› Forums › General Melanoma Community › Understanding an MRI Scan
- This topic has 6 replies, 2 voices, and was last updated 8 years, 7 months ago by
WallyE.
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- November 5, 2016 at 2:04 pm
Please can someone explain to me what the following means as per an MRI scan done on 2/11/16:.
Small subcentimeter aortopulmonary lymph nodes measuring 5 to 6 mm
Small right tracheobronchial lymph node measuring 4 mm
A calcified grunuloma is noted in within the left lung base (the middle lobe of my right lung was resected)
A wedge shaped hypo density noted with the lower pole of the right kidney represents a small cyst measuring 7 mm
A simple cyst is noted in the upper pole of the right kidney measuring 5 mm
There is a rim enhancing heterogeneous hypo dense periphery enhancing lesion measuring 44 x 34 x 38 mm (APxTRVxCC) related to the subfundal region,and greater curvature of the stomach inseparable from and superior to the tail of the pancreas. This is suggestive of recurrent disease.
I thought I was fast approaching permanent NED when I had 4 years of NED last year – then Mets to my stomach (total stomach removal underwent in Nov 2015) and now this new thing,
What does this all mean? The doctors appear to be coy in telling me at this stage – they are going to discuss the way forward at a meeting on Tuesday 8/11 and will contact me on Friday 11/11.
Could this be Melanoma Metastases of the Pancreas?
Thanks all for a wonderful forum for discussion,
Wally
- Replies
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- November 5, 2016 at 5:47 pm
Hi Wally,
I have no medical training – so take any comments with this in mind.
I think this bit is the most important part of your report,
There is a rim enhancing heterogeneous hypo dense periphery enhancing lesion measuring 44 x 34 x 38 mm (APxTRVxCC) related to the subfundal region,and greater curvature of the stomach inseparable from and superior to the tail of the pancreas. This is suggestive of recurrent disease.
It says there is a new lesion- it is "superior" or higher than the pancreas tail and part of it is inseparable on MRI from the pancreas.
Sounds like the docs will discuss the findings with an interdisciplinary team – surgeons , radiotherapist, oncologists etc on Tues and will present you with their treatment plan and explanations on Friday. The docs may not be being coy- rather they want to discuss the findings after the benefit of input from other members of the team and don't want to have to back track on suggestions made before taking the team overview into account as you may be looking at surgery, further biopsy, radiotherapy, immunotherapy etc and they want to discuss what combination is likely to be of most benefit in your case.
Don't think I am saying anything that you don't already suspect. One day at a time like you say- breathe deep and best of luck for future treatment success. Sounds like you are strong and have come a long way already…..
Wishing you well,
Deb
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- November 5, 2016 at 5:47 pm
Hi Wally,
I have no medical training – so take any comments with this in mind.
I think this bit is the most important part of your report,
There is a rim enhancing heterogeneous hypo dense periphery enhancing lesion measuring 44 x 34 x 38 mm (APxTRVxCC) related to the subfundal region,and greater curvature of the stomach inseparable from and superior to the tail of the pancreas. This is suggestive of recurrent disease.
It says there is a new lesion- it is "superior" or higher than the pancreas tail and part of it is inseparable on MRI from the pancreas.
Sounds like the docs will discuss the findings with an interdisciplinary team – surgeons , radiotherapist, oncologists etc on Tues and will present you with their treatment plan and explanations on Friday. The docs may not be being coy- rather they want to discuss the findings after the benefit of input from other members of the team and don't want to have to back track on suggestions made before taking the team overview into account as you may be looking at surgery, further biopsy, radiotherapy, immunotherapy etc and they want to discuss what combination is likely to be of most benefit in your case.
Don't think I am saying anything that you don't already suspect. One day at a time like you say- breathe deep and best of luck for future treatment success. Sounds like you are strong and have come a long way already…..
Wishing you well,
Deb
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- November 12, 2016 at 3:30 pm
Hello Deb
Thank you so much for responding to my post. I really appreciate it. I suspected what the issue was but needed to hear from an unaffected person. I was out of town this past week so could not thank you earlier. I will only now know on Monday next week what the treatment will be going forward as I got back too late on Friday to make contact. Anyway, there is really no rush – been there, done that as they say!
I will post their decision sometime next week. Thanks once again.
Keep wel and regards
Wally
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- November 12, 2016 at 3:30 pm
Hello Deb
Thank you so much for responding to my post. I really appreciate it. I suspected what the issue was but needed to hear from an unaffected person. I was out of town this past week so could not thank you earlier. I will only now know on Monday next week what the treatment will be going forward as I got back too late on Friday to make contact. Anyway, there is really no rush – been there, done that as they say!
I will post their decision sometime next week. Thanks once again.
Keep wel and regards
Wally
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- November 12, 2016 at 3:30 pm
Hello Deb
Thank you so much for responding to my post. I really appreciate it. I suspected what the issue was but needed to hear from an unaffected person. I was out of town this past week so could not thank you earlier. I will only now know on Monday next week what the treatment will be going forward as I got back too late on Friday to make contact. Anyway, there is really no rush – been there, done that as they say!
I will post their decision sometime next week. Thanks once again.
Keep wel and regards
Wally
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- November 5, 2016 at 5:47 pm
Hi Wally,
I have no medical training – so take any comments with this in mind.
I think this bit is the most important part of your report,
There is a rim enhancing heterogeneous hypo dense periphery enhancing lesion measuring 44 x 34 x 38 mm (APxTRVxCC) related to the subfundal region,and greater curvature of the stomach inseparable from and superior to the tail of the pancreas. This is suggestive of recurrent disease.
It says there is a new lesion- it is "superior" or higher than the pancreas tail and part of it is inseparable on MRI from the pancreas.
Sounds like the docs will discuss the findings with an interdisciplinary team – surgeons , radiotherapist, oncologists etc on Tues and will present you with their treatment plan and explanations on Friday. The docs may not be being coy- rather they want to discuss the findings after the benefit of input from other members of the team and don't want to have to back track on suggestions made before taking the team overview into account as you may be looking at surgery, further biopsy, radiotherapy, immunotherapy etc and they want to discuss what combination is likely to be of most benefit in your case.
Don't think I am saying anything that you don't already suspect. One day at a time like you say- breathe deep and best of luck for future treatment success. Sounds like you are strong and have come a long way already…..
Wishing you well,
Deb
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