What Does This X-ray Report Indicate?

Posted on Tue, 12 Jul 2016

Question: Can you help me determine the images.

Answered by Dr. Indu Kumar (2 hours later)

Brief Answer:
There is mass in both hilar region of lungs.

Detailed Answer:
Hello,
Thanks for writing to HCM,
I've gone through your query and understand your concern,

Yes,there is mass in both hilar region of lungs.It may be a enlarged lymph node,lung malignancy etc.
Lymph node may be enlarged due to many reasons like infection,malignancy etc.

Biopsy and histopathological examination is the best way for accurate diagnosis.
It helps in grading, type of malignancy so i suggest you go for these investigations.

There are also signs of diffuse involvement in oral cavity, liver etc seen in PET scan.

It is most likely lymph node origin tumour,may be lymphoma because there are diffuse involvement in whole body which is characteristic of lymphoma.

Get well soon.

Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr. Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Indu Kumar (14 hours later)

I had a biopsy but it was in the lower right side not sure if hilar region. Is that outside the lung? The nodules inside the lung looked like small black spots I was awake this came back clean but they had recommended a lypmnode biopsy. They found on the pet scan innumerable metabolic lypmnode in your opinion what age would this be. I'm going to cancer center treatment of XXXXXXX Monday...

Answered by Dr. Indu Kumar (10 hours later)

Brief Answer:
Lesion in right side is inside lung and it may be accessible for biopsy.

Detailed Answer:
Hello,
Thanks for writing to HCM,
I've gone through your query and understand your concern,

Yes,there is a hyper metabolic site in right lower zone.It is inside lung and it may be easily accessible for biopsy.
Pattern of lesions may indicate lymph node involvement.
It is important to exclude lymph node malignancy.
You may need further evaluation like biopsy,tumour markers etc.

Get well soon.

Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr. Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Indu Kumar (16 hours later)

Please see attached blood work
Second bronchopcy scheduled this time full sedation with ultrasound
Hilar mass described as lypnodes in birth side inflamed in lung area

Answered by Dr. Indu Kumar (6 hours later)

Brief Answer:
Blood report may indicate anemia.

Detailed Answer:
Hello,
Thanks for writing to HCM,
I've gone through your query and understand your concern,

Blood report may indicate anemia.You may indicate iron and folic acid tablet supplementation.
SGOT is mildly raised,it is a non specific finding and it may be increased in many conditions.
High anion gap may be due to uncontrolled diabetes mellitus.
Other findings indicate mild deviations and it is acceptable.

Get well soon.

Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr. Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Indu Kumar (18 hours later)

Please see updated panel an clarify CReactive protein is 12 and Hep B surface antibodies

Answered by Dr. Indu Kumar (7 minutes later)

Brief Answer:
CRP level is mildly increased.

Detailed Answer:
Hello,
Thanks for writing to HCM,
I've gone through your query and understand your concern,

CRP level is mildly increased.CRP Is increased in many conditions,it may indicate inflammation in body.
It may be related to your illness.

Hepatitis B surface antibody report is not mentioned.You may need further tests like HBsAg test for screening of hepatitis B.

Get well soon.

Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr. Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Priyanka G Raj