Doctor insights on:
Does monoclonal b-cell lymphocytosis make the patient more vulnerable to infections, e.G., hypostatic pneumonia? Is monoclonal b-cell lymphocytosis capable of transforming into acute leukemia?
No infections in MBL: The definition of mbl is an elevated lymphocyte count with a lack of symptoms or complications. It can transform into cll (chronic lymphocytic leukemia), in which low immunoglobulins and the abnormal b lymphocytes can indeed cause increased infections. Neither of these has been associated with transformation to acute leukemia, although cll can become an aggressive lymphoma. ...Read moreSee 1 more doctor answer
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
Inflammation: The cause of bronchiolitis obliterans with organizing pneumonia is unknown, but may be caused by a viral infection which sets off an inflammatory reaction in the small airways and airspaces. It causes cough and shortness of breath. It is diagnosed with lung biopsy. Treatment is generally corticosteroids like Prednisone which may be needed for months. It has been associated with autoimmune diseases. ...Read more
Hypostatic pneumonia: Hypostatic pneumonia is a term used to describe fluid accummulation in the lower portions of lungs in bed-ridden individuals (typically elderly). One thing you can do to reduce a pneumonia risk is to have your physician provide you with an early pneumonia shot (pneumovax /ppsv-23) before age 65. ...Read moreSee 1 more doctor answer
Marrow aspirate flow cytometry. Whats importance of the dominant markers in lymphocyte vs. blast gates? Eg. Lymph CD2~5~7~38 Blast 22~34~45~117~hladr
Exactly400Characters: I'm not here to answer.This is beyond my expertise. But I would like to remind you,& others,that we are restricted to 400 characters(not words,but individual letters,etc).I would suspect that a question like this would require some more information before someone would want to commit to an answer and,anyways,the person who ordered and/or did the aspirate should be consulted for definitive answers. ...Read more
58y woman with brain injury, history of CHF and aspiration pneumonia. High fever, "extensive double pneumonia". O2 sats dropping. Odds of survival?
Stage 2 vericocele in left testis diabetic from 8 years semen count 46.8 million/ml, motility 60%, morphology 70%, immature germ cell present, is it gud?
That's good...: The report is good and favorable to impregnate suitable females. But note: some 15% of adult men has some degree of varicocele, usually in left side, and carrying no clinical significance. So, don't worry, but make sure the female partner is evaluated if infertility is concerned since females contribute some 50% as direct causes for couple's infertility. Talk with treating doctor timely. Best... ...Read more
Please interpret pericardium tissue
mononuclear infiltrates with rare polymorphnuclear leukocytes & eosinophiles. Hemosiderin-laden macrophages.
Not tumor: This is the site of an old bleed and probably infection or physical injury. The key is that there's not tumor found. Any interpretation beyond this without a history would be meaningless. ...Read more
Normal blood count with blood smear leukocyte; particles of toxic granulation, atypical cells lenfomo nuclear, one cell view of downey. Male, 58 ?
Typical cell: This is a typical cell type (both the lymphocytes with toxic granulation and the Downey cell, which similar is a lymphocyte with features consistent with activation). These occur in the context of infection or stress when the lymphocytes are receiving "danger" signals. Can't comment conclusively without knowing more about the clinical situation, but not likely something that needs follow up. ...Read more
Mediast biopsy results: lg bulky noncaseat granulomatous nodes. Rare presumptive corynebacterium species, alpha streptoccus, epithelial cells & wbc. ?
Sarcoidosis: The bacteria you mentioned all benign skin contaminant and not because most likely of the noncaseating granuloma. Noncaseating granuloma skin happening sarcoidosis a poorly understood reactive process which can lead to shortness of breath. Other causes include fungal agents and yeast infections. A biopsy would be important. ...Read more
Ct scan.Minimal air trappin at lung bases.mild pectus enteric assessment.Bladder wall thickening.L.ovarian functional cyct 3.4 .plz Explaination drs.
Nothing acute : Air trapping indicates something like asthma or COPD. Pectus implies a curve in sternum or breast bone. Bladder wall thickness may be due to partially distended. Small ovarian cyst normal for women your age. Enteric assessment evaluate stomach. Should talk to your doctor ...Read more
Xray results showed perihilarbronchial wall thickening w/ perihliar densities w/out evidence of pleural effusion, focal consolidation or pneumothorax?
Unclear question: Examination of the tissue by a pathologist is the gold standard for diagnosis. However, an apical cavitary lesion in the lung should be treated as tuberculosis, unless proven otherwise. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex. ...Read more
My chess X-ray result :bilateral apical pleural thickening with underlying sub pleural blebs.
Is it a TB scar ?
Variable outcome: Bronchiolitis obliterans organizing pneumonia (boop) is a rare condition in children. Limited data show most get better and some do not. It is an inflammation of the tiny airways of the lungs. Some causes include medications (chemotherapy), bone marrow transplant and other inflammatory diseases. Oral steroids are used for treatment. Your pulmonologist is best able to help with this problem. ...Read moreSee 1 more doctor answer