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تشخيص الحالة حسب المعجبات و توجيه
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General Health
Question #17002
3 days ago
30

تشخيص الحالة حسب المعجبات و توجيه - #17002

KIKI

normale, de signal et de tehaussement mce d'une miero lithiase flottante au niveau du collet vésiculaire mesurant S mistendue siège d'un sludge, sans épaississement pariétal ce jour. Les veines sus hépatiques sont perméables et de calibres normaux Absence d'anomalie de la rate. Absence d'anomalie des reins en dehors d'un kyste rénal simple droit de 71 mm grand axe. Absence d'anomalie des surrénales. Les espaces péritonéaux sus mésocoliques sont libres. Absence de liquide intra intra péritonéal. Absence d'adénopathies profondes. CONCLUSION: d'invasivité locorégionale notamment vasculaire. IRM biliaire en faveur d'un nodule pancréatique céphalique localisé suspect avec dilatation bi canalaire, sans signe Lithiase flottante du collet vésiculaire avec sludge vésiculair sans épaississement pariétal ce jour.

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Doctors’ responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
3 days ago
5

Hello dear As per clinical history following findings are there Gall stone Renal cyst Pancreatic nodule Gall stone will require combination of Medication like ursodiol Surgery or cholecystectomy if pain is severe Renal cyst requires monitoring only since it is harmless Pancreatic nodule requires first diagnosis for its nature by Mri Ct scan USG pancreas It is them followed by surgical treatment usually pancreas tomy I suggest you to please get in person consultation with urologist/general surgeon for better clarity Regards

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
3 days ago
5

Hello,

Your report shows a small floating gallstone and sludge in the gallbladder, but no current inflammation.

Most other organsincluding the liver, spleen, adrenal glands, and peritoneal spaces are normal.

The kidneys are normal except for a 7.1 cm simple cyst on the right side, which is usually harmless.

The most important finding is a suspicious nodule in the head of the pancreas, causing dilatation of both the bile duct and pancreatic duct, but without signs of invasion into nearby blood vessels.

This pancreatic finding requires evaluation by a gastroenterologist or pancreatic specialist for further testing.

I hope this helps Thank you

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Based on the information, it seems like your imaging studies have revealed a few findings. There’s a “flottante” or floating gallstone in the neck of the gallbladder, alongside “sludge” but without any thickening of the gallbladder wall, which is good as it might suggest decreased inflammation. Gallstones and sludge can lead to symptoms like pain, especially after eating fatty foods, nausea, or even bloating. Sometimes, these don’t cause symptoms, but they can lead to complications like cholecystitis (inflammation of the gallbladder) or pancreatitis, so it’s crucial to keep an eye on your symptoms.

The report mentions hepatic veins of normal size and patency, which is normal, and no anomalies in the spleen or adrenal glands. There’s a simple kidney cyst on the right, usually considered benign and commonly requiring no treatment unless it causes symptoms or complications. The notable part is the mention of a suspected pancreatic head nodule with bi-ductal dilation seen on biliary MRI. This can be significant because pancreatic nodules can sometimes be benign or may require further evaluation to rule out malignancy.

It’s paramount to follow up on this finding with your healthcare provider, as nodules in the pancreas with ductal dilations without clear focal vascular invasiveness mentioned can sometimes relate to serious conditions. Your doctor might recommend further tests or a referral to a specialist, potentially involving endoscopic ultrasound (EUS) or a biopsy to figure out more precisely what this nodule represents.

Given the diverse findings from ‘floating gallstone’ to ‘pancreatic nodule,’ managing each aspect separately and holistically is the way forward. Your provider may discuss lifestyle modifications like dietary changes to mitigate symptoms from gallbladder conditions. Remember, this information is from imaging and needs clinical correlation with your health history and symptoms to decide on the right approach.

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