Conversation: The conversation between human and AI assistant.
[|Human|] I recently went to the er with stomach pain. I thought it was my ventral hernias. The doctor did a ct scan and said I have a slightly enlarged liver and spleen as well as bilateral l5 spondylolsis. My report for ct reads hepatomegaly/hepatic steatosis 25.7 cm craniocaudal dimensions. Splenomegaly 14.7 cm in greatest dimension. Gallbladder, pancreas and adrenal glands are within normal limits. Kidneys are grossly within normal limits. No focal gastric abnormalities. 2 central hernias similar to prior study the more superior of which measures 11.9 c mon greatest dimension and contains normal appearing transverse colon. No obstruction or gross incarcerations. The more inferior fat-containing hernia measures 6.3 cm in greatest diameter without interval change. Bilateral L5 spondylolsis. What does all of this mean. He told me to see my doctor the same day. But they are all booked up for a week. My health history is as follows I have high blood pressure, diabetes ( I take metformin), morbidly obese, fibromyalgia. Past history of seizures as a child I had 1 grand mal seizure and ovarian cysts, cyst in left follopian tube that burst and required emergency surgery. I don t drink, smoke or do drugs. I am hsv positive
[|AI|]  This simply means that you have 2 hernias (ventral) in your abdominal wall. Into the defect of these hernias, part of the large intestine has entered. Presently, they are not causing any problems except the pain that you felt, but there is a possibility of several complications that might occur in the future if left untreated. These could be irreducibility of the hernia, blocking of the intestinal passage, gangrene of overlying skin etc. It is highly advisable that you undergo laparoscopic hernia repair with mesh at the earliest.