แปลผลตรวจ CT Scan ในช่องท้อง

รบกวนคุณหมอช่วยแปลผลตรวจของป้าผมให้หน่อยครับ ผมร้อนใจมากเลยครับอยากทราบผลว่าป้าผมเค้าเป็นอะไรบ้างครับ แล้วมีโอกาสรักษาหายได้มั้ยครับ CT SCAN OF WHOLE ABDOMEN HISTORY: Chylous ascites R/O malignancy. NO COMPARISON ABDOMEN FINDINGS: Peritoneum, retroperitoneum, lymph nodes and abdominal wall: A large rather homogeneous enhancing mass at periaortic, aortocaval and paracaval region with floating aorta sign and a small area of cystic/necrotic change, overall measured about 11.6x11.8×17.2 cm in APxWxH. Multiple enlarged bilateral inguinal nodes are measured up to 2.1 cm in short axis. No free air. Moderate amount of low-density ascites with mild peritoneal thickening. Anterior peritoneal infiltrate and omental thickening and nodularity are suggestive of peritoneal carcinomatosis. Diffuse subcutaneous edema is noted. Vessels: Mild atherosclerotic change of aorta. The aorta and its major branches are still patent. Superior part of IVC shows narrowing and anterior displacement due to mass effect, still noted contrast pacification Liver and hepatic vasculature: Normal size and parenchymal enhancement. No definite focal lesion. Patent portal veins, hepatic veins and intrahepatic IVC. The liver and portal vein are displaced anteriorly by the pressure effect from the mass. Gallbladder and bile ducts: No calcified gallstone, gallbladder wall thickening or mass. No gross biliary ductal dilatation. Pancreas: No mass or ductal dilatation. Atrophic change. Spleen: No splenomegaly. Adrenals: No nodules. Right adrenal gland is not well-visualized, suspected encased by aforementioned mass. Kidneys, ureters: Normal size with symmetrical parenchymal enhancement. No stone, hydronephrosis. A 1.1-cm fat-density lesion at left kidney possibly small renal AML. Right kidney is displaced inferolaterally. Bladder and pelvic organs: Partially distended bladder without stone. Uterus is within normal limit. No gross adnexal mass. Bowel and mesentery: No distension or wall thickening. Bony structures: Diffuse osteopenia with degenerative change. Lower thorax: Moderate amount of bilateral pleural effusion with passive atelectasis. ====== [Conclusion] ====== - A 11.6x11.8x17.2-cm rather homogeneous enhancing mass at periaortic, aortocaval and paracaval region with floating aorta sign and a small area of cystic/necrotic change, causing pressure effect to adjacent organ as described, superior part of IVC shows narrowing and anterior displacement due to mass effect, still noted contrast pacification. - Multiple enlarged bilateral inguinal nodes are measured up to 2.1 cm in short axis. - Moderate amount of low-density ascites with mild peritoneal thickening -Anterior peritoneal infiltrate and omental thickening and nodularity are suggestive of peritoneal carcinomatosis. All of these findings are suspicious of lymphoma/ lymphoproliferative disorder, please clinical corr