请大家看看今天做的CT结果, 需要去急诊吗?

来源: greenleaf99 2024-04-03 14:37:15 [] [旧帖] [给我悄悄话] 本文已被阅读: 次 (1469 bytes)
本文内容已被 [ greenleaf99 ] 在 2024-04-03 15:00:32 编辑过。如有问题,请报告版主或论坛管理删除.

大家好,

请教大家。 最近两周胃不舒服,吃饭后胃胀, 几小时后胃酸。 食欲不好, 消化也不好。

医生给做了CT, 评语如下:

1.   Prominent distention of the stomach with contrast and a recently ingested
material with an associated air-fluid level. There is a lack of oral contrast
progression beyond the distal stomach raising the possibility of gastric outflow
obstruction and/or delayed gastric emptying. Additionally, there appears to be
wall thickening and mild adjacent inflammatory stranding involving the gastric
antrum and the possibility of acute gastritis and/or peptic ulcer disease is not
excluded. No pneumoperitoneum, ascites or extra luminal contrast is seen.
Correlation with upper endoscopy and/or a fluoroscopic upper GI study is
recommended.
 
2.  Indeterminate 1.6 cm exophytic left lower pole renal lesion. Further workup
can begin with renal ultrasound. 
 
3.  Prominent mesenteric groundglass haziness/edema with increased number of
nonenlarged mesenteric lymph nodes at the mesenteric root within the midabdomen,
findings which can be seen in the setting of mesenteric panniculitis.

4.  A right pericardial cyst measures up to 5.0 cm.

请问大家, 这是啥问题?需要去急诊吗?谢谢

所有跟帖: 

希望今天老道会上来,他可以帮你看看 -窗外白雪- 给 窗外白雪 发送悄悄话 窗外白雪 的博客首页 (0 bytes) () 04/03/2024 postreply 15:25:50

现在不需要去急症。1.需要做胃镜,因为有幽门梗阻,可能的原因很多。2.左肾1.6厘米病变需要复查随访。3.肠系膜毛玻璃样 -老道- 给 老道 发送悄悄话 (145 bytes) () 04/03/2024 postreply 17:02:43

谢谢老道!!! -greenleaf99- 给 greenleaf99 发送悄悄话 (0 bytes) () 04/03/2024 postreply 17:20:25

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