Fatty Infiltration Of The Liver Ct

The cell is the basic building block of the body that we live in. There are approximately 10,000 billion cells specialized to perform specific functions. Typically, the cells make up tissues, tissues make up an organ system, and the organ system contribute its function to the entire body's function. There are, therefore, millions of heart cells, blood vessels cells, kidney cells, liver cells, skin cells, glandular cells, etc. The cell is a self-contained unit which produces its own energy. The energy the cell produces is used for the particular function of the cell; such as filtering the blood if it is a kidney or liver cell, or to contract if it is a muscle cell moving the body about, or pumping blood, etc. The energy that the cell produces is also necessary for the cell to protect itself from environmental damage.

There are many constituents within the cell; the mitochondria produce the energy for the cell as an example. The constituents within the cell, called organelles, are surrounded by a membrane. Nutrients needed for the cell to produce energy pass through this membrane; the nutrients include vitamins, minerals, trace elements, electrolytes, proteins, fats, carbohydrates, water, and oxygen. It is through this membrane that waste products of cellular metabolism from energy production pass out of the cell. The function of the cell membrane is essential for the health of the cell, and therefore, the health of the tissues, the organs, and ultimately the entire body. The health and integrity of the cell membrane is, therefore, essential in maintaining a good quality of life and to resist disease. Alterations in the cell membrane's integrity, changes in its ability to import nutrients and move waste products out of the cell, or its ability to prevent dangerous things from passing into the cell, cause chronic degenerative diseases and the aging process.The cell membrane is primarily made of lipids (fat). The chief lipid in the cell membrane is phosphatidylcholine (PC). Another lipid present is sphingomyelin (SM). Cholesterol, normally present in the cell membrane, is essential in decreasing damage to the cell membrane and provides some firmness and structure. Changes in the ratios between these three lipids contribute to the aging process and chronic, degenerative diseases. Changes in the structure of these substances contribute to chronic, degenerative disease development and the aging process.

When the amounts of PC, SM, and cholesterol are in correct ratios and are undamaged the cell membrane has a fluid nature. The substances within the cell membrane move about, and enable the nutrients and other substances to pass through easily. As the ratios of the fats change and their structures are altered by free radical damage, the cell membrane becomes more rigid and more resistant to the passage of nutrients and other vital substances into the cell. Studies have demonstrated that pc decreases with the aging process and the SM and cholesterol increase with age. This also is seen in membranes associated with the arterial wall in which upwards of a six-fold decrease in the ratio between PC and SM occurs with aging. The same has been seen in atherosclerosis where there is clear evidence of an increase in the SM fat. Again, all of these changes contribute to decreased function of the cell membrane and as a result, decreased function of the cell; if a cell happens to be in an artery it may decrease ability of the artery cells to protect themselves from buildup of cholesterol, damage from free radicals, calcium deposition, etc.

Lipid exchange therapy is simply the intravenous administration of PC (phosphatidylcholine). This administration makes healthy PC available for the body to use in maintaining healthy cell membranes. The intravenous administration of PC has potential to restore normal function to existing cell membranes and would be available for new cells. The result is enhanced function of the cells resulting in enhanced function of the tissues and the organ systems in which the cells are located. Studies have shown application of intravenous phospholipids such as phosphatidylcholine have been able to reverse age-related changes in the lipid or fat composition of heart muscle cells in animals.

Lab animal studies have also shown a tendency toward increased male sexual competence. Work with patients utilizing intravenous lipid exchange therapy has demonstrated the potential for a significant decrease in the atherosclerotic disease process; even when used as the sole treatment. Utilizing it as a complement to a chelation therapy program could potentially be very advantageous.

PC is the prominent phospholipid of all cell membranes. PC is also a normal constituent of bile that facilitates fat emulsification, absorption, and transport. PC is not to be confused with lecithin. Lecithin is a mixture of phospholipids and other fats.

The basic building block of phosphatidylcholine is choline, which is considered by most to be an essential nutrient. Essential means that the body does not make it; it has to be presented to the body through dietary sources. Most of the choline that is ingested is predominately ingested in the form of phosphatidylcholine.

PC is the main structural support of cell membranes comprising about 70% of the total membrane phospholipids. As we said earlier, it is essential for regulation of the membrane fluidity. PC is essential for normal transport of nutrients etc. through the cell membrane from the external environment to the intracellular environment.

PC has shown to provide antioxidant protection and is also a precursor for other phospholipids. It has also been shown to protect against numerous chemical toxins and pharmaceutical adverse effects.

There is ample evidence to show the ability of PC to ameliorate liver damage; it may be an important factor in preventing numerous liver diseases, including cirrhosis from alcohol, drug-induced liver damage, and impaired liver function that comes from daily exposure to environmental chemicals such as insecticides, pesticides, herbicides, etc. Hepatitis can also respond favorably to lipid exchange therapy utilizing PC.

PC is essentially free from any side effects or toxicity. It is compatible with other nutrients and actually may even enhance their absorption.

The potential benefit of the intravenous use of phospolipids is not new news. A 1957 issue of Protocols of the Society of Experimental Biology and Medicine discussed a study in which rabbits that were fed a diet which caused the atherosclerotic disease process to occur, were separated into several groups, one group received intravenous phospholipids. After a period of months, the laboratory animals were sacrificed, and their aortas were evaluated. The treated rabbits had no detectable atherosclerotic disease. Those not treated with intravenous phospholipids had widespread atherosclerotic infiltration of the aorta. The summary of this article was "intermittent intravenous infusions of phosphatide emulsion into two series of previously hypercholesterolemic rabbits appeared to affect a marked resolution of their atherosclerotic infiltration and cholesterol deposit as judged by the findings in paired, untreated animals." The news is 46 years old. It is interesting because the magnificent benefits of chelation therapy have also been suppressed for an equal amount of time.

Dr. Conrad Maulfair, Osteopathic Physician

Frequently Asked Questions

  1. QUESTION:
    diffuse fatty infiltration of the liver - what is that means.?
    Can someone please tell me in a way I can undestand (english) what is diffuse fatty infiltration of the liver. The CT scanning appears to be normar but with the above info.

    I have two previous CT with - Mosaic attenuation patter - and Mosaic perfusion. At this point I do not know if the scanning people know what they are doing or my health is fine.

    I have severe symptoms of pain on my Left Upper Quadrant Abdomen with mass in my abdomen followed by left upper back bruise (white spot - similar to bite)

    I just need your opinon of what possibilities of problems could that be. - It is over a year of testing with lots of drugs but no soluction.

    Please no website just your opionin.

    I thank you very much

    • ANSWER:
      Fatty infiltration is when the cells of an organ have absorbed fat from outside of it. In a nutshell your liver sucked up fat that surrounded it.

      Mosaic attenuation pattern has to do with what the person reading the CT scan is seeing. It is a pattern of darkness and lightness that resembles a form of art in which tiles are inlayed to form a picture. What they are seeing is the density of your liver varying in density wildly. This could be due to tumor versus healthy tissue versus fatty tissue.

      I have no idea what would cause a white spot on the outside of your body in relation to a mass inside of it though--that sounds a bit odd.

  2. QUESTION:
    what is diffuse fatty infiltration of the liver?
    and is it serious? the ct findings say that my liver is not enlarged and measures 28.5cm. but at the end of the report it says the impression is hepatomegaly with diffuse fatty infiltration of the liver. doesn't hepatomegaly mean that my liver is enlarged?

    • ANSWER:

  3. QUESTION:
    focal fatty infiltration of liver?
    I recently had an CT scan that showed "Focal Fatty infiltration is noted adjacent to the ffissure for the falciform ligament, and the liver." Can anyone tell me what that means. I have tried to look via the net to find out info about it and it does not tell me anything. My family has a history of liver disease including my father who did have liver disease and my grandfather who had cancer of the liver. My grandmother had some lesions removed from her liver. I was wondering if this is something that I need to be worried about. Or what are some types of treatment for this. I have had numberous abdominal surgeries and have also had an cholecystectomy done.

    • ANSWER:

  4. QUESTION:
    Liver Test very elevated and Ct Results?
    Hi,

    i got my lab results from my doctor my blood test were Ast 96 and my a Alt was 106 and i had a ct and it came back as fatty infiltration of the liver and diverticula of the sigmoid colon are seen what does that mean and my doctor check me for hepatitist and it was negative and i dont drink i havent been feeling good been very tired and dont wanna eat much at all i'm just scared should i be concerned??

    Well see i dont have no infection and no medicine i take could of made my liver test very elevated thats what my doctor told me..

    • ANSWER:

  5. QUESTION:
    Can anyone make sense of these CT findings?
    My fiance can't reach his doc and is in horrible pain. We went to the ER last night and the doc said his CT scan was normal (we thought he had gall stones). We got a copy of the CT scan today and the findings are...
    Focal Fatty Infiltration of the liver (doesn't drink)
    Shotty retroperitoneal adenopathy
    Mesenteric adenopathy in RT. lower quad.
    mild dependent peripheal interstitual densities, which represents atelectasis
    Atelectasis within the lingula as well
    Small splenule in left upper Quad of spleen.

    Could these findings justify severe right sided abdominal pain and pain around the belly button? He is 28yrs old and in good health besides the stomach issues. He is suffering from awful night sweats now and today has extreme fatigue.

    We really appreciate any insight! The doc did say his white count was VERY slightly raised, but not bad at all. Should we try a different ER or go back and as about these findings, which the doc failed to mention.

    • ANSWER:
      Focal fatty infiltration isn't caused purely by drink, diet can be a contributing factor, and it's incidence is ever increasing. It's often an incidental finding and if the radiologist isn't overly concerned by it's appearance, then that should be satisfactory. It could be causing the acute pain, but it depends on the severity of the fatty infiltration. Where exactly is his pain?

      Ateclectasis is something that i would have felt would have warranted at least an investigation. Is his breathing particulalrly shallow? It can lead to pneumonia which would account for many of his symptoms, including the sweats and severe fatigue, but i would expect more chest symptoms.

      As for the lymphadenopathy, the cuases of this are vast. If there had been suspicion of gall stones, it could be that this and the abdominal pain and other symptoms are being caused by acute cholangitis (infection of the bile ducts). Does he have any other symptoms, maybe itching, pale stools, darker urine? Does he have any bowel symptoms?The retroperitoneal lymphadenopathy does cause more concern, but again, the causes can be numerous.

      If the sweats and fatigue are now since the abdominal pain, i would return to the ER and ask for them to investigate further, or speak to your family doctor to get him admitted.

      Have they run all blood tests on him, including HIV?

  6. QUESTION:
    Can anyone make sense of this CT report?
    My fiance can't reach his doc and is in horrible pain. We went to the ER last night and the doc said his CT scan was normal (we thought he had gall stones). We got a copy of the CT scan today and the findings are...
    Focal Fatty Infiltration of the liver (doesn't drink)
    Shotty retroperitoneal adenopathy
    Mesenteric adenopathy in RT. lower quad.
    mild dependent peripheal interstitual densities, which represents atelectasis
    Atelectasis within the lingula as well
    Small splenule in left upper Quad of spleen.

    Could these findings justify severe right sided abdominal pain and pain around the belly button? He is 28yrs old and in good health besides the stomach issues. He is suffering from awful night sweats now and today has extreme fatigue.

    We really appreciate any insight! The doc did say his white count was VERY slightly raised, but not bad at all. Should we try a different ER or go back and as about these findings, which the doc failed to mention.

    • ANSWER:
      If he is in pain you should go to your nearest ER, and take the CT report with you. I don't want to scare you but this could be serious. Abdominal pain is often a warning sign of a serious problem. Make sure they check his liver enzymes!! Please get some medical attention, now!!

  7. QUESTION:
    No suspicious hepatic mass lesions identified on this exam?
    Findings on a recent CT Scan
    Mild fatty infiltration of the liver is seen. Portal vein is patent. Patient is status post cholecystectomy. No suspicious hepatic mass lesions identified on this exam. No intrahepatic ductal dilation.

    Impression No discrete abnormalities

    • ANSWER:
      This means you had a normal CT scan. Fatty liver was seen, might be from overeating.

  8. QUESTION:
    Reason for concern? Lots of 'weird findings' on CT?
    I just recieved copies of my abdominal CT and found some things to be 'weird'. Can anyone explain the following?... The liver shows area of low attenuation adjacent to the fissure for falciform ligament w/ fatty infiltration. Right renal cyst is present in upper pole posteriorly measuring 11cm. Shotty retroperitoneal adenopathy is present. Shotty mesenteric adenopathy is seen in rt. lower quadrant. Study shows area of focal fatty infiltration of the liver. Mild dependent peripheral interstitial densities are noted, which represent atelactasis. Atelactasis is seen within the lingula as well.
    I am a 27yr old male w/ stomach pain and also 2 herniations in lumbar spine. Can anyone shed some light on these finding? I see my Dr. in 2 days and some of this stuff sounds kinda serious.
    Also a small splenule is seen in the left upper quadrant of the spleen.

    • ANSWER:
      With all the adenopathy and atelectasis (collapsed parts of the lung) I would be very concerned about the findings. Have you lost weight? Are you more tired than usual? Are you coughing? Did they do any lab work also?
      I am sure your doctor is going to refer you for more tests. You may need biopsies (tissue samples) also.
      Make a list of your questions & concerns before you go to the doctor and bring the list w/ you. If at all possible, have a friend or family member got to the vist with you. When we are anxious, we tend to forget what was said.
      Good luck to you!

  9. QUESTION:
    I need a Dr. to interpret my CT Report. I had an ULQ CT done. I have left upper, and lower quadrant pain.?
    I had an ULQ CT done. I have left upper, and lower quadrant pain. H. Pylori Positive.
    this is a brief detail on my report:
    1. diffuse fatty infiltration of the liver, with an area of focal fatty infiltration adjacent to the falciform ligament.
    2. Low attenuation 2.1 cm splenic mass, most likely a simple splenic cyst or a lymphangioma. Clinical correlation recommeded.
    3. Minimal umbilical hernia, containing only fat.
    The liver is of diffusely diminished attenuation consistent with diffuse fatty infiltration. minimal area of focal hypodensity adjacent to the falciform ligament consistent with an area of focal fatty infiltration.
    The Spleen is not enlarged, but demonstrates a hypodense, near water density of +18HU (mass 2.1 cm size) posterosuperiorly in a subcapsular location. There is no asociated calcification or fill in on the delayed images. This is most likely represents a simple splenc cyst or lymphangioma.
    Please hlp what does this all mean?

    • ANSWER:
      It says that you have a fatty liver. There are many causes of fatty liver, the most common being alcoholism and obesity. This condition occurs when the liver is not metabolizing fat effectively. I found a Wikipedia article that lists some of the causes; see the first link. The condition is reversible if the cause can be treated.

      The radiologist feels that he cyst on the spleen is not a concern. "Lymphangioma" is an abnormal collection of lymph vessels that is present from birth, not anything to be concerned about.

      The umbilical hernia is small. Such hernias are not a concern unless there are associated symptoms. Nothing to worry about.

      It is not common for fatty liver to cause pain, except that some people feel a dull LUQ pain. Since you also have lower quadrant pain, further testing may be necessary to find the cause.

      The positive H. pylori is probably meaningless, unless you have an ulcer. About half the population carries it.

      I have found a bunch of links for you if you want more detail.

  10. QUESTION:
    What does my CT Scan results mean, I am very worried?
    It says:

    CT OF THE ABDOMEN AND PELVIS WITH CONTRAST

    HISTORY: Abdominal pain.

    FINDINGS: The lung bases are clear.

    There is diffuse fatty infiltration of the liver.

    A 4 mm hypodensity in the posterior cortex of the right kidney is likely a benign cyst. Remaining intraabdominal organs have a normal appearance. There is no free fluid or lymphadenopathy.

    There is a persistent 2.2 cm segment of decreased patency of the sigmoid colon. This is likely due to anatomical variation. There is no proximal dilatation of colonic lumen that would suggest true stricture. Inflammatory or neoplastic mucosal-based lesion is felt to, therefore, be unlikely. Further evaluation could be obtained with barium enema or colonoscopy, if felt to be clinically indicated.

    IMPRESSION:

    1.No acute intraabdominal/pelvic pathology.

    2.2.2 cm segment of lack of normal luminal distention of sigmoid colon, likely representing developmental variant and/or spasm, rather than true persistent stricture. No dilatation of proximal bowel or other evidence to suggest bowel obstruction.
    I am 55 years old, overweight, T2 Diabetic, Don't smoke or drink.
    Thanks Liza. I am still wondering why I am still having some Abdominal discomfort mostly in my lower left side.
    Since the CT results don't sound real bad. I don't see the Dr. again until the 21st.

    • ANSWER:
      Basically, this scan is done as your doc was suspecting some part of your intestine is blocked.

      The lung bases are clear - means no sign of infection in your lungs.

      There is diffuse fatty infiltration of the liver - There are a lot of fats growing at your liver. Obviously, you better admit you are eating a lot of junk food, most likely KFC.

      A 4 mm hypodensity in the posterior cortex of the right kidney is likely a benign cyst - means, at the back of your right kidney, there is a small grow of 4mm. However, the growth contains fluid. So it's most likely to be a cyst and very unlikely to be cancer.

      Remaining intraabdominal organs have a normal appearance. There is no free fluid or lymphadenopathy - means - the rest of the organs inside the territory of tummy, are normal. No free fluid means no serious illness in the tummy eg cancer. No lymph nodes are found there also. That means you are unlikely to be having lymphoma, a type of cancer.

      There is a persistent 2.2 cm segment of decreased patency of the sigmoid colon. - at the large intestine (sigmoid colon), about 30cm from your anus, a part of the intestine of length 2.2cm is not flowing well, the flow is slightly slower as compared to the rest of other parts of the intestine.

      This is likely due to anatomical variation. means - this is likely to be normal due to the position of your body.

      There is no proximal dilatation of colonic lumen that would suggest true stricture. Means - (normally, after the section of blockage eg slow flow, the lower part of the intestine will be bigger.) the intestine after the block is not bigger, means it's not block. Just slower flow.

      Inflammatory or neoplastic mucosal-based lesion is felt to, therefore, be unlikely. means - based on the above findings on the scan, you are unlikely to be having cancer in your intestine. Your intestine is not inflammed also.

      Further evaluation could be obtained with barium enema or colonoscopy, if felt to be clinically indicated. means - if need to be 100% sure what is happening at the slow flow section, will need to be find out by a scope going into your intestine from your anus. Or do a barium enema, whereby a milky radio opague fluid is push into your intestine from anus.

      No acute intraabdominal/pelvic pathology. means - no serious abnormalities found in this region.

      I am 55 years old, overweight, T2 Diabetic, Don't smoke or drink - does not have any effects on the scan.

  11. QUESTION:
    hi everyone. I am going to be a pain in the backside and ask this one last time?
    ok here goes. Last year in about september or a bit before I had a CT scan which picked up a very fatty liver infiltration. I had a liver function test not long after that and it was a bit elevated. I was told to wait 3 months for another liver blood test to see if it has come down to normal so I had another one about a week or so ago and the levels in my ALT were over twice as high as the last test and my AST was double the level and my GGA was elevated. I have been getting pain of and on under my rib cage on my right hand side and my cholesterol level is a bit elevated too. I do not drink and have been tested for hep A B &C and it was all negative. I am not obese. now I want to ask what are my chances of liver failure? I was told high but I need opinions here. and what are the chances of developing chriosis of the liver? is it high. as my levels has more then doubled in three months. I am due for an ultrasound next week which i was told I have to fast for 6 hours before hand. any advice and serous answers please even if the truth hurts me I need to know. Thanks and God bless
    thanks all. Julie I do not have a gall blader problem otherwise it would have picked it up in the CT scan. so it is a more serious problem but thanks anyway
    thank you rosie but you are wrong I do not drink I am not dibetic nor do I have HEP or any virus. my liver is enlarged and my levels keep going up do the doctor is woried and if I do have the start of liver falure I will know as I am a bit jaundice

    • ANSWER:
      This question is best answered by a specialist in liver function. I doubt that any of those are trolling the yahoo answers forums.

      sorry... this is pretty serious though, I have no idea what to tell you.

  12. QUESTION:
    Hodgkins lymphoma: Worried about result of my last CT Scan?
    I had a Hodgkin's lymphoma in early stage and i have taken a radiotherapy since 2 years ago and treatment has finished since 2008 and i am fine and following up every 4 months.
    Last week I did a CT scan and the result came as the following:
    1-Tiny Bilateral cervical & axillary nodes are seen.
    2- No significant interval change in the tiny right lung nodule.
    3- No significant interval change in the prevascular soft tissue (remnant thymus).
    4- Soft issue density in both breast-probable gynecomastia.
    5-Focal hypo density representing focal fatty infiltration is seen adjacent to fissure in liver.
    6-GB, spleen, pancreas, kidneys, adrenals, UB and prostate are unremarkable.
    7- No sizable Para aortic adenopathy or ascites.

    Would you please advise me if there is any thins serious about these results especially the first one (cervical & axillary nodes).

    Thank you,
    Best Regards

    • ANSWER:
      You questions need to be asked of your oncologist. The oncologist has all your past test results to use for a comparison. Just phone their office and say you were so excited that you forgot to ask a couple of questions. Normally the nurse is willing to answer these thing over the phone. IF the Bilateral cervical and axillary nodes are changes, ask what you should be doing ... for instance should you have a follow-up ct?

  13. QUESTION:
    Hodgkins lymphoma: Please Advise, I am worried about result of my last CT Scan?
    Would you please advise me if there is any thing serious about these results especially the first one (cervical & axillary nodes) as I wasn't satisfied with what has the Dr. told me.

    I had a Hodgkin's lymphoma in early stage and i have taken a radiotherapy since 2 years ago and treatment has finished since 2008 and i am fine and following up every 4 months.
    Last week I did a CT scan and the result came as the following:
    1-Tiny Bilateral cervical & axillary nodes are seen.
    2- No significant interval change in the tiny right lung nodule.
    3- No significant interval change in the prevascular soft tissue (remnant thymus).
    4- Soft issue density in both breast-probable gynecomastia.
    5-Focal hypo density representing focal fatty infiltration is seen adjacent to fissure in liver.
    6-GB, spleen, pancreas, kidneys, adrenals, UB and prostate are unremarkable.
    7- No sizable Para aortic adenopathy or ascites.

    Thank you,
    Best Regards

    • ANSWER:
      This is a normal CT. If you do not believe your doctor you need a different one.

  14. QUESTION:
    Can someone translate my ct scan and tell me if it's bad?
    I have non-hodgkins lymphoma. I've had 7 cyles of chemo. This is what my most recent ct scan report said:

    A large anterior mediastinal mass measures approximately 9cm transverse x 4cm AP x 8cm CC. This likely corresponds to the underlying lymphoma. A small to moderate pericardial effusion is seen. At the left base medially parallel to the descending aorta, there is a 3cm rounded density without significant air bronchograms. Multiple small scattered foci of interstitial edema or infiltrates are seen at the left and right upper lobes surrounding the mediastinal mass, probably related to underlying tumor. DIffuse scattered pulmonary micronodules are also identified bilaterally. The airways are patent. Heart size is normal. No large consolidation or effusion is seen. A 2cm area of low attenuation is noted in the left lobe of liver, adjacent to the falciform ligament, probably focal fatty infiltration.

    Please translate the medical words to english and tell me if it is bad. Thanks!
    P.S. Please do not answer if you have no idea. Thank you!

    • ANSWER:
      A large anterior mediastinal mass measures approximately 9cm transverse x 4cm AP x 8cm CC (mass in the chest area)

      A small to moderate pericardial effusion is seen (fluid around the heart)

      At the left base medially parallel to the descending aorta, there is a 3cm rounded density without significant air bronchograms (density lacking air is seen)

      Multiple small scattered foci of interstitial edema or infiltrates are seen at the left and right upper lobes surrounding the mediastinal mass, probably related to underlying tumor (fluids around the tumor)

      DIffuse scattered pulmonary micronodules are also identified bilaterally (nodules are seen in lungs)

      The airways are patent (airway is fine)

      A 2cm area of low attenuation is noted in the left lobe of liver adjacent to the falciform ligament, probably focal fatty infiltration (fatty mass in liver)

      That is just my interpretation, definitely check with your doctor to make sure you understand it better.

  15. QUESTION:
    pulmonary disease question - please help me out?
    here is my test result: Back x-ray (osteoperosis), chest x-ray (Cardiac silhouette is at the upper limistis of normal size, mild hyperexpansion of the lungs, insterstitial markings - chronic lung disease, increased pulmonary venous pressure, or both), CT (mosaic attenuation pattern) second CT (Suspect airway disease as cause for mosaic perfusion), Abdomen ultrasound (echogenic liver consistent with fatty infiltration, otherwise normal abdominal ultrasound), EKG (normal), Stress test (normal).
    My symptoms: lack of air, chest pain, upper back pain feel like stabing, back pain radiating towards lower back (left side), left side chest pain radiating towards ribs, constant pain under ribe cage and mid chest, noise in the internal organ, cramp under my the rib, shrink feeling on my left side, headache, tiredness, over sleeping, depression, lower back pain

    Your opinion will be very much appreciated. (Doctors still not giving me answer and proper medication)
    I do not use drugs, don't drink and do not smoke. my family are smokers.

    • ANSWER:
      That's actually not a lot of information to go on as far as pulmonary disease. The references to chronic lung are all based on just the chest x-ray. It does sound like you have at least mild emphysema based on the CXR, and perhaps a bit of chronic bronchitis. It would be help to know age and weight as well, but it's not absolutely necessary.

      If you'd like to see what's causing your shortness of breath, you should probably consider doing a complete PFT (Pulmonary Function Test). There you'll be able to assess the level of Emphysema (based on your lung volumes), as well as any possible diffusion problems.

      If your family smokes, it may be due to a good deal of second hand smoke. If you are a "former" smoker, you can have effects of the smoking years down the road... and they may be rearing their heads now.

      Good luck.

  16. QUESTION:
    help i donno what this is!?
    hello am 25 years old male I am a smoker and stopped drinking alcohol since the start of 2010 been suffering weird things lately, symptoms began with itchy redness on chest that wont go away even with creams , that was in July 2010, later in November i started experiencing numbness in hand fingers and legs while sleeping, itchy red eyes, drumming sensation in my left ear (only when i try to sleep) pain in my leg bones, urinary tract infection,high heart pulse, difficultly balancing myself while walking, moles turned red (i have so many of those) I had night sweats for a couple of days no swollen lymph nodes. I also had a high fever for couple of days as well, acid reflux with changes in bowel movement, i also suffered from loss of appetite for a while also a cough with green septum, fatigue, Oral thrush and weight loss & waking up many times at night. some of these symptoms subsided but some are still there, what i am suffering from now is weight loss, oral thrush, drumming sensation in my left ear, itchy red eyes, constipation, itchy rash with blusters on chest, numbness sometimes in my hand fingers at night, slight bone pains, I had many tests done these tests were:

    CBC x 5
    The first one was normal WBC 5000
    Second test showed elevated WBC 10400.
    Third test showed also elevated WBC 11400.
    Fourth Test Showed Normal results WBC was 8000
    Fifth test showed also normal results WBC was 7000

    -----------------------------------------------------------------------------

    3 abdominal ultra sounds
    First one showed normal results except a 7mm left kidney stone
    Second one showed enlarged liver due to fatty infiltration and the kidney stone
    After having the stone removed the ultra sound showed normal results.

    -------------------------------------------------------------------------------

    Brain and cervical spine MRI

    All normal no abnormalities.

    --------------------------------------------------------------------------------
    2 chest xrays

    first one was normal
    second showed the bronchovascular lungs land markings are increased associated with peribronchial walls thickening

    ---------------------------------------------------------------------------------------

    Chest CT Chest CT

    all normal except for : collapse consolidation is seen at the inferior segment.

    ---------------------------------------------------------------------------------------

    One Mole Biopsy

    Showed irritated compound nevus and the immunostaining revealed that less than 1% of the nevus cells are positive which is consistent with the benign nature of the lesion .

    ------------------------------------------------------------------------------------

    Urine Analysis x2

    first one showed mucus with wbc count 30 and rbc 5

    second one showed normal results wbc was 2 and rbc was 2-3 (ghost) with few mucus.

    --------------------------------------------------------------------------------

    Thyroid stimulating hormone

    was normal

    --------------------------------------------------------------------------------

    Stool Analysis

    was normal

    ------------------------------------------------------------------------------

    Glucose, Fasting serum

    was normal

    ---------------------------------------------------------------------------

    Esophago-gastro-duodenoscopy

    Small hiatus hernia
    peptic esophagitis (GERD, grade a)
    Chronic gastritis with antral erosions

    --------------------------------------------------------------------------

    Heart Electrocardiography x3

    were normal

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    heart echo

    was normal

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    Uric Acid serum

    normal

    -----------------------------------------------------------------------

    CRP high sensitivity serum

    was 12.07 MG/L

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    Electrolytes serum ( sodium, potassium, chloride)

    all normal

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    Urea & creatinine serum

    normal

    ------------------------------------------------------------------

    b12 serum

    was 257.5
    -----------------------------------------------------------------

    Protein, Bilirubin, alkaline phosphatase, aspartate aminotransferase, alanine aminotransferase, blod urea nitrogen

    were all normal

    I have been treated for my abnormal results but i sill feel generally unwell with my rash, oral thrush, weight loss, red eyes are still there please help me tell me what should i do next!! I am dying to find an answer and get back to my life as it was!

    • ANSWER:
      There are so many symptoms, but some of them sound like shingles.

      http://www.medicinenet.com/shingles/article.htm

  17. QUESTION:
    Can anyone make sense of these CT findings?
    My fiance can't reach his doc and is in horrible pain. We went to the ER last night and the doc said his CT scan was normal (we thought he had gall stones). We got a copy of the CT scan today and the findings are...
    Focal Fatty Infiltration of the liver (doesn't drink)
    Shotty retroperitoneal adenopathy
    Mesenteric adenopathy in RT. lower quad.
    mild dependent peripheal interstitual densities, which represents atelectasis
    Atelectasis within the lingula as well
    Small splenule in left upper Quad of spleen.

    Could these findings justify severe right sided abdominal pain and pain around the belly button? He is 28yrs old and in good health besides the stomach issues. He is suffering from awful night sweats now and today has extreme fatigue.

    We really appreciate any insight! The doc did say his white count was VERY slightly raised, but not bad at all. Should we try a different ER or go back and as about these findings, which the doc failed to mention.

    • ANSWER:
      Let's start off with the WBC-White blood cell count. Slightly raised? If the WBC is elevated there is an infection. Plain and simple.

      Focal Fatty Infiltration, this could mean Fatty Liver Disease. You do not have to be a drinker to get it. Your lipids (HDL and LDL cholesterol levels) are a good marker for this condition.

      The rest of your question refers to the presence of an infection, (confirmed by the elevated WBC) The peritoneal cavity has a lining that is easily infected. What I suggest is not to make the ER a definitive diagnosis of his condition and seek the advice of a MD, preferably an Internist. If you mention to the Dr.'s office when you make the appt. and you mention that you were seen in the ER you should get a rather quick appt.
      The ER should have given an antibiotic preferably Zythromyacin or possibly Levaquin. I would have asked for a pain killer if the pain was that bad. I hope things work out for you all. Good Luck!

  18. QUESTION:
    Reason for concern? Lots of 'weird findings' on CT?
    I just recieved copies of my abdominal CT and found some things to be 'weird'. Can anyone explain the following?... The liver shows area of low attenuation adjacent to the fissure for falciform ligament w/ fatty infiltration. Right renal cyst is present in upper pole posteriorly measuring 11cm. Shotty retroperitoneal adenopathy is present. Shotty mesenteric adenopathy is seen in rt. lower quadrant. Study shows area of focal fatty infiltration of the liver. Mild dependent peripheral interstitial densities are noted, which represent atelactasis. Atelactasis is seen within the lingula as well.
    I am a 27yr old male w/ stomach pain and also 2 herniations in lumbar spine. Can anyone shed some light on these finding? I see my Dr. in 2 days and some of this stuff sounds kinda serious.
    Also a small splenule is seen in the left upper quadrant of the spleen.

    • ANSWER:
      I'm not a doctor but it would appear you have a cyst on the kidney, and some kind of liver disease that doesn't sound good, maybe hepatitis. Do you drink at all? If so, don't. Were you in an accident to herniate the disks?

  19. QUESTION:
    Reason for concern? Lots of 'weird findings' on CT?
    I just recieved copies of my abdominal CT and found some things to be 'weird'. Can anyone explain the following?... The liver shows area of low attenuation adjacent to the fissure for falciform ligament w/ fatty infiltration. Right renal cyst is present in upper pole posteriorly measuring 11cm. Shotty retroperitoneal adenopathy is present. Shotty mesenteric adenopathy is seen in rt. lower quadrant. Study shows area of focal fatty infiltration of the liver. Mild dependent peripheral interstitial densities are noted, which represent atelactasis. Atelactasis is seen within the lingula as well.
    I am a 27yr old male w/ stomach pain and also 2 herniations in lumbar spine. Can anyone shed some light on these finding? I see my Dr. in 2 days and some of this stuff sounds kinda serious.
    Also a small splenule is seen in the left upper quadrant of the spleen.

    • ANSWER:
      OOh, gee, it does sound serious. Your stomach pain is probably due to you liver problems. You need referrals to a urologist for the kidny problem, an a gastroenterologist for the liver. A pulmonologist can address the atalectasis.

  20. QUESTION:
    Can anyone make sense of these CT findings?
    My fiance can't reach his doc and is in horrible pain. We went to the ER last night and the doc said his CT scan was normal (we thought he had gall stones). We got a copy of the CT scan today and the findings are...
    Focal Fatty Infiltration of the liver (doesn't drink)
    Shotty retroperitoneal adenopathy
    Mesenteric adenopathy in RT. lower quad.
    mild dependent peripheal interstitual densities, which represents atelectasis
    Atelectasis within the lingula as well
    Small splenule in left upper Quad of spleen.

    Could these findings justify severe right sided abdominal pain and pain around the belly button? He is 28yrs old and in good health besides the stomach issues. He is suffering from awful night sweats now and today has extreme fatigue.

    We really appreciate any insight! The doc did say his white count was VERY slightly raised, but not bad at all. Should we try a different ER or go back and as about these findings, which the doc failed to mention.

    • ANSWER:
      Let me start with I am no doctor, but you should go back to a doctor. Sounds like his liver is not doing well. I am having the similar problem and Fatty Liver is not something you want to not pay attention to. Trust me on that one. You don't have to drink to have liver problems. Specially with fatty liver. It can be due to some meds or foods. Good luck.