I had a CTscan of the sinuses a few months ago and the NP called and said it was OK. I went to see him today because my sinuses and throat and ear were bad and he started to say something like the scan was OK but there was something and somehow we got off the track as he wanted to proceed with the endoscopy of the throat area.
I stopped by the medical records dept where the CTscan was done and got a copy of the written report which is the same as what he got and everything was normal until the last part which read: "Mild asymmetric prominence of the left fossa of Rosenmuller within the nasopharynx without evidence of adenopathy are present." AND then at the bottom of the report under
Impression: it stated "Asymmetiric prominence of the left fossa of Rosenmueller. Recommend direct correlation to exclude underlying neoplastic process".
So, I called the office when I got home and he got on the phone and said straight out the scan was normal. So, do I just forget about the exam report and take his word for it that everything is OK or what? I don't want to bug him and make him mad about it but it has me worried now.
Does anyone out there know anything about this and perhaps that prominence is something he sees all the time and is not bad. The last CTscan I had a few years ago did not have that written on it.
He wasn't interested in looking up the nose with the endoscope, only down the lower throat area so I know he wasn't trying to see anything up there.
I really don't know what to do now. I know he did not have the report in front of him when he spoke to me at home and not even sure he looked at it in the office. All I really have to go by is the fact the NP called after they got the results and said it was OK.??????????
Hello Suggi.....Sorry to hear you are having trouble. As another poster suggested, I would suggest seeking a second opinion as it can't hurt. An ENT is a Ear, Nose, and Throat Specialist. I assume you're seeing one now. If not, then I would seek the advice of one as they are the foremost experts in this area.
The terminology on the report is written in medical terminology, thus, it's hard to understand. "Asymmetiric prominence of the left fossa" means that it's a different size or shape vs the right fossa. This may not mean anything. Heck, I have one foot bigger than the other (most people do). A "neoplastic process" is a new or abnormal growth, so when the report says "Recommend direct correlation to exclude underlying neoplastic process", it means to make sure that the difference in the two fossas aren't the result of some growth, which I'm quite sure your Doc did. Thus, he deemed everything normal as the only finding is that you have one area slightly different than another, which happens all the time.
Did you discuss with him if the scan showed any signs of sinus disease or blockages? This would explain why you're having issues. The scans will also show how bad a potential sinus issue is as well. If you read through the post titled "I feel worse not better" by Essica. She gives pretty good detail in her initial post about her CT scan in relation to sinus disease / problems. Don't let the word "disease" scare you...It's just the official word they use for chronic sinus problems.
I would get the 2nd opinion as it will make you feel better. At the very least, I would double back to the Doc who ordered the test and see if the scans show any signs of sinus disease. For those who have problems, the pockets of the sinuses are usually filled with mucus....Sort of like sludge at the bottom of a pond, for lack of a better description.
Hope all of this helps, and I hope you feel better. Sometimes Docs don't do the best job of explaining things as they are rushed to see all their patients in a given day.
Thanks for the advice. The doc did not see the actual scan - just what was written on paper. I don't remember him going in the left nostril at all when I went to him before the scan - he went through the right side and up and down into the throat.
As that was done during early summer and my follow up was cancelled because he was not going to be in that day and I took my sweet time making another appointment (he is 1 hour away) and I really went because I am sick I hope he really looked at the written scan results yesterday....Although since the NP called me after I had the scan and said it was OK and he would see me at the follow up (cancelled), I wasn't worried. I presume he looked at them at the time she called and she would not have said they were OK if they weren't....hopefully.
As far as another ENT for a 2nd opinion - they are all not good at all in my area and that is why I have to travel for an hour to see who I thought was an excellent ENT so I wouldn't even know how to find another one.
I am 70 and feel like 80 and not able to get into Boston....just too much for me.
Hi Suggi....Given your reply, I understand your situation...Didn't know those things up front of course. Hope all is well...If this person is supposed to be a top notch ENT, I'm sure he'll review everything as you say.