Doctor insights on:
What's a 14mm noncalcified left upper lobe parenchymal pulmonary mass adjacent atelectasis.Left upper lobe bronchus/hillar peribronchial cuffing/thick?
Mgt PHI: The imaging may be uploaded to an inbox consultation. From your description I would suggest a follow up imaging study with an evaluation with additional information. Have you smoked? Is there a family history of cancer? Have you been tested for any infections? The mass is probably impinging on the airway and causing areas of collapse, called atelectasis. This area is prone to secondary infection ...Read more
Partial Collapse: The lingula is the lower anterior (front) portion of the left upper lobe of the lung that corresponds to the right middle lobe. Atelectasis is collapse of a portion of the lung. So, subsegmental atelectasis means that portions of lung segments of the lingula are incompletely aerated. May indicate bronchial blockage, poor breathing, or even early infection. ...Read more
Patchy subpleural parenchymal scars in both apies on right lung middle segmental lobe and inferior lingular ligament?
Ligula: The ligula is the equivalent of the middle lobe of the lung on the left-hand side. There is no true middle lobe but it is an area of the left lung. Atelectasis refers to an area of the lung where there is no good gas exchange due to either obstruction or filling in with fluid. This is often seen with an infection. ...Read moreSee 1 more doctor answer
Small subpleural nodules in right upper lobe.Mild aread of fibrosis in bilateral apices.Mild mediastinal lymphadenopathy.Enlarged carinal lymph node.?
Unknown: Complete history, exposures, symptoms, etc... Would be critical. Subcarinal nodes could be sampled. In addition, depending on radiographic appearance and interpretation, could have lung biopsies as well. But, potential diagnosis is fairly large, numerous possibilities. ...Read moreSee 1 more doctor answer
Lung CT scan impression: multiple small nodules largest 6mm ill-defined semisolid noncalcified medial left upper lobe ?
Lung Nodules:: It is fairly common for people to have benign lung nodules that are incidentally found on ct scans. Would recommend a follow-up scan in a few months just to make sure they are not growing. If you smoke, please stop! but, i wouldn't be too worried about these small lung nodules. Check back with your physician for a follow-up plan. ...Read more
CT shows calcified granuloma in left lobe, calcified hilar & mediastinal lymph nodes. Spleen upper limits of normal. Chronic pain, no answers.
Calcified granuloma: 31 F: Little Rock ARK: CT shows calcified granuloma in left lobe, calcified hilar & mediastinal lymph nodes. Spleen upper limits of normal. Chronic pain, no answers. ANS: you live in the histoplamaosis area so that is most likley cause. Are you a spelunker? Or have you cleaned out chicken or pigeon cages when younger? Need more info. Born in US?, Hx of TBC? Skin tests done for tbc and histoplasm? ...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
Thyroid: right lobe 5x1.7x1.3cm isthmus 0.41cm left lobe 4.2x1.6x1.4cm hypoechoic nodule in right lobe 0.2x0.2x0.4cm. Normal vascularity. Cancerous?
Very unlikely: to be cancerous. May require ultrasound follow up to assess for serial changes. ...Read more
Xray findings: commonly seen in tuberculosis (TB). Infiltrates are whiter areas seen in the lungs on chest xray. Although TB is the most common cause of bilateral upper-lobe infiltrates, these can also be seen in diseases such as silicosis, ankylosing spondylitis, or actinomycosis. Other tests for TB should be done, and if positive, proper treatment is very important. ...Read more
Ct head scan results are frontal lobe sulci bilateral prominent. Prominate subarachnold space. Midline lipoma. Anterior interhemispheric fissure promi?
Atrophy: The midline lipoma probably doesnt warrant any treatment. These are usually incidental findings, but they can be associated with some congenital brain disorders. You basically seem to have less brain in your skull relative to fluid spaces relative to others. Have your doctor review the scan with you. ...Read more
Xray : Right lung upper zone shows patchy fibrocalcific changes. Remaining lung fields are clear. Evidence of bilateral bifid rib L anterior 4 R 3?
Consult ordering dr: Bifid ribs are congenital and usually are of no consequence and are variations of normal. Fibrocalcific disease is probably related to previous granulomatous infection. Most common is tuberculosis. In Southwest coccidiodomycosis is fungal cause. In midwest Blastomycosis is usually cause. Long term antibiotic treatment sounds like a chronic infection like one of the above. Various testing available ...Read more
Mri 3 tiny deep, subcortical t2/flair white matter foci left external capsule, right corona radiate, subcortical white matter of right post central gyrus?
Don't know: Really don't know what question you are asking, what you are describing are either microvascular changes or non-specific abnormalities that can be seen in multiple disorders. ...Read more
Ct chest adrenal nodule 1.9 CM right. Lungs demonstrate babisalar dependent atelectasis small subpleural bullae noted right up lobe trace pericardial?
Adrenal eval: Hi. The adrenal nodule needs to be evaluated. What were the Hounsfield units on the non-contrast scan of the nodule? Your endocrinologist will determine: 1) if it's producing any hormones, and 2) if it's growing. If high Hounsfield units, it needs sooner evaluation. Any hirsutism, amenorrhea, diabetes, serious high blood pressure, sweating, headache, palpitations, etc? Good luck! ...Read more
Xray result:Prominent perihilar interstitial markings suggesting bronchitis.No superimposed infiltrate or atelectasis.I thought bronchitis didn't show?
Subtile finding: Normal bronchial walls are hard to see on a chest x ray (arrows in pic). If they are thickened one can see them a little more. Even so, it is a tough call so we say "suggestive of" to say we really are not sure, but we see enough to be more than just a little suspicious. For complete eval of lung tissue we do high resolution CT. "Bronchitis" is a clinical diagnosis, though, so listen to your Dr. ...Read more
Chest CT scan subsegmental atelectasis versus fibrosis in medial margins of r \l upper lobes abutting mediastinum was f/u for 6mm ground glass nodule
The fibrosis and : Atelectasis isnt anything to worry about, just some lung tissue collapsed on itself and scarring. The ground glass nodule is something that may need longer term follow up to make sure it doesnt grow. These can be due to something called atypical adenomatous hyperplasia (aah). ...Read more
Have bilateral concha bullosa on left,hypertrophied right inferior turbinate,deviated nasal septum.2 swollen nodes on front nd bck of right ear..why?
Anatomy: Concha bullosae are enlarged middle turbinates, which is a variant type of anatomy, causing nasal obstruction. Enlarged inferior turbinates also cause difficulty breathing. A deviated septum is a crooked divider between the right and left nostrils, also causing difficulty breathing. Swollen nodes might be a reaction to a recent or chronic infection. See an otolaryngologist for evaluation. ...Read more