ช่วยรบกวนอ่านผล ct scan ให้หน่อยครับ
ผลว่า คุณพ่อเป็นมะเร็งลำไส้ แต่ กระจายไปที่ตับ ยังครับ ผลที่อ่าน เค้าบอกมั้ยครับหรือว่าสงสัยครับ
ผลตรวจ
ศูนย์ภาพวินิจฉัยและรังสีร่วมรักษา
Diagnostic Imaging and Inter vention Radiological
CT WHOLE ABDOMEN (1-3 PHASE)
CLINICAL HISTORY: A case of R/0 gut obstruction.
CT SCAN OF THE WHOLE ABDOMEN
COMPARISON: none.
FINDINGS:
Liver: Normal size, shape but decreased parenchymal attenuation are seen.
There is a lobulated faint-enhancing mass at left hepatic lobe measuring 4.1x 5.8 cm (SE5 IM60),
liver metastasis cannot be excluded; further MR or tissue diagnosis is suggested.
Several small hypodense lesions are seen at both hepatic lobes, up to 8 mm, too small to
characterize but prefer cysts.
The hepatic veins, portal vein and their branches are patent.
Bile ducts and Gallbladder: No dilatation of intrahepatic bile duct or common bile duct is observed.
The gallbladder is normally distended with few gallstones measuring up to 1.1 cm.
Spleen: Normal size spleen is seen without space occupying lesion.
Pancreas: Normal size, contour and parenchymal enhancement are observed. No mass or ductal
dilatation is demonstrated.
Adrenal glands: No adrenal mass is noted.
KUB system: Both kidneys are of normal size and enhancement. No stone, mass or hydronephrosis
is seen. Multiple small cysts are seen in both kidneys. The urinary bladder shows smooth thin wall
without mass.
Pelvic organs: There is prominent calcified prostate gland.
GI tract: There is asymmetrical circumferential mass at sigmoid colon (SE5 IM247) measuring
about 4 cm in length with pericolonic stranding and several small round nodes, primary colonic
cancer is considered. There is a suspected focal thickened wall at the descending colon (SE5
IM192), ddx other mass or due to collapsed bowel.
Peritoneum: No ascites is present.
Bony structure: A sclerotic lesion at L4 vertebral body is observed. There are spondylosis with
grade-I anterolisthesis of L4 over L5 and L5 over S1.
Included basal lungs: There are minimal reticulations at subpleural regoin of BLLs. There is
subsegmental atelectasis at RML. Neither mass nor pleural effusion is noted.
IMPRESSION:
-Asymmetrical circumferential mass at sigmoid colon (SE5 IM247) measuring about 4 cm in length
with pericolonic stranding and several small round nodes, primary colonic cancer is considered.
Suspected focal thickened wall at the descending colon (SE5 IM192), ddx other mass or due to
collapsed bowel.
ㆍ A lobulated faint-enhancing mass at left hepatic lobe measuring 4.1x 5.8 cm (SE5 IM60), liver
metastasis cannot be excluded; further MR or tissue diagnosis is suggested.
- Otherwise, as described.
ขอบคุณมากครับ
มะเร็งลำไส้
ผลว่า คุณพ่อเป็นมะเร็งลำไส้ แต่ กระจายไปที่ตับ ยังครับ ผลที่อ่าน เค้าบอกมั้ยครับหรือว่าสงสัยครับ
ผลตรวจ
ศูนย์ภาพวินิจฉัยและรังสีร่วมรักษา
Diagnostic Imaging and Inter vention Radiological
CT WHOLE ABDOMEN (1-3 PHASE)
CLINICAL HISTORY: A case of R/0 gut obstruction.
CT SCAN OF THE WHOLE ABDOMEN
COMPARISON: none.
FINDINGS:
Liver: Normal size, shape but decreased parenchymal attenuation are seen.
There is a lobulated faint-enhancing mass at left hepatic lobe measuring 4.1x 5.8 cm (SE5 IM60),
liver metastasis cannot be excluded; further MR or tissue diagnosis is suggested.
Several small hypodense lesions are seen at both hepatic lobes, up to 8 mm, too small to
characterize but prefer cysts.
The hepatic veins, portal vein and their branches are patent.
Bile ducts and Gallbladder: No dilatation of intrahepatic bile duct or common bile duct is observed.
The gallbladder is normally distended with few gallstones measuring up to 1.1 cm.
Spleen: Normal size spleen is seen without space occupying lesion.
Pancreas: Normal size, contour and parenchymal enhancement are observed. No mass or ductal
dilatation is demonstrated.
Adrenal glands: No adrenal mass is noted.
KUB system: Both kidneys are of normal size and enhancement. No stone, mass or hydronephrosis
is seen. Multiple small cysts are seen in both kidneys. The urinary bladder shows smooth thin wall
without mass.
Pelvic organs: There is prominent calcified prostate gland.
GI tract: There is asymmetrical circumferential mass at sigmoid colon (SE5 IM247) measuring
about 4 cm in length with pericolonic stranding and several small round nodes, primary colonic
cancer is considered. There is a suspected focal thickened wall at the descending colon (SE5
IM192), ddx other mass or due to collapsed bowel.
Peritoneum: No ascites is present.
Bony structure: A sclerotic lesion at L4 vertebral body is observed. There are spondylosis with
grade-I anterolisthesis of L4 over L5 and L5 over S1.
Included basal lungs: There are minimal reticulations at subpleural regoin of BLLs. There is
subsegmental atelectasis at RML. Neither mass nor pleural effusion is noted.
IMPRESSION:
-Asymmetrical circumferential mass at sigmoid colon (SE5 IM247) measuring about 4 cm in length
with pericolonic stranding and several small round nodes, primary colonic cancer is considered.
Suspected focal thickened wall at the descending colon (SE5 IM192), ddx other mass or due to
collapsed bowel.
ㆍ A lobulated faint-enhancing mass at left hepatic lobe measuring 4.1x 5.8 cm (SE5 IM60), liver
metastasis cannot be excluded; further MR or tissue diagnosis is suggested.
- Otherwise, as described.
ขอบคุณมากครับ