How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Chip Your Own Question
Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 35573
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
Type Your Medical Question Here...
Dr. Chip is online now

Can I talk to A senior doctor

This answer was rated:

Can I talk to
A senior doctor
Hi. What's your question?
Customer: replied 3 years ago.

i spoke to u before .

can a ct clearly identify a Liver met?

No it can't. It can show a lesion that looks a great deal like a malignant lesion but as I told you before only a biopsy of the lesion can firmly determine that it is malignant
Customer: replied 3 years ago.

Ok. If it was a met would the rafiologist have stated in the report metsases disease ? Or do they word it different?

also surely the mdt team would have an idea wat this is right ? In don't get y his onco just said we are not sure . What kind of an answer is that

I understand your frustration Hina but all the radiologist can do is describe the lesion and he might say it had the appearance of cancer or a metastatic lesion but again, without a biopsy no one can say definitely that the lesion is cancer
Customer: replied 3 years ago.

He's not

said cancer appearance or mets . He has mentioned a large lymph node 10 mm and this lesion .

In the impression section , he put:

appearances keeping with disease progression .

Hina, you've asked this question in one way or another, of several of us experts and we've basically told you what we can. Can I ask what exactly is it you'd like to know that we haven't answered as yet?
Customer: replied 3 years ago.

Yes. Does what he has put " disease progression " mean metsases ?

I can't really answer that with certainty and you need to ask the radiologist about the statement. He may be referring to the enlarged node and the lesion as most likely being an expansion of the cancer, and it probably is. But again the only way to be certain would be with a biopsy
Customer: replied 3 years ago.

Is there treatment for liver met?

Surgery to remove it if it is removable along with chemotherapy and radiation therapy
Customer: replied 3 years ago.

What is prignosis like ?

Hard to say in his case without more information but the five year survival rate is about 40% of patients with that diagnosis
Customer: replied 3 years ago.

Is it better with 1

met? Also surgery can lead to cure right?

That can improve things and sometimes surgery can be curable but you really need to talk to his oncologist about this
Customer: replied 3 years ago.

Could it be that the onco held back thsts y said we don't know what the lesion is yet?

could it be that he wAnted to hold bk till the pet ?

Yes because as I told you the PET scan can better show whether the lesion looks cancerous
Customer: replied 3 years ago.

But can this not be known from a ct with contrast?

also would liver me not have high cea?

My my dad's is 8 at present .

Well his CEA is higher than normal but not as high as we usually see with active liver cancer. As I told you before it's standard practice to get a PET scan to better define a lesion in the liver seen on a regular ct scan. You really need to discuss this with his oncologist since I can't read his mind
Customer: replied 3 years ago.

Ok. Sorry I'm really worried as you can probably tell.

The words his onco used were the lesion looks cloudy ?

I understand Hina. Can't say much about the term cloudy except it doesn't sound like how a cyst would look.
Customer: replied 3 years ago.

do mets look cloudy ?

Well, they are solid so they do look cloudy or pure white through and through
Customer: replied 3 years ago.

He said lesion cloudy so we can't tell

There really isn't anything more I can tell you about this Hina. This has to be considered a metastatic lesion until proven otherwise with a biopsy
Customer: replied 3 years ago.

Last question , is there a difference between if the radiologist writes disease progression in a ct report and metsases disease ?

I would think disease progression would have to mean metastatic disease Hina but I can't read the radiologist's mind. Let's close this page with a rating please
Dr. Chip and 2 other Medical Specialists are ready to help you