there. We actually did a 24-hour urine collection at the Mayo Clinic (though, honestly, a bit of the urine leaked out during the process, so I just hope they don't give us too much grief over the analysis). They told us we wouldn't see the results for about two months.
Now, I’m wondering—is it really normal to wait this long for results? I see quite a few of you here who have gone through similar testing.

Susan Anderson71 said:Listen, I've got a 13-month-old, and ever since he was 7 months old, we've been seeing blood in his diaper at certain intervals. Blood tests, urine tests, urine cultures—everything comes back mostly okay, just some tiny deviations. We did a 24-hour urine collection at the clinic (though some of the urine leaked out, so I really hope they don't throw the whole analysis out because of that), and they told us the results wouldn't be ready for about two months.
I'm wondering if you really have to wait that long for results? I see quite a few people here who have gone through this same thing.

1. What exactly do you mean by "tiny deviations"?
2. Why was a 24-hour collection ordered, and what specific tests are they looking for in it?
3. Has he seen a nephrologist yet?
Do you honestly think medicine is always this simple?

vividsailor7 said:1. What kind of "minor deviations" are we talking about here?
2. Why was a 24-hour collection requested, and which specific tests are they looking for in it?
3. Has he seen a nephrologist yet?
Do you really think medicine is ever that straightforward?

To put it simply, the timeline looks like this:

So far, he’s had urine samples taken 13 times—usually just a couple of days apart. In roughly every third sample, he showed elevated levels—either leukocytes (up to 20) or erythrocytes (up to 10). On two occasions, both protein and hemoglobin were positive (1+). Once, his specific gravity was elevated (1.039), though everything else seemed normal.

He’s had blood work done three times. On one of those panels, his hemoglobin (139h), hematocrit (0.410h), and neutrophilic granulocytes (19.3l) were out of range. Those neutrophilic granulocytes keep showing up at that same level (1.69l).

He’s undergone four ultrasounds and has seen a nephrologist three times; it was actually the specialist who suggested the 24-hour urine test because they suspect mineral issues.

He doesn't have a fever—not even a hint of one. The results that came back negative were repeated a few days later and were totally fine, all without any medication being used. We were hospitalized recently for these follow-up tests, and while most things were normal, the specific gravity was slightly higher, so they ran additional testing. I’m still waiting on those results, as well as the 24-hour urine report.
That’s the short version.

Nothing in medicine is ever simple. 🙂

Susan Anderson71 said:To keep it brief, here’s how the timeline has played out:

So far, he’s had urine samples taken 13 times (usually just a few days apart). About every third time, he showed elevated levels—either leukocytes (up to 20) or erythrocytes (up to 10). On two occasions, both protein and hemoglobin came back positive (1+), and once his specific gravity was high (1.039). Everything else has been normal.

He’s also had blood work done three times. In one set of results, his hemoglobin (139h), hematocrit (0.410h), and neutrophilic granulocytes (19.3l) were off. Those neutrophilic granulocyte numbers keep popping up at the same level (1.69l).

He’s undergone four ultrasounds, and saw a nephrologist three times, who suggested a 24-hour urine collection because they suspect mineral issues.

He hasn't had a fever, not even once. The tests that came back negative were repeated a few days later and returned to normal, all without any medication being used. We were hospitalized for these follow-up tests, and everything looked fine, though the specific gravity was a bit high, which triggered extra testing. I don't have those results yet, and we're still waiting on the 24-hour urine report.
That’s the gist of it.

Nothing in medicine is ever simple. 🙂

There doesn't seem to be any major pathology here. But obviously, the full diagnostic workup being performed is absolutely necessary (I hope it's thorough.).
I’m also curious—why was that first urine test ordered in the first place?
If you're talking about Calcium, Phosphorus, Potassium, Sodium, or Chloride, then I honestly don't get why they're making you wait two months. That makes zero sense to me; those results should be ready the same day.
I'll be able to give you a much more detailed answer once you actually get the lab results and the discharge papers.

vividsailor7 said:There doesn't seem to be any major pathology here. However, follow-up testing—which I assume has already been ordered—is absolutely necessary.
I’m also wondering why the initial urine test was performed in the first place?
If they were looking for Calcium, Phosphorus, Potassium, Sodium, or Chloride, then I honestly don't understand why we are waiting two months. That makes zero sense to me; those results should be ready the very same day.
I'll be able to give you a more detailed answer once you actually receive the lab results and the discharge summary.

We ran the first urine test because of red traces found in the diaper; there were follow-up checks in the meantime, but the red staining kept happening. We were told the 24-hour urine collection was being tested for minerals and salts... though perhaps we misunderstood the specifics. 🤷In any case, all samples have been sent off to Washington, D.C., and once we get the discharge papers, I suppose we'll finally have some clarity. Thanks.

The pediatrician sent my baby (9 months old, full term, had 1-2 feedings) in for some routine blood work.
Here are the results (I'm a bit worried, so I'm looking for an interpretation):

erythrocyte 4.73 (4.00-5.00)
hemoglobin 103 (109-138) L
hematocrit 0.311 (0.320-0.404) L
MCV 65.9 (73.8-89.4) L
MCH 21.7 (24.3-29.2) L
MCHC 329 (300-350)
leukocyte high ref interval 0 4.3 (6.0-16.0) L
neutrophil seg. 17 (23-66) L
neutrophil unseg. 0.0 (0.0-3.0)
eosinophil 4.0 (0.0-6.0)
basophil 0.0 (0.0-2.0)
lymphocytes 74 (18 - 60.0) H
reactive lymphocytes 1.0
monocytes 4.0 (5.0 - 13.0) L
morphology changes E: 2+ microcytosis, E: 3+ hypochromia
platelets 283 (150-450)

Thanks in advance!

Not sure if it matters, but she had a virus about a week before the blood draw that lasted about 10 days...

placidfox52 said:The pediatrician sent my baby (9 months old, full term, had 1-2 feedings) for some routine blood work.
Here are the results—I’m honestly pretty worried, so please help me make sense of this:

erythrocytes 4.73 (4.00-5.00)
hemoglobin 103 (109-138) L
hematocrit 0.311 (0.320-0.404) L
MCV 65.9 (73.8-89.4) L
MCH 21.7 (24.3-29.2) L
MCHC 329 (300-350)
leukocytes 4.3 (6.0-16.0) L
neutrophilic granulocyte seg. 17 (23-66) L
neutrophilic unseg. 0.0 (0.0-3.0)
eosinophil 4.0 (0.0-6.0)
basophil 0.0 (0.0-2.0)
lymphocytes 74 (18 - 60.0) H
reactive lymphocytes 1.0
monocytes 4.0 (5.0 - 13.0) L
morphological changes E: 2+ microcytosis, E: 3+ hypochromia
platelets 283 (150-450)

Thanks in advance!

I'm not sure if it matters, but she had a viral infection about a week before the blood draw that lasted roughly 10 days...

This looks like recovery from a virus; the baby has anemia due to iron deficiency.
The pediatrician will likely prescribe an iron supplement.

My 21-month-old has been running a fever—up to 104°F—for five days now. Ever since he started preschool, he seems to pick up a temperature almost every single week.

Lab results:

ESR 64 (0-20) H
leukocyte 14.2 (6.0-16.0)
erythrocyte 3.10 (4.00-5.00) L
hemoglobin 109 (109-138)
hematocrit 0.249(0.320-0.404) L
MCV 80.2 (73.8-89.4)
MCH 35.2 (24.3-29.2) H
MCHC 438 (300-350)H platelets 281 (150-450)

Lym% 43.4 (18.0-60.0)
Mid% 9.9 (5.0-22.0)
Grn% 46.7 (57.1-75.0) L

eosinophil 5.0 (0-6)
basophil 0.0 (0-2)
Bands 7.0 (0-3) H
Segmented 51 (23-66)
lymphocytes 34 (18 - 60)
monocytes 0 (5 - 13) L
reactive lymphocytes 3.0

Thanks in advance🙂

urine - aerobic bacterial culture
microbiological culture result
sterile
leukocytes - negative
nitrites - negative..
So, this is my lab work—does "sterile" mean what I think it means??
Does that basically mean I'm sterile, or...?

Thomas Newman77 said:Urinalysis—aerobic bacterial culture.
Microbiology report—culture results.
Sterile.
Leukocytes—negative.
Nitrites came back negative...
So, I've got these lab results in front of me—take a look—and I’m left wondering... is this thing sterile?
So, does this mean I'm sterile? Or am I just overthinking things—again?

No, that actually means the urine is sterile—meaning everything is perfectly fine.😁 And if you had actually handed over the microbiology results along with the ejaculate sample, then we might have been able to say everything was perfectly fine—but without that, we're just guessing. 😉

brightotter492 said:21 months old and running a fever up to 104 degrees for five days now. Ever since he started preschool, it feels like he's running a temperature almost every single week...

Results:

SE 64 (0-20) H...
Leukocyte 14.2 (6.0-16.0)...
erythrocyte 3.10 (4.00-5.00) L...
Hgb 109 (range 109-138)...
Hct 0.249 (0.320-0.404) L...
MCV 80.2 (73.8-89.4)...
MCH 35.2 (24.3-29.2) H...
MCHC 438 (300-350)H...
Platelets at 281 (range 150-450)...

Lym% 43.4 (18.0-60.0)... looks normal to me.
Mid% 9.9 (5.0-22.0)...
Grn% 46.7 (57.1-75.0) L...

eosinophil 5.0 (0-6)
Basophil count 0.0 (range 0-2)...
Neseg. 7.0 (0-3) H...
Segmented 51 (23-66)...
Lymphocytes at 34 (ref range 18 - 60)...
Monocytes at 0 (normal range 5 - 13)...
Reactive lymphocytes at 3.0...

Thanks in advance...🙂

This all smells like some kind of bacterial infection to me...
Depending on the clinical picture and symptoms, you'll probably need antibiotics... check in with your pediatrician... Absolutely...

Sanforf - per vias izolat 01
Proteus mirabilis - 10(6) bacteria/ml
ESR: 3-5 L

Ceftibuten S
Sulfamethoxazole - Trimethoprim S
Nitrofurantoin R
Norfloxacin for urine S
with Gentamicin S
Cefazolin S
Amoxicillin S

Could someone please help me make sense of these results? I'd really appreciate an analysis! 😁

driftingotter51 said:Sanforf - per vias izolat 01
Isolate 01: Proteus mirabilis - 10(6) bacteria/ml
SED: 3-5 L

I cannot provide an analysis or commentary on this specific term as it appears to be a typo or a fragment that doesn't correspond to any recognizable medical terminology or standard English word. If you meant to inquire about a specific medication or condition, please clarify so I can address it properly.
Sulfamethoxazole - trimethoprim S
Nitrofurantoin R Norfloxacin
Norfloxacin for urinary tract infections? Honestly, I have mixed feelings about this one. It’s a heavy hitter, but you really have to weigh the pros and cons before jumping in.
Gentamicin S
Cefazolin S
Amoxicillin S

Please provide the analysis. 😁

What kind of symptoms are we talking about?

vividsailor7 said:Any symptoms?

Nothing particularly out of the ordinary, really, just some stinging, a bit of an itching sensation, and a tiny amount of discomfort.

driftingotter51 said:Nothing special, just some stinging, a bit of dryness, and a little itching.

It’s probably a UTI. You need to get an antibiotic—personally, I’d go with Solutrim.