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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fluid In Lungs On Chest X-ray And Swollen Neck Lymph Nodes?

Hi, my husband has been though much testing in the past 2 weeks. It all started with a swollen supraclavicular lymph node. Then a week later one on the other side became enlarged. After a week, he went to the doctor who put him on amoxicillin. During this stage, he got extremely tired, and began running low grade fevers. After the 10 day regime with no results, he went for blood work, which all came back normal. Next, a chest xray, which showed fluid in his lungs and something in his chest. A ct scan revealed the swollen lymph nodes in his neck and either a mass or swollen lymph nodes in his chest. He went to get the fluid drained off his lung. They took a gallon off and said they would take the other gallon within a week (he has an appt. Monday). This fluid was tested and lymphocyte cells were present. He had a biopsy of the first swollen lymph node a couple of days ago and they said the results would be in within 7-10 days. The doc. said something about a type of lymphoma after the initial look at the biopsy. We now have an appt. with an oncologist this week. I feel like we are not getting enough info. They say whatever is in his chest is pushing on an artery, which is causing the fluid. I don't understand why no one knows what this is. If this is lymphoma, is there any insight as to what type it might be? Is this something where he will need his lung drained every week? He has been feeling short of breath with back pain due to the fluid. He is 32 years old and other than this has always been in great health. Any detailed info. would be appreciated. Thanks
Mon, 13 Jun 2016
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General Surgeon 's  Response
Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
IN the given situation, You seems to have suffered from-NHL Lymphoma with Mediastinal Lymph nodes with supraclavicular nodes first on one side and then on the other side.
Other possibility could be-TB lymphadenitis with glandular lymphdadenitis / and Sarcoidosis.
But in view of the lymphocytes in the pleural effussion, chances of NHLymphoma and or TB Lymphadenitis.
Chances of NHLymphoma are more in view of the supra-clavicular lymphnode swellings.

Hope this would help you to plan further of this complex illness of yours.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229



Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.


If you want to update more details and ask more update queries ,
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Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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What Causes Fluid In Lungs On Chest X-ray And Swollen Neck Lymph Nodes?

Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. IN the given situation, You seems to have suffered from-NHL Lymphoma with Mediastinal Lymph nodes with supraclavicular nodes first on one side and then on the other side. Other possibility could be-TB lymphadenitis with glandular lymphdadenitis / and Sarcoidosis. But in view of the lymphocytes in the pleural effussion, chances of NHLymphoma and or TB Lymphadenitis. Chances of NHLymphoma are more in view of the supra-clavicular lymphnode swellings. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS