A CT of the head and CT of the face was reportedly negative, CBC negative, Chem7 negative, and amylase and lipase negative. Gallblader Ultrasound negative. CSF tap was negative for meningitis and I was given antibiotics in the hospital and vicodine to reduce fever and headache.
I previous reported a Port-a-cath redness and a 'swoshing sound' thereat to the attending doctor with pain under the axilla at the area.
2 more CT scans of the chest/abdomen/thorax + head were repeated to cooroborate the findings first done in hospital. A PET scan also ordered of same.
Findings of CT Chest:
The lungs are clear. The central tracheobronchial tree is clear. The mediastinum is unremarkable. No mass or lymphadenopathy is seen. ** The heart demonstrates minimal circum-ferential pericardial thickening. The vascular structures of the mediastinum are normal. The axillary, subpectoral and supraclavicular spaces are symmertrical and unremarkable. Internal mammary chain is clear. there is a right upper chest Porta-cath with the tip going from the right brachio-cephalic veinup into the left brachiocephalic vein. The tip is not in the superior vena cava at this time.
CT ABDOMEN: Liver and spleen are normal in size and density. stomach is unremarkable. The pancreas is normal. The gallbladder, biliary tree, adrenal glands and kidneys are all unremarkable. the aorta is of normal caliber. No retroperitonal lymphadenopathy. The bowel is normal.
CT PELVIS: The uterus and adneza are unremarkable. The appendix is normal.
In terms of the porta-cathe placement, could this have been the problem of my headache and fever?
Could the misplacement thereof have caused the *small(?), circumferential pericardial thickening, due to 'leakage' of chemo medication into the medianastinum?
My chest currently pains upon exertion now with shortness of breath....Heart problem?
What do you think? Cancer patient: chemotherepy port. My first question would be, why do you have a port? Not knowing the answer to that, and you saying you have reddening around it, I would first guess overall sepsis- have you been running a fever? My second question would be, what kind of medications are being put into your port? With it being out of place, the medications could be irritating tissues that they shouldn't be coming in contact with.
Hope this at least gives you a few ideas to look into! |
