The CT scan shows no change in the size of the thymic tissue, which makes me very glad we didn't perform the more invasive biopsy. However there is a questionable spot on the duodenum, a common place for a carcinoid. The CT report mentions the possibility of a small bowel carcinoid. However, a carcinoid there shouldn't be causing any of these symptoms without the liver producing seretonin or 5hiaa. So the picture continues to be puzzling. The CT scan last January also noted questionable soft tissue mass on the duodenum, but the MRI, as well as the octreotide scan at that time were both normal.
Shawn's doctor is still chasing up on some loose ends - including Shawn's latest urine test results, which have still not come back, and checking into recommendations for a gastroenterologist, the next 'ologist' likely to be added to the team. (Endocrinologist, Cardiologist, Neurologist, Psychologist, Interventional Radiologist, Epileptologist, Gastroenterologist...getting to be quite a mouthful!)
Meanwhile, Shawn's doing well in his classes, and it sounds like Heartsfield may be interested in purchasing at least one of his songs.
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