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Doctor insights on: Pulmonary Parenchymal Mass

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Smoker I've been coughing up phlegm tinged with blood at times I had a CT scan it states that their is cystic changes and a parenchymal density lung?

Smoker I've been coughing up phlegm tinged with blood at times I had a CT scan it states that their is cystic changes and a parenchymal density lung?

Parenchymal density: Is a very nonspecific term, unfortunately. It could mean anything from scar to mass to pneumonia to collapse of a small lung segment. Without the images to review, it is difficult to determine. Likewise, there are both acute and chronic causes of cystic changes. The nonspecific report verbiage needs to be interpreted in conjunction with the images themselves and your clinical picture. ...Read more

Dr. Michael Gabor
1 Doctor shared a insight

Respiratory (Definition)

Pertaining to the work of breathing done by the chest ...Read more


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What's a 14mm noncalcified left upper lobe parenchymal pulmonary mass adjacent atelectasis. Left upper lobe bronchus/hillar peribronchial cuffing/thick?

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

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Pulmonary mass 6cmx7cm. Can it be treated?

Pulmonary mass 6cmx7cm. Can it be treated?

Evaluate further: Before discussing treatment, a diagnosis must be made. This needs to be evaluated by a pulmonologist, and quite likely will need a biopsy to determine the cause of the mass. This would be better done sooner rather than later. ...Read more

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Does pnemonia show up as a mass on lungs?

Does pnemonia show up as a mass on lungs?

Not usually: Pneumonia itself does not usually appear as a mass on an xray. However, those that have a mass in their lungs, can develop an infection on top of that so it can definitely appear that way. It is always best to have a repeat chest x ray after you have been treated for pneumonia to make sure there is no underlying mass.
Take care! ...Read more

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Noticed pain as I pressed center-mass. Then began painful coughing fit and stinging inflamed feeling in lungs. Just getting over bronchitis.

Noticed pain as I pressed center-mass. Then began painful coughing fit and stinging inflamed feeling in lungs. Just getting over bronchitis.

Bronchitis: If you have lingering cough productive of discolored sputum, fever, wheezing, shortness of breath or chest pains on deep breathing, further evaluation and possible chest X-Ray as well as continued treatment would be needed. ...Read more

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What does a 5-6cm mass in the lungs look like?

What does a 5-6cm mass in the lungs look like?

2 to 2.5 inches.: The word "mass" is typically used to describe a solid growth. One that is 6 cm would measure approximately 2 to 2.5 inches in size. The color, consistency and borders of the mass would be different depending upon the make up of the mass (infectious/inflammatory process versus benign tumor versus malignant tumor). ...Read more

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What can cause scattered pulmonary parenchymal opacities in the upper lung?

What can cause scattered pulmonary parenchymal opacities in the upper lung?

Many things: A number of different things can cause this, from tumors (often metastatic), certain infections to autoimmune diseases. You will need additional studies such as a ct scan of the chest, blood work, and likely a visit with a pulmonary specialist. ...Read more

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Chest ex ray says lungs show increased interstitial markings with no active infiltrate, mass or effusion. What does that mean?

Chest ex ray says lungs show increased interstitial markings with no active infiltrate, mass or effusion. What does that mean?

Depends on context: The interstitium of the lung refers to the area in and around the blood vessels and alveoli (air sacs). This is where the exchange of oxygen and carbon dioxide takes place. Inflammation and scarring of the interstitium disrupts this tissues. So the radiologist is noting that there appears to be increased markings in the area. There are many different conditions and disease that cause this pattern. ...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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I have a three centimetre lump in my lungs one opinion is a lymph node and other opinion it was a mass. Should I be pushing for a complete diagnosis?

I have a three centimetre lump in my lungs one opinion is a lymph node and other opinion it was a mass. Should I be pushing for a complete diagnosis?

Needs work up: You first need to find out if it is in fact a lung mass or a lymph node. Chest CT is a good test for that. Clinical correlation and of smoking history is also significant. See a lung doctor please. ...Read more

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Does the chest X-ray impression directly say whether there is mass in the lungs or does it talk about only acute diseases?

Does the chest X-ray impression directly say whether there is mass in the lungs or does it talk about only acute diseases?

Usually: If mass is present on chest exam, radiologist is trained to mention this as an abnormality. He is trained to differentiate abnormal from normal findings as well as as sometimes acute from chronic changes when comparing exams. Radiologist should mention all abnormalities that are present in report of examination. ...Read more

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My girlfriend has a large cancerous mass sitting in her chest and its putting pressure on her heart and lungs. Any idea what type cancer this is?

My girlfriend has a large cancerous mass sitting in her chest and its putting pressure on her heart and lungs. Any idea what type cancer this is?

You need to ask her: If this is your girlfriend and she's seriously sick, she's been informed of the nature of her cancer and if a diagnosis has not yet been made, it will be in a day or so, probably by needle biopsy. This is the era of patient privacy and you'll need to ask her what the diagnosis is. ...Read more

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Multilobulated pulmonary mass w/calcifications in left upper lobe. Neoplastic disease vs inflammatory/infectious process. Rule out metastatic disease?

Multilobulated pulmonary mass w/calcifications in left upper lobe. Neoplastic disease vs inflammatory/infectious process. Rule out metastatic disease?

In general...: IN GENERAL, a multilobulated mass is more likely malignant, one with calcifications is less likely. As in much else, size matters, with bigger being more worrisome. If you're smoker, more likely malignant, if from place of endemic TB or histoplasmosis, risk of chronic infection rises. You'll need to be evaluated by a pulmonologist, who will very likely recommend biopsy. ...Read more

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My mom was diagnosed with pneumonia and a mass on lungs. Is it possible for a lung cancer?

My mom was diagnosed with pneumonia and a mass on lungs. Is it possible for a lung cancer?

Yes: This is a common way for lung cancer to present. A biopsy will tell for sure. I am glad you are there for your mother at this challenging time. ...Read more

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What's does it mean on a CT scan result " fine pleuro-parenchymal opacities of residual type in the apices of both lungs"?

What's does it mean on a CT scan result " fine pleuro-parenchymal opacities of residual type in the apices of both lungs"?

This report: Really needs to be correlated with your history and symptoms for someone to give you an answer. Please check with your doctor. ...Read more

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LIVER ENLARGED & ECHOGENIC CONSISTENT WITH NONSPECIFIC HEPATIC PARENCHYMAL DISEASE SUCH AS STEATOSIS. NO FOCAL MASS IS SEEN. Spleen size 16cm??

LIVER ENLARGED & ECHOGENIC CONSISTENT WITH NONSPECIFIC HEPATIC PARENCHYMAL DISEASE SUCH AS STEATOSIS. NO FOCAL MASS IS SEEN. Spleen size 16cm??

See doctor: The size of the spleen is of note. This enlarges for many reasons. The liver also enlarged is of concern as well. There should be a coordinated laboratory values to help make sense of imaging results. Not a good idea to speculate on cause without more data. Speak to your doctor for more data ...Read more

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Mom x-rayed for bad viral cough. Rad said saw large mass RUL, COPD and bronchitis. ER rx'd meds. How soon to wait to see pulmonary re mass? No smoker

Mom x-rayed for bad viral cough. Rad said saw large mass RUL, COPD and bronchitis. ER rx'd meds. How soon to wait to see pulmonary re mass? No smoker

Follow up: I would suggest a follow up with Pulmonary. They will obtain a CT scan and samples will be sent to Pathology and Microbiology. She should have a TB test as part of the evaluation. ...Read more

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Could a low dose CT scan for lung mass detect thymoma if the scam is only intended for the lungs.

Yes,: It should be good enough in most cases to detect an anterior mediastinal mass (the usual location of thymomas) ...Read more

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Does inflammatory vs malignancy in the remarks of CT scan of lungs with 203cc solid mass mean its cancer?

Does inflammatory vs malignancy in the remarks of CT scan of lungs with 203cc solid mass mean its cancer?

No: No. It is at times difficult to differentiate inflammation/infection from a malignancy on ct. Pet/ct may more helpful where there is suspicion. However, this may also limited in differentiating infection/ inflammation from cancer. That being said, imaging does not arrive at a pathological diagnosis. When possible, any suspicion of lung cancer requires pathological confirmation through a biopsy. ...Read more

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