HomeAnswersGeneral Practitionerct scanDoes the CT scan mean any infective or neoplastic etiology?

Does the CT scan mean any infective or neoplastic etiology?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At July 20, 2018
Reviewed AtAugust 16, 2023

Patient's Query

Hello doctor,

My mother had a CT scan today, and the report shows lobulated hypodense SOLs in the peritoneal cavity in the left paracolic region, measuring 5.6 cm x 3.8 cm and 3.0 cm x 3.0 cm, with mild perilesional fat stranding. Is it has infective or neoplastic etiology? The doctor thinks it is cancer. Please advise.

Thanks.

Hello,

Welcome to icliniq.com.

I understand your concern.

A space-occupying lesion is present in the CT (computerized tomography) scan report (attachment removed to protect patient identity). Hence malignancy has to be ruled out here. CT or USG (ultrasonography) guided biopsy must be taken and sent for histopathology examination. By histopathology report, the diagnosis will be precise, and further discussion can be done accordingly.

I hope this information will help you.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

I have attached the CT contrast report. Can you advise further?

Thank you.

Hello,

Welcome back to icliniq.com.

I understand your concern.

I have seen your attached CT (computerized tomography) scan report (attachment removed to protect patient identity). I can interpret it and can give you further comments. The main two focus in the CT scan report is lipoma and second enhancing foci suggestive of colonic carcinoma possibility. Lipoma is a benign lesion, and no worry regarding that. The second one needs attention as it could be colonic carcinoma. So for that lesion, CT guided, or colonoscopy-guided biopsy has to be taken and sent for a histopathology examination. Histopathology will give a conclusive diagnosis if a malignant lesion is present. A malignant lesion means it is cancer, which can spread and needs treatment.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thank you for the reply.

Do you interpret it as 100 % cancer? How severe is this cancer?

Thank you.

Hi,

Welcome back to icliniq.com.

I understand your concern.

I am not saying it is 100 percent cancer. But as per the description mentioned in the CT (computed tomography) scan report chance of malignancy is more as compared to infective etiology like tuberculosis. So as the chance of malignancy is high, we cannot take a risk. Consult a gastroenterologist hospital to take a biopsy and send it to a good histopathology laboratory for diagnosis. You can provide me the report of the biopsy once done to give further comment on that.

I hope this information will help you.

Thanks.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Goswami Parth Rajendragiri
Dr. Goswami Parth Rajendragiri

Pathology

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