请教

来源: 2019-03-26 13:30:19 [旧帖] [给我悄悄话] 本文已被阅读:

颈部压迫感,持续夜间背疼,吞咽障碍,声音嘶哑,有时呼吸困难。终于见了呼吸科医生,医生让做CT,到了医院才知道主要是查肺与心脏间的血管是否有血栓,整个扫描的时间似乎不到5分钟。 发现少量心包积液,(心脏本身没问题)。我关心的是是否有肺的病变(家人中有四个肺腺癌), 不知这样的扫描对肺是不是充分检查到了。那呼吸科医生说他不看也不懂癌肺, 但肺部因该也都扫到了,没有显示有东西。家庭医生似乎认为心包积液完全不是问题,都没提到过。请问有没有可能跟甲状腺结节有关?有没有可能肺部还是有什么情况没有在这个CT检查中反应出来?请问我有什么该做的和有什么需要注意的?还是只好等着他们一步一步来。国内也没人可帮得上。

Clinical information: R/O pulmonary embolus 

Findings: No pulmonary embolus out to subsegmental branches.

Limited evaluation of intra-abdominal structures included within the field-of-view demonstrates at least 3 hepatic hypodense masses of uncertain etiology measuring 10 mm segment 2, 601:89, 10 mm segment 7 … …

Opinion: No pulmonary embolus.  Small pericardial  effusion. Hepatic masses are not well evaluated on this study and are of uncertain etiology. In the absence of a known malignancy, statistically they would most likely represent hemangiomas.  Suggest correlation with ultrasound if these have not been previously assessed.