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Dr. SH
Dr. SH, Board Certified Physician
Category: Medical
Satisfied Customers: 8781
Experience:  Doctor of Medicine
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In a ct report; is there any reason why radiologist would not

Customer Question

In a ct report; is there any reason why radiologist would not mention size of nodules ?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. SH replied 2 years ago.
Dr. Shahzad MD :

there. Thank you question. I will be helping you out with your queries

Dr. Shahzad MD :

I do not know why he did not mention the size.

Dr. Shahzad MD :

Although the size should have been mentioend I agree

Dr. Shahzad MD :

So I think that you should call the radiologist and discuss this with him.

JACUSTOMER-22pj9brw- :

He has mentioned the previous liver met and node has increased. oncolohist said only slightly but no mention in nodule sizes . If u see in the old report when the adrenal nodule was stated there was no size then too .

JACUSTOMER-22pj9brw- :

But in the old report he liver met and node had sizes. That adrenal node was a non met. Could it be these nodules are not mets so he's not measured them ?

Dr. Shahzad MD :

Yes I agree, no size, which should have been mentioned in both cases

JACUSTOMER-22pj9brw- :

Could he have thought not important to measure ?

Dr. Shahzad MD :

well, a radiologist cannot be sure if it is metastatic or not

Dr. Shahzad MD :

If it is a PET scan that would be able to tell in a better way

Dr. Shahzad MD :

Did you have a PET/ CT scan or normal CT scan?

JACUSTOMER-22pj9brw- :

Which u why the oncologist last time after meeting said te adrebal node not a met . Could they be too tiny that he did not measure ?

JACUSTOMER-22pj9brw- :

Ct with contrast

JACUSTOMER-22pj9brw- :

I think a pet can shed light exactly on what is a met and what's not right

Dr. Shahzad MD :

Yes

Dr. Shahzad MD :

exactly

Dr. Shahzad MD :

A PET scan is meant kind of mets

JACUSTOMER-22pj9brw- :

This is so poor as we have not been even told what is met or not . We are just here assuming from the report and I've done medixla

JACUSTOMER-22pj9brw- :

I've done mesic

JACUSTOMER-22pj9brw- :

Medical lawmdo

JACUSTOMER-22pj9brw- :

So bit knowledge I have

JACUSTOMER-22pj9brw- :

Is there diff between lesions and nodules ?

JACUSTOMER-22pj9brw- :

But is the nodules were mets would he not state... Suspicious of further mets ? As in the old report if u see, when he mentioned the node and liver lesion he said suspicious of metastases .

Dr. Shahzad MD :

They did mention at the end of the report "disease progression".

Dr. Shahzad MD :

They just wanted to write it in a way so that the patient does not understand and the doctor who is treating you understands and conveys the message to you rather than the radiologist doing so.

Dr. Shahzad MD :

In your case lesion and nodules is the same thing.

JACUSTOMER-22pj9brw- :

yea it says that at bottom . But cpuld

JACUSTOMER-22pj9brw- :

But could disease progression mean the increase of the previous liver met and node?

JACUSTOMER-22pj9brw- :

Sizes were quoted in the old report but not the adrenal gland nodule .

Dr. Shahzad MD :

Disease progression means increase in the number and/or size of the mets.

Dr. Shahzad MD :

They may have not mentioned the exact sizes but they would have seen them

Dr. Shahzad MD :

So they would know if they have increased in size or not.

Dr. Shahzad MD :

But did not measure them reason.

JACUSTOMER-22pj9brw- :

Liver met n node has increased

Dr. Shahzad MD :

Yes so that also means disease progression.

JACUSTOMER-22pj9brw- :

Could he thought not imp to mention size?

JACUSTOMER-22pj9brw- :

That's y im stuck. Meeting nxt week so won't know until then

JACUSTOMER-22pj9brw- :

Is were mets then surely a radiologist would mention size right ?

Dr. Shahzad MD :

well, they are most likely mets

Dr. Shahzad MD :

Even though the size was not mentioned these are most likely mets considering your history.

Dr. SH and 3 other Medical Specialists are ready to help you
Expert:  Dr. SH replied 2 years ago.

I would appreciate it if you rate me services when you are done asking.
Kindest regards

Customer: replied 2 years ago.

Would a oncologist know by looking at the images. ?

Expert:  Dr. SH replied 2 years ago.
Yes