Doctor insights on:
Lung Apices Location
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
Deoxygenated blood enters the lungs from the right side of the heart and travels to the lungs. When you inspire, oxygen flows into the lungs, transverses the capilliares and attaches to hemoglobin down a gradient. At the same time, co2 diffuses into the capilaries and is expelled with exhalation. Oxygen rich blood then flows to the left side of the heart and into the ...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
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
Patchy subpleural parenchymal scars in both apies on right lung middle segmental lobe and inferior lingular ligament?
Chest XRay - Latetal view demonstrates blunting of both costophrenic angles w/either small lung base pleural effusions are chronic pleural thickening.
If you have: previous chest X-rays to compare, that would be helpful in making the determination between mild pleural thickening(scarring) or effusion(fluid). There are numerous potential etiologies for each. Further imaging could include ultrasound, special chest xray views(decubitus views ), or CT scan. ...Read more
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
Male 30,Chest CT shows 6 mm nodular density in the left upper lobe,minimal bibasilar dependent atelectasis, have shortness of breath,it needs surgery?
Xray results showed perihilarbronchial wall thickening w/ perihliar densities w/out evidence of pleural effusion, focal consolidation or pneumothorax?
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
Chest X-ray results say curvilinear density in the R pericardial region. Could represent fat pad or small R middle lobe infiltrate. Lung cancer?
It is unlikely: that it is cancer, but it still may require further evaluation with a CT scan to be sure. If you had any previous chest xrays elsewhere, have them sent to the radiologist to compare with the new one. That could solve the issue without any additional tests. Talk to your doctor about the results. ...Read more
Questionable small density at the left upper lung field and linear atelectasis is superimposed on the left hilum.What? Cancer? Remainder lungs clear.
Possible: The possibility of cancer is almost always there. The risk depends on the smoking history, family history of cancer, the size of the mass, etc.. Smokers are at higher risk. Certain cancers are familial. Larger spots and those with ragged edges are more likely to be cancerous. Consultation with oncologist or lung specialist may be considered.. ...Read more
Depends: The appearance/radiological description of a lung infiltrate can be helpful, but still non specific, unless it is part of the overall evaluation of the patient. In other words, the most accurate diagnoses depends on accurate history taking, physical examination, chest x ray description/appearance, and some bloodwork. Some common bugs may have atypical appearances on x ray, and viceversa... ...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
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