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What Do Biapical Pleural With Parenchymal Scarring And Calcified Lymph Nodes Indicate In CT Scan?
Question: What does this mean. I had a CT scan yesterday and my physician won't return my call with a diagnosis.
Lung window: There is some biapical pleural and parenchymal scarring. There is a small nodular density seen along the posterior pleura of the right upper lob measuring approximately 3mm in diameter on image 34 or series 4. A small module is noted in the anterior, inferior right upper lobe on image 85 of series 4 meausuring 4mm in diameter. There is a calcified nodule measuring 9mm in diameter just inferior to the right hilum. Calcified lymph nodes are also noted in the right hilar region. Findings are most consistent with previous granulomatous disease. There is no focal infiltrate or effusion. The airways are clear. Mediastinal window reveal no adenopathy or aortic aneurysm. Heart size is within normal limits.
Lung window: There is some biapical pleural and parenchymal scarring. There is a small nodular density seen along the posterior pleura of the right upper lob measuring approximately 3mm in diameter on image 34 or series 4. A small module is noted in the anterior, inferior right upper lobe on image 85 of series 4 meausuring 4mm in diameter. There is a calcified nodule measuring 9mm in diameter just inferior to the right hilum. Calcified lymph nodes are also noted in the right hilar region. Findings are most consistent with previous granulomatous disease. There is no focal infiltrate or effusion. The airways are clear. Mediastinal window reveal no adenopathy or aortic aneurysm. Heart size is within normal limits.
Brief Answer:
Possibility of previous infection like tuberculosis is more likely.
Detailed Answer:
Hello,
I have gone through the CT report you have mentioned.
This is more suggestive of healed, scarred lesions.
Granulomatous infection like tuberculosis heal by fibrosis and calcification.
And these healed lesions appear through out the life.
So your current CT scan is showing old, fibrotic, Calcified lesions from previous lung infection like tuberculosis.
Please let me know:
1. Have you ever had tuberculosis?
2. Do you smoke?
Hope I have answered your query. Let me know if I can assist you further.
Possibility of previous infection like tuberculosis is more likely.
Detailed Answer:
Hello,
I have gone through the CT report you have mentioned.
This is more suggestive of healed, scarred lesions.
Granulomatous infection like tuberculosis heal by fibrosis and calcification.
And these healed lesions appear through out the life.
So your current CT scan is showing old, fibrotic, Calcified lesions from previous lung infection like tuberculosis.
Please let me know:
1. Have you ever had tuberculosis?
2. Do you smoke?
Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by :
Dr. Kampana
I don’t smoke or have had tuberculosis
Brief Answer:
This is strange.
Detailed Answer:
Hello,
It's good that you don't smoke.
This is strange that you are not having past history of tuberculosis.
These kind of fibro Calcified lesions are commonly seen as sequel to TB infection.
They are basically inactive lesions.
Please let me know
1. Do you have any other lung infection or pneumonia in the past?
2. Where do you work?
I am asking this because sometimes chemicals, dust and fumes exposure at workplace can also cause fibrosis and calcification in lungs.
Hope I have answered your query. Let me know if I can assist you further.
This is strange.
Detailed Answer:
Hello,
It's good that you don't smoke.
This is strange that you are not having past history of tuberculosis.
These kind of fibro Calcified lesions are commonly seen as sequel to TB infection.
They are basically inactive lesions.
Please let me know
1. Do you have any other lung infection or pneumonia in the past?
2. Where do you work?
I am asking this because sometimes chemicals, dust and fumes exposure at workplace can also cause fibrosis and calcification in lungs.
Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Thank you for your expertise in my questions. I've never had a lung infection or pneumonia in the past. I work in a regular office but most of the time I'm driving or meeting with homeowners in their home. We have lived in our home for 22 years, but have only had this constant cough for the past four months. Could I've had walking pneumonia and not known it. I'm adopted so I don't have any records of family history of cancer. So in your opinion, there is nothing to worry about. I would hope I could cure this dry cough. Your suggestions.
Brief Answer:
Have you ever undergone PFT?
Detailed Answer:
Hello,
Yes, I don't think anything serious about your CT report.
In my opinion, you should definitely get done PFT (Pulmonary Function Test).
PFT is needed to rule out bronchitis.
Bronchitis can be the cause of your chronic cough.
So please let me know if you have ever undergone PFT.
Hope I have answered your query.
Take care
Regards,
Dr Kaushal Bhavsar, Pulmonologist
Have you ever undergone PFT?
Detailed Answer:
Hello,
Yes, I don't think anything serious about your CT report.
In my opinion, you should definitely get done PFT (Pulmonary Function Test).
PFT is needed to rule out bronchitis.
Bronchitis can be the cause of your chronic cough.
So please let me know if you have ever undergone PFT.
Hope I have answered your query.
Take care
Regards,
Dr Kaushal Bhavsar, Pulmonologist
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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