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Really Confused With Inconsistent Ct & Ultrasound Result

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KD924

New User, Becoming EHEALTHy
Joined: 29 Nov 2005
Posts: 1
Location: virginia
Really Confused With Inconsistent Ct & Ultrasound Result
Posted: 11-29-05 20:11pm

:( i've had for some time now pain in my left groin area, pelvic area, and abdominal area. I went to the doctor and he performed an internal exam -- didn't feel anything. Requested ultrasound & ct scan. On 10/21 had pelvic ultrasound which reflected a 2.3 cm cyst on left ovary but couldn't identify right ovary. On 10/27, had a ct scan performed which reflected a large low desnity septated mass sitting on the left iliacus muscle in the mild pelvis measuring 5.6x3.67 cm with a hounsfield # =23 and disputed the ultrasound results stating that it is a septated not simple cyst. Still having pain and a repeat pelvic transvaginal ultrasound was performed on 11/10 which stated that neither ovary was visible but the ultrasound on the abdomen stated that a 3.5x1.9 hypoechoic structure was present which corresponds to the cystic structure seen in the ct scan and isn't a simple cyst -- no through-transmission and may represent a complex cyst/mesenteric cyst/complex lymphocele and a second 1.8x2 cm structure in the left lower quadrant which is hypechoic and see no correlation for it on the ct - may be a bowel loop. Repeat ct scan performed on the abdomen/pelvis on 11/22 which reflects a change in the pelvis -- septated mass has greatly resolved although there is still an area of parenchymal high density with some low density component remaining. This high desnity is elongated with a length of about 4.4 cm and a transverse diameter of about 1.5 cm. Overall this seems to be a solid structure with the septated low desnity mass collapsing but still present with overall length of about 2.6 cm and diameter of about .8 cm.
Additionally, there is a new right adnexal low density mass with a diameter of about 3.32 cm. Its hounsfield # = 24, not diagnostic of a cyst. This sits in a tissue mass which is about 4.8 cm. Greatest diameter. In the abdomen mesenteric fat planes show an occasional nonspecific lymph node. There are some prominent inguinal lymph nodes on each side as before and the largest sits on the left with a diameter of about 1 cm. Since all of this has transpired, i've had wbcs in my urine and pain in the flank area & back and was told that I had a uti. Additionally, my alkaline phosphatase (alp) test came by extremely high with the liver fraction causing the out of range high number. I saw my doctor today to discuss the latest ct results and was told that I had a corpus luteum hematoma that burst but still remains inside of me and that my body would rid itself of it and that the mass that they could be referring to was a part of my fallopian tubes. He also told me that he couldn't guarantee that the mass was absolutely benign nor malignant. What do I now do????? I'm thinking about getting a 2nd opinion. Anyone with thoughts?????????????? Would certainly appreciate it because I was told to return in 3 months for a follow-up even though I expressed to him that I was still having the pain but not like before. He did tell me to return sooner if things got progressively worse. Help!!!
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kinipela

New User, Becoming EHEALTHy
Joined: 08 Jan 2006
Posts: 7
Location: los angeles
Scared
Posted: 01-10-06 20:42pm

I think I might have the same thing read my post under stomach condtions
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rach86

New User, Becoming EHEALTHy
Joined: 27 Feb 2006
Posts: 1
Location: Tuscaloosa,AL
Re: Really Confuesed With Ct And Ultrasound Results
Posted: 02-27-06 23:39pm

As I was searching the net for some answers I came across your message. In late june of 2005 I learned I was pregnant and went to the doctor. When I eventually told my mother I was pregnant and told her what the doctor had told me she wanted me to go to a better doctor for a second opinion. I had a blighted ovum...Which is when the egg never meets the embryo. So I had a growing sac of fluid. My new doctor wanted ultrasound results of his own. On august 23,'05 I had my first day of college, and a doctors appointment for an ultrasound that afternoon. I arrived at my appointment at 4:00pm and my 5:30 I was answering millions of questions by tons of doctors and medical students in the e.R. I had emergency surgery. My diagnosis at the time was etopic pregnancy. When my doctor cut me open instead of a baby growing in the tube there was very large tumors on both ovaries. My left ovary had a tumor that was 10cm and my right was 7cm, and I had to have a dnc. I had my first surgery that night and they removed my left fallopian tube and ovary. The next day on aug.24th I was transferred to a much larger hospital and had another doctor. On the 25th I had my second surgery and the dnc. All I have left is my right parts. I have been concerned about having children in the future b/c of my conditions. My tumors werent malignant nor benign they are called borderline ovarian tumors. Since then I alternate between both doctors every 3months. I have ultrasounds every 3 months also. That is common for your doctor to make you have them every 3mo. To check and see if they have grown,shrunk,etc. But if you are in pain, which believe it or not I wasnt, I would definitly have a second opinion. About 6 weeks ago I went for my 1st ultrasound since my surgery and I had a 2.5 cm cyst on my rgt. Ovary. This past friday feb.24th I had my 3 month follow up from the last us..The cyst is now 4.8 cm. Today I learned that I will need to have surgery over spring break to remove the cyst and my doctor mentioned that I check in to feezing some of my eggs. I strongly suggest that you see another doctor b/c you never know they could find something that your present doctor can not! I wish the best for you.
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