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What Do My CT Scan Test Results Indicate?

Posted on Wed, 4 May 2016

Question: There is minimal atelectasis involving the lingula, right middle lobe, and
right lower lobe. No abnormality is evident at the right hilum.
Mild emphysematous changes of the lungs are seen.
There is a purely ground-glass nodule identified in the superior segment of
the left lower lobe peripherally. It is best seen on image 17 of series 3
measuring 7 mm transversely.
No pleural nor pericardial effusion is identified.
There is mild aneurysmal dilatation of the ascending aorta with maximum
diameter 4.3 cm. No mediastinal adenopathy is appreciated. No axillary
adenopathy is identified. WHAT DOES THIS MEAN AND SHOULD I BE CONCERNED?

Answered by Dr. Drkaushal85 (1 hour later)

Brief Answer:
Get done PFT first.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
Your CT report is suggestive of infection and bronchitis.
Atelectesis is partial collapse of part of lung.
Mostly it is due to mucus in th bronchus.
So, you should definitely consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).
PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only.
You will improve with antibiotic, mucolytic, expectorant drug. Inhaled bronchodilators and inhaled corticosteroid (ICS) are also useful in your case.
Please let me know
1. Do you smoke?
2. Do you have breathlessness on exertion?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (2 hours later)

In stopped smoking 39 years ago when I had caught whopping cough from. One of my students. Yes I get short of breath easily. I HAD THIS COUGH SINCE AUGUST.

Answered by Dr. Drkaushal85 (6 minutes later)

Brief Answer:
Since how many days you are having these symptoms?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Possibility of bronchitis is more in your case.
Please let me know
1. Since how many days you are having these symptoms?
2. Do you have expectoration?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (10 minutes later)

Not days months , 7 months. Just run the past week have I had. Any expectatIons. I had a for test about 2 weeks ago they have not gotten back w me... I caused they made me an appt 2 month from now

Answered by Dr. Drkaushal85 (20 minutes later)

Brief Answer:
Have you ever undergone PFT?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Possibility of chronic bronchitis is more.
And for the diagnosis of this, you will need PFT (Pulmonary Function Test).
So please let me know
1. Have you ever undergone PFT?
2. Was your respiratory examination normal?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (4 minutes later)

Yes to PFT I check e d on results no they were not normal what do you think I should do

Answered by Dr. Drkaushal85 (8 minutes later)

Brief Answer:
You need inhaled treatment.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only.
You will need inhaled bronchodilators and inhaled corticosteroid (ICS) according to the severity of the disease.
What was your PFT report? Do you have it?
Have you ever tried inhaled treatment?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (45 hours later)

today I was given symbicort and Proventil and amoxcillian and I am headed to the pulmonary specialist I am trying to change my April 27 appointment to a closer date. Thanks I will be back I have lots of questions

Answered by Dr. Drkaushal85 (1 hour later)

Brief Answer:
Continue these drugs.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
I am happy that my advice is helping you.
It's always encouraging for doctors to hear positive feedback from patients. So thanks again.
At present continue these drugs.
Do let me know your progess and pulmonologist opinion.
I will be happy to help you further.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar