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Doctor insights on: Pleural Parenchymal Scarring

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What is pleural parenchymal scarring in the upper lung?

What is pleural parenchymal scarring in the upper lung?

Scaring sack: Scar tissue in pleural sac which surrounds the lung from prior infection or trauma. ...Read more

Dr. Barry Press
1,974 Doctors shared insights

Scarring (Definition)

A scar is the result of the body healing. It is the end product of a long cascade of signals and cellular repair that takes approximately a year to complete, and a lifetime to maintain. It is a normal process that occurs whenever ...Read more


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What does "dependent atelectasis is present posteriorly within the lungs. Mild biapical pleural/parenchymal scarring is present." mean?

What does "dependent atelectasis is present posteriorly within the lungs. Mild biapical pleural/parenchymal scarring is present." mean?

Benign findings: Dependent atalectasis is just compression of the dependent lungs when lying down. A normal finding, mild bi-apical scarring is simply symmetric scar formation at the top of both lungs, usually associated with aging. Don't worry. ...Read more

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H0w serious is pleural & parenchymal scarring in both upper lobes of my lungs. I had double pneumonia at the age of two?

H0w serious is pleural & parenchymal scarring in both upper lobes of my lungs. I had double pneumonia at the age of two?

It depends: On the extent. If it is a minor degree of scarring, it will probably have no impact on your lung function. If it is severe, you may have impaired pulmonary function. ...Read more

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What is biapical pleural parenchymal scarring? I also have an elevated d-dimer, a spleen cyst (8cm) and an abnormal chest xray. Can provide more bac

What is biapical pleural parenchymal scarring? I also have an elevated d-dimer, a spleen cyst (8cm) and an abnormal chest xray. Can provide more bac

Refer to your doctor: Or the doctor who ordered those imaging studies and blood tests, should be explained within a clinical context, cannot give any advice based on such truncated information, you can use HealthTap Prime for virtual consult if you wish to have an advice and / or a discussion of your case, good luck ...Read more

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CT scan done and it showed that I have lingular pleural parenchymal scarring? What does this mean and how it happens? Is Pulmonary embolism a cause?

CT scan done and it showed that I have lingular pleural parenchymal scarring? What does this mean and how it happens? Is Pulmonary embolism a cause?

A prior PE: Could be a cause, but also any prior inflammatory, infectious, or traumatic process that injures the lung could cause scarring. ...Read more

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I have patchy parenchymal scars in both apices how to remove the scars?

I have patchy parenchymal scars in both apices how to remove the scars?

Don't need to: I'm not sure there would be any medical need to remove apical lung scars. ...Read more

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Multiple parenchymal nodules less than 4mm & multiple pleural nodules less than 5mm with a dominant nodule 6.4mm all solid in lower lobes next action?

Mgt: The cause of the nodules can be further assessed by a biopsy, screening of washings for infections and malignancy. Are you a smoker? Do you have a family history of lung cancer? At your age without risk factors, lung cancer is not likely. I would suggest an appointment with your pulmonary specialist. ...Read more

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Wat is meant by small patchy parenchymal scar on both apices in nect-chest screening?

Wat is meant by small patchy parenchymal scar on both apices in nect-chest screening?

Old infection: Small apical scarring usually is a sign of old, healed inflammation and/or infection in the lung tissue. Tb is a common infection in that area which you may have fought off successfully. I would consult your pcp or radiologist to see if any follow up is recommended. ...Read more

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My chess X-ray result :bilateral apical pleural thickening with underlying sub pleural blebs. Is it a TB scar?

My chess X-ray result :bilateral apical pleural thickening with underlying sub pleural blebs. Is it a TB scar?

Maybe: Apical pleural thickening could be due to TB but it could be due to previous other infections. Blebs may be due to emphysema as well. Are you a smoker? A pulmonary specialist can sort it out for you. ...Read more

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R-kidney 8.2 cms, l-k 9.0 cms, 7mm calculus at lower polar of r-k, moderate hydronephrosis and parenchymal scars l+r kidneys, ureters dilated. Serious?

R-kidney 8.2 cms, l-k 9.0 cms, 7mm calculus at lower polar of r-k, moderate hydronephrosis and parenchymal scars l+r kidneys, ureters dilated. Serious?

Serious...yes: The hydronephrosis part is what makes this serious. The stone is basically plugging the urine outlet and the kidney is suffering. You need to see a urologist and have lithotripsy to break up the stone. At 7 mm it is unlikely to pass on its own. Otherwise you may loose function in that kidney and since you already have some scarring, your kidney function reserve is dwindling. ...Read more

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Patchy subpleural parenchymal scars in both apies on right lung middle segmental lobe and inferior lingular ligament?

Patchy subpleural parenchymal scars in both apies on right lung middle segmental lobe and inferior lingular ligament?

Old infection: Without visualizing the chest x ray- I think this is most likely scaring from old infection (pneumonia, bronchitis)
a ct scan of the chest may add additional information. ...Read more

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From my CT scan, what is nodular parenchymal opacity (1.5 mm)? Does it indicate an old TB scar? X ray looks fine

From my CT scan, what is nodular parenchymal opacity (1.5 mm)? Does it indicate an old TB scar? X ray looks fine

Check it out: Xrays look at differences in density. Chest xrays take 2 views while a ct takes a 360 degree view and is more sensitive. You have a small nodular (round) opacity (denser than the surrounding lung) that only is visible on ct. Xrays take pictures and may not not provide a specific diagnosis. The nodule may represent old TB but you need a doctor and possibly other tests to decide this. ...Read more

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My chest X-ray result shows mild pleural-parenchymal tenting what does this mean & what I suppose to take for it?

My chest X-ray result shows mild pleural-parenchymal tenting what does this mean & what I suppose to take for it?

Usuall nothing: Usually means some localized pleural abnormality usually related to old disease or scarring. Could be remnant from pneumonia that was present previously or from old trauma to lung. Sometimes becomes less evident with time. ...Read more

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I was wondering if I should worry about few small nonspecific linear pleural parenchymal opacities right lung apex found on a shoulder MRI?

I was wondering if I should worry about few small nonspecific linear pleural parenchymal opacities right lung apex found on a shoulder MRI?

Need more informatio: Need more information, More medical and social history. Smoking or not. Any other medical disease at present.
These findings are on MRI of shoulder and not a dedicated MRI of chest
So You need to be seen by a MD or Pulmonary to go over your history, physical exam and more work up if needed ...Read more

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I had a ct done and it says "small focal area of pleural parenchymal fibrosis in mid posterior right chest"?

I had a ct done and it says "small focal area of pleural parenchymal fibrosis in mid posterior right chest"?

Likely benign: This could be from an old infection you had in the lung but it could also be due to other causes such as auto immune conditions. However, it's less likely to be anything serious. It's important for me to know why you had a CT in the first place.
Overall, less likely to be anything serious based on what you have posted. ...Read more

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Recent CT report states:scattered reactive lymph nodes within the neck. Biapical pleural parenchymal fibrosis at the lung apices is noted. Please expl?

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

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What is pleural scarring less likely minimal pleural fluid? I don't have any kind of symptoms from past 4mos. What would be pleural fluid symptoms?

What is pleural scarring less likely minimal pleural fluid? I don't have any kind of symptoms from past 4mos. What would be pleural fluid symptoms?

Probably none: This is an incidental finding- it is included because it is not "normal", but it is not pathological- and would not produce symptoms. Its much more likely to be a bit of scarring than fluid, as it stated in question.
so I would not worry too much about it- but if the report suggests repeating the xray at a certain interval, you should do so under your doctors supervision. Hope this helps
...Read more

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Can you please describe mild pleural-based scarring at the anterolateral right middle lobe?

Can you please describe mild pleural-based scarring at the anterolateral right middle lobe?

Anatomic description: This indicates the anatomic location of scarring along the inner wall of the chest cavity. In and of itself it is diagnostic. It's is simply the end result of an injury. It is your clinicians job to help you determine the cause, if possible, of the injury and the need for further evaluation (testing or biopsy or follow up) and need for treatment. ...Read more

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My chest xray showed pleural scarring or less likely minimal pleural fluid. What does this mean? Something I should be worried about?

My chest xray showed pleural scarring or less likely minimal pleural fluid. What does this mean? Something I should be worried about?

Depends: If it is from minimal pleural scarring, it is likely the result from a past infection. If there is indeed pleural fluid, it requires more investigation. The question is why was the x-ray taken in the first place. ...Read more

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I had a recent ctscan and it said, lung scars/and or alectosis and plueral thickening of the lower left hemithorax. What does that mean exactly?

I had a recent ctscan and it said, lung scars/and or alectosis and plueral thickening of the lower left hemithorax. What does that mean exactly?

Scar: Like any part of the body, the lung from previous inflammation can develop scar or whiter are bunched up together. I don't know your history so it's hard to judge. This is the same for the pleural thickening. If with calcification would be worrisome for asbestos exposure. Atelectases are smaller airways that are not fully open and aerated from many causes including poor inspiration. ...Read more

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On my chest x-ray report it states. Right lower lobe linear opacities are related to scarring. No demonstrated pleural abnormality is ok.

On my chest x-ray report it states. Right lower lobe linear opacities are related to scarring. No demonstrated pleural abnormality is ok.

Xray: It is probably due to a previous infection and should not cause you any problem. However I would expect that the doctor who ordered the X-ray would explain the report to you ...Read more

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My X-ray results are minimal fibrotic scarring in the right uppuer lung, no parenchymal infiltrates seen, what does it mean? Did I have an illnes?

X-ray results: Discuss this with your dr so he can show you on the x-ray what it is and where, while you explain your history. ...Read more

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My x-ray results show I have Fibrotic scarring, right upper lobe Minimal fluid versus pleural thickening left costrophrenic sulcus. What is that means?

My x-ray results show I have Fibrotic scarring, right upper lobe Minimal fluid versus pleural thickening left costrophrenic sulcus. What is that means?

Need to see images: Based on the description you gave, I would need to see the images. It certainly could be some minimal scarring in the right upper lobe & nothing to worry about. It could also be some fluid there, which if that's that case, it would need to be sampled more than likely. The pleural thickening could be related to the fibrosis, or potentially another cause. Let me know if you can upload the xray. ...Read more

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Please explain what these CT findings mean and thank you so much ahead of time. Pleural based nodule in right upper chest size-2x6mm. A slightly asymmetric biapical plueroparenchymal scarring. Also small calcific densities measuring 3.5 mm in the right l

Please explain what these CT findings mean and thank you so much ahead of time. Pleural based nodule in right upper chest size-2x6mm. A slightly asymmetric biapical plueroparenchymal scarring. Also small calcific densities measuring 3.5 mm in the right l

Most likely OK: Small pleural based nodule is most likely a granuloma (left over from prior infection) but could conceivably be a small cancer. You will most likely be followed with ct, especially if you are a smoker. If there is no growth it is probably just a small granuloma and no biopsy is necessary. Biapical pleural parenchymal scarring is very common, but may also be followed. Calcific densities r likely ok. ...Read more

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Ct shows parenchymal scarring of both lung apex. Pleurisy/pericarditis this summer but pain never totally went away. Could this scarring cause pain?

Ct shows parenchymal scarring of both lung apex. Pleurisy/pericarditis this summer but pain never totally went away. Could this scarring cause pain?

Yes: You have multiple reasons for pain, since pleurisy and pericarditis can leave adhesions which can cause pain. The parenchymal scarring at the apex may be unrelated to your symptoms. ...Read more

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Ct scan. Kidneys: Multiple parenchymal defects, presumably from remote infection or infraction. No renal masses or hydronephrosis. What does this mean? Scarring? Should I be concerned? Was in ER last night diagnosed with epiploic appendagit

Review these with Dr: The doctors have obligation to explain what the findings from the tests may mean to your concern, they are the best resource to get pertinent answer since s/he knows you more than anyone online. How? Follow suggestion in articles in http://formefirst. Com/onLifeBasics. Html. Best wish to health... ...Read more

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How to have lung scarring and plueral thickening in the lower left lung and not have pulmonary fiber?

How to have lung scarring and plueral thickening in the lower left lung and not have pulmonary fiber?

Please see below: If you had an infection of the lung in the past or had some effusion, that leaves a scar called pleural thickening. There should not be a fibrosis. ...Read more

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Can you explain if it's possible to have lung scarring and plueral thickening in the lower left lung and not have pulmonary fibrosis?

Can you explain if it's possible to have lung scarring and plueral thickening in the lower left lung and not have pulmonary fibrosis?

Terminology: Lung scarring would technically be local pulmonary fibrosis but 'pulmonary fibrosis' is a generalized interstitial lung disease category and we usually reserve the term for that. ...Read more

Dr. John Mancoll
417 Doctors shared insights

Cicatrix (Definition)

Cicatrix = wound scar due to formation & ...Read more