Doctor insights on:
Fibrotic Tb Lesions
Mycobacterium tuberculosis is an infectious organism that spreads by droplets coughed out by an infected person. Infection is established initially in lungs, but can spread within lungs & to other body parts, or can become latent, with reactivation occurring years to decades later. With effective treatment, it can be completely eliminated although drug resistant ...Read more
Typo: This is probably a secretarial error for "calcified granuloma with focal caseation". ...Read more
CT result-Thorax extensive mediastinal lympopathy with central caseating ,TB lymphopathy to consider skin,blood culture negative it is TB disease?
Caseating granulomas: This sounds like tuberculosis, but may conceivably be systemic fungal infection like Histoplasmosis, rarely lymphoma or sarcoidosis. In India this is probably TB and either should be treated empirically or wait for the results of the biopsied lymph nodes. Sounds as if your doctor is very astute and would heed their advice. Best wishes. ...Read more
My CT scan reports states "Calcified Granulomas & Fibrotic Nodules. NO active lesions" but i never had TB how to prove it is not TB.
Quantiferon TB test: A normal, healthy person in such a situation can do a Quantiferon TB blood test. If the result is negative, then it is very unlikely that one had TB in the past. If both a PPD test and a Quantiferon TB test are negative, in an otherwise healthy person, that would be good evidence of not having had a TB infection. ...Read more
Vats wedge lung resection on solitary nodule. Results: multiple necrotizing granulomas negative for microorganisms afb & gms. Lymph nodes benign fibroadipose tissue. Tissue being cultured for what?
Can TB lympadentitis cause lung scarring without having pulmonary tb? Chest xray show only enlarged gland.
Highly unlikely: TB lymphadenopathy is initiated when macrophages carry the bacillus from a pulmonary alveolar focus to the lymph node which then enlarges, suppurates and ruptures into an adjacent blood vessel. So it is virtually impossible to have pulmonary nodes involved without having pulmonary infection first. ...Read more
Fna, 2 nodules left lobe. Abundant benign appearing epithelial cells, hemosiderin-laden macrophages& colloid present. Scattered microfollicles noted. Path says can't entirely rule out fillocular lesio?
Liver biopsy: Section reveals liver parenchyma, shows 12 portal tracts. Scattered portal tracts areas are infiltrated by lymphocytic inflammatory?
?what does Ur Doctor: The doctor who advised you to have a liver biopsy is expected to tell you about this report. What did he/she say about the lymphocytes in the portal tracts? To my mind, it implies some degree of hepatitis going on. But I do not have the results of your Liver function tests(LFT's). That would help us in the interpretation ...Read more
CT-Thorax extensive mediastinal lymphadenopathy with central caseation ,tuberculous lymphadenopathy to consider skin test,blood cultural neg itisTB?
Common things common: In India, there is a high prevalence of TB. With those imaging findings, I would be very suspicious of that. Good you're en route to getting a diagnosis and treatment. Of course it could be other diseases, but TB would be at the top of my list. You are young and should be able to pull through this. Keep fighting! ...Read more
Ct angiogram shows non calcified opacity on middle lobe 4mm. Appearance of benign intrapulmonary lymph node on lung with no pleural abnormalites.
Opacity: The question to your doctor should be - is this an incidental pulmonary nodule or something more concerning. If the ct angio was done for something completely unrelated, and it was a true incidental finding, some guidelines say that under a certain size (4mm) for low risk patients (no smoking, etc), then no follow up is needed. Otherwise a biopsy or interval imaging followup is appropriate. ...Read more
Thorax CT multiple lung nodules, calcified lt hilar nodules, benign appearing lt axilla lymph node 1.5cm I have smoked 30 years could it be cancer?
Recent CT report states:scattered reactive lymph nodes within the neck. Biapical pleural parenchymal fibrosis at the lung apices is noted. Please expl?
Nothing worrisome: Reactive lymph nodes are lymph nodes that are prominent but not worrisome, presumably secondary to a recent infection. Fibrosis is scarring. On it's own, not a terrible thing. Slightly unusual for a 37 yr old though. May be from an old infection. However, if you smoke, this would be secondary to damage. ...Read more
See details: Please ask this question to the doctor who ordered the tests. That doctor is the only one who can put this result in context for you. The reading, unfortunately, suggests the underlying cause is a malignancy. However, there are other possible causes. That is why your own doctor will be the best one to provide an answer. ...Read moreSee 2 more doctor answers