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Doctor insights on: Shotty Mediastinal Lymphadenopathy

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Does the mediastinal lymphadenopathy and Hilar Mass mean that's metastasized?

Does the mediastinal lymphadenopathy and Hilar Mass mean that's metastasized?

Yes, regional metast: If this is a case of lung Cancer, then lymph node spread to the hilar areas and mediastinum means regional spread of cancer. This is still treatable but patient needs to go see a Cancer specialist (Medical Oncologist) at a recognised Cancer Center or Medical center where expert specialists who treat Lung Cancer would be more easily available.

Dr. Steven Ginsberg
983 Doctors shared insights

Enlarged Lymph Nodes (Definition)

Enlarged lymph nodes are a clinical finding in which the lymph nodes, which are parts of the immune system, are bigger than in a normal, healthy person. This can be caused by infections, cancers, ...Read more


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Have u ever seen dilantin induced hilar/mediastinal lymphadenopathy?

Have u ever seen dilantin induced hilar/mediastinal lymphadenopathy?

I have not: Personally seen this but I can attest that is is a RECOGNIZED, well documented side effect of Dilantin! Hope this is helpful Dr Z

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Extensive mediastinal lymphadenopathy with central caseation tuberculous lymphadenopathy to be considered. Pl let me know this TB disease?

Extensive mediastinal lymphadenopathy with central caseation tuberculous lymphadenopathy to be considered. Pl let me know this TB disease?

TB: Based on the information you give here, I would say this is most likely TB unless/until proven otherwise. You should certainly be under the care of a specialist (Pulmonary, Infectious Disease) for further evaluation and treatment.

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What are some possible causes of bulky mediastinal lymphadenopathy (other than cancer) involving subcarinal, bilateral hilar and paratracheal nodes?

What are some possible causes of bulky mediastinal lymphadenopathy (other than cancer) involving subcarinal, bilateral hilar and paratracheal nodes?

Sarcoid: Could cause adenopathy in those regions, as well as other granulomatous inflammatory processes. Infectious processes such as histoplasmosis could do it. Certain chronic exposures such as berylliosis and silicosis could cause mediastinal adenopathy, but usually the history and other findings make those diagnoses more obvious. Unfortunately, lymphoma is the major consideration in most cases.

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Extra pulmonary tuberculosis Mediastinal lymphadenopathy Att in used hepatitis?

Extra pulmonary tuberculosis Mediastinal lymphadenopathy Att in used hepatitis?

TB: Hi, I have hard time understanding the question, if you mean that TB could affect live and causes hepatitis, the answer is yes, please re-ask the question if you need something else to know,

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CT scan for PE (+) has comment "hilar or mediastinal lymphadenopathy is appreciated", can you please explain what this comment may mean?

Lymphadenopathy: Swollen, visible lymph nodes near your lungs. This requires ongoing medical evaluation and testing.

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Diagnosis say Extra pulmonary tuberculosis Mediastinal lymphadenopathy Drug Ethambutol 800mg, levoflox 500mg it is right Medicine?

Diagnosis say Extra pulmonary tuberculosis Mediastinal lymphadenopathy Drug Ethambutol 800mg, levoflox 500mg it is right Medicine?

Not sure: This is a complicated question to answer in this format. Are you sure those are the only TB meds you've been prescribed? You're on an unusual combination of medications which makes me suspect you've been diagnosed with a resistant form of tuberculosis. Hopefully you are seeing someone who is experienced in the treatment of TB, and who can tailor therapy appropriately for this serious disease.

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Small subpleural nodules in right upper lobe. Mild aread of fibrosis in bilateral apices. Mild mediastinal lymphadenopathy. Enlarged carinal lymph node.?

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.

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Significant mediastinal lymphadenopathy. What does this mean? This was detected during CT coronary angiography.

Significant mediastinal lymphadenopathy. What does this mean? This was detected during CT coronary angiography.

Workup: The term significant can have different meanings (lots of nodes vs. Big nodes) with many possible causes but will probably need further study. Stay in touch with your doc on this matter. Best to you, hope its nothing serious.

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Bronchoscope Dr said No cancer this am so what could it be if Hiler mass & Mediastinal Lymphadenopathy in lung? Tissue sent out after pathologist check

Bronchoscope Dr said No cancer this am so what could it be if Hiler mass & Mediastinal Lymphadenopathy in lung? Tissue sent out after pathologist check

A few possibilities: Several things other than cancer can cause such abnormalities. Various infections and sarcoidosis come to mind. There's no way for a forum doctor to say anything more. The doctor (s) treating you or who did the bronchoscopy are the best to ask.

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Result of CT scan states " findings are mediastinal lymphadenopathy and soft tissue nodules both lungs in all segments (extensive metastatic disease) "?

Very concerning...: These findings are extremely concerning and you need to discuss this with your healthcare team. You will likely undergo more tests and referrals to specialists who will provide you more detailed answers than what I am able to do. Do not delay.

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I am diagnosed with supraclavicular and superior mediastinal lymphadenopathy. Sore throat and excessive phlum. No other symptoms. Please advice.

I am diagnosed with supraclavicular and superior mediastinal lymphadenopathy. Sore throat and excessive phlum. No other symptoms. Please advice.

Follow Up: The lymph node enlargement is somewhat compatible with your sore throat, but it may reflect a more serious condition like cancer; lung, lymphoma, etc. Your doctor may already want to further evaluate you with imaging and blood testing so understand their concerns.

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CT-Thorax extensive mediastinal lymphadenopathy with central caseation, tuberculous lymphadenopathy to consider skin test, blood cultural neg itisTB?

CT-Thorax extensive mediastinal lymphadenopathy with central caseation, tuberculous lymphadenopathy to consider skin test, blood cultural neg itisTB?

Common things common: In India, there is a high prevalence of TB. With those imaging findings, I would be very suspicious of that. Good you're en route to getting a diagnosis and treatment. Of course it could be other diseases, but TB would be at the top of my list. You are young and should be able to pull through this. Keep fighting!

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What are the infections and cancers associated with superior mediastinal and bilateral supraclavicular lymphadenopathy.

What are the infections and cancers associated with superior mediastinal and bilateral supraclavicular lymphadenopathy.

Lymphadenopathy: One would consider lymphoma usually they do a biopsy, then there are lung cancers (especially if smoker or exposed to radon), TB, HIV, autoimmune disease (lupus, RA), mononucleosis, cat scratch fever, Castleman's disease, reactive lymph nodes if a persistent lung/sinus infection. Usually if they do no resolve in a month a biopsy is done.

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My CT shows borderline right neck, mediastinal, r supraclavicular and r axillary lymphadenopathy. What does this mean?

My CT shows borderline right neck, mediastinal, r supraclavicular and r axillary lymphadenopathy. What does this mean?

"Borderline": Means the lymph node size measurements are at the edge of the normal range, i.e. at the size boundary between normal and abnormal. Talk to your doc about the significance of this finding in your particular case.

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CT in ER today showed an anterior mediastinal soft tissue mass 2.5x3.7x5.5cm. Bilateral axillary lymphadenopathy. Likely thymoma? Googling myself crazy!

Need biopsy: Hi, you should set up an appointment with an oncologist as a biopsy of the mass will be important in determining what it is. You will also likely need blood work to see if it's affecting your blood counts or electrolytes. Biopsy of the mass is likely the only way you'll know what you are dealing with. Hope that helps!

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Mom had CT chest after having bronchitis showed Mild mediastinal & left hilar lymphadenopathy, they did biopsy it was neg, no symptoms, why biopsy again?

Mom had CT chest after having bronchitis showed Mild mediastinal & left hilar lymphadenopathy, they did biopsy it was neg, no symptoms, why biopsy again?

Biopsy: I do not know when the initial biopsy was done. However, although the nodes may be negative on the initial biopsy if the hilar nodes remain swollen or are enlarging that may warrant another biopsy.