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What Causes Platelike Atelectasis Of The Lung?

Posted on Mon, 3 Nov 2014

Question: My Chest x ray /CT shows Platelike Atelectasis right middle lobe,tortuous thoracic aorta, minor subsegmental atelectasiss or parenchymal scarring in the right middle lobe,cardiac sllhouette appears slightly increased. 5 mm indeterminate nodule within anterior aspect of right upper lobe.
Does - shows Platelike Atelectasis right middle lobe AND 5 mm indeterminate nodule within anterior aspect of right upper lobe. are different aspects. catching infections- mucus, 24/7 no effects of Antibiotic, cold syrups, allergy tablets,sinus tablets.
guide , all time tired weak, fatigue

Answered by Dr. Hardik Sanghvi (5 hours later)

Brief Answer:
Investigation of lung nodule.

Detailed Answer:
Hi dear,

I have gone through your question. I can understand your concern.

Atelectasis is collapse of the alveoli in the right middle lung. This is commonly seen in chronic smokers leading to COPD(chronic obstructive pulmonary disease), infections, malignancy. The atelectasis and the pulmonary nodule might be related but needs to be investigated. As you have taken treatment for infective pathology only and its not working.

I would advise you to go for Ultrasound or CT scan guided fine needle aspiration cytology to rule out any other causes like Tuberculosis or malignancy. The treatment would follow accordingly.

Hope I have answered your question, if you have doubt then I will be happy to answer.

Thanks for using health care magic.

Wish you a very good health.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Hardik Sanghvi (6 hours later)

Thanks Dr.Saghvi,
Ultrasound or CT scan guided fine needle aspiration cytology to rule out any other causes like Tuberculosis or malignancy. --this is for lung evaluation,
what do you think for recurring infections- Cipro,Amoxi, Eutnromycin,
For TB test - doctor here in Canada ruled out to do Quantiferron test- you can guide should I ask them again?
You can guide for additional tests than Aspiration cytology-.
my IgM is low for last 3-4 years, non compliance of CPAP for obs sleep apnea. does these reasons contribute for present conditions?
I am non smoker,non drinker through out my life.

Answered by Dr. Hardik Sanghvi (37 minutes later)

Brief Answer:
Reccurent infection may be due to bronchiectesis.

Detailed Answer:
Hi, dear. You may have other pathology also. You may have bronchiectesis. Repeated infection is commonly related with bronchiectesis. You can go for pulmonary function test or saccherine test for that. For tuberculosis you can go with TB PCR test. As far as nodule is concern you should go for aspiration cytology. It is the investigation of choice for that. Consult your doctor and ask him for guided FNAC. Take treatment accordingly.
Your present symptoms is not related to sleep apnea. So don't worry for that.
Hope I have answered your question, if you still haev doubts then feel free to ask me. I will be happy to answer you.
Thanks for using health care magic.
Wish you a very good health.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj