Answered by Dr. Ruchi Sharma

Answered by Dr. Ruchi Sharma

What causes right flank pain?

Hello doctor,

I am experiencing right flank pain and have undergone both a CT scan and an MRI. Please interpret the findings from these examinations.

Thank you.

30 Apr 2024 - 1 min read

What causes recurrent fever, seizures, and elevated oxygen needs in a 12-year-old?

Hello doctor,

I am asking for a 12-year-old girl who has been experiencing on-and-off fever for the past six months. A week ago, she had a sudden seizure attack and lost consciousness. She requires nearly 6 liters of oxygen via a mask, and her heart rate is elevated. Cerebrospinal fluid analysis revealed findings indicative of tuberculosis. Please help with interpreting the results of an MRI.

Thank you.

27 Apr 2024 - 1 min read

Can I get a mammogram at 37 years without a family history of breast cancer?

Hello doctor,

I am a 37-year-old woman without a family history of breast cancer. I am contemplating a mammogram as a preventive measure. Could you share guidance on the recommended age to begin mammography and its frequency for someone with my profile? Additionally, are there specific risks or considerations associated with mammograms that I should be aware of? Please help.

Thank you.

23 Mar 2024 - 1 min read

How to identify if a CT scan report is normal?

Hi doctor,

I had my first CT(computed tomography ) scan of the abdomen region due to elevated hormones (normetanephrine). That scan revealed a small formation of 6x7 mm in the left adrenal gland, suspicious for an adrenal adenoma or pheochromocytoma according to normetanephrine elevation. I showed the results of this scan to a doctor. After taking a look, he suggested performing the whole body CT screening and a brain MRI because he suspected this formation could be a metastasis from another tumor. It is worth mentioning that at the same time, I experienced night sweats and weight loss.

I did what was suggested, and the new CT scan revealed several new findings, in particular, two cysts in each kidney (I was aware of them due to previous ultrasounds), a small cyst in the liver, some nodules in the lungs, including one with cavitation. As for the formation in the left adrenal gland, the radiologist suggested that it was not a formation, but a lymph node, like nothing at all, was found in the adrenal gland itself.

Despite the potentially good news about the adrenal gland, I am very concerned about the number of all these findings. The general practitioners tell me that it is probably a typical situation for my age, considering the precision of the CT examination. I havee heard the same opinion from two different oncologists I asked to examine my scans. However, I am still concerned and do not feel that this is normal to have so many findings during the CT scan, also because I have done a lot of research on different clinical cases on the internet, and I did not meet people who had so many findings on CT. Apart from that, I learned about von Hippel Lindau syndrome, which manifests in multiple tumors in different organs, including adrenal glands and kidneys. So now I am afraid that it may be my case.

Returning to the CT scans, there are a few points that are of the most significant interest to me:

1. Does my left adrenal gland contain anything suspicious? Again, it looks disproportionally more significant than the right one.

2. The sinus cyst of the left kidney. Do you think the sinus cyst in the left kidney is becoming huge? I also noticed a hyperdense area on the right side. It may be a carcinoma, not a cyst, considering my general symptoms earlier this year and the potential manifestation of VHL syndrome.

3. Can these nodules in the lungs be metastasis, either from pheochromocytoma or RCC? The radiology mentioned that some of them had areas of calcification.

Thanks!

16 Feb 2024 - 1 min read

Can meniscus tear occur in knee hyperextension?

Hello doctor,

I hyperextended my knee playing football five years back and I felt discomfort in my meniscus ever since. Even after PT, it is not a bit painful so I think I have a small tear in the meniscus. I did an MRI yesterday and I already have the images but no diagnostics yet until next week. Can your team read MRI images? If so, how much would you charge?

09 Feb 2024 - 1 min read

Dr. Ruchi Sharma
Radiodiagnosis

Education

MBBS., DNB RADIO DIAGNOSIS

Specialties

Radiodiagnosis

Specialized Treatments

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