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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pneumonia Patches In Both Lung Lobes?

Hi myself Bhushan Joshi. My mother age 58 yrs she is cardiac (MI) patient and facing dry cough problem from last 2 months and sevral time before he prscribed URT antibiotics now our doctor found that its pneumonia patches in both the lobes of Lungs we have done CT-HR test and doctor kept her on medication for 8 days (With TB treatment) and as per him if we wont get the result then it may be cancer. I am bit stressed as he canot be able to come to the conclusion as i want the correct treatment to do without any time laps.



Regards,

Bravo

Thu, 23 Jun 2016
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Sometimes, CT scan is not confirmatory about the diagnosis whether it is simple pneumonia or tuberculosis or cancer.
This dilemma is very common in old age.
So in my opinion, we should go for microbiological investigations to confirm her diagnosis.
So first get done sputum microscopic examination and sputum cytology.
If sputum is not available then she will need bronchoscopy, BAL (bronchoalveolar lavage) and Biopsy.
BAL analysis will diagnose if she is having tuberculosis or not.
Biopsy will confirm if it is cancer.
So by this, we can diagnose her and start appropriate treatment quickly.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.
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What Causes Pneumonia Patches In Both Lung Lobes?

Thanks for your question on Healthcare Magic. I can understand your concern. Sometimes, CT scan is not confirmatory about the diagnosis whether it is simple pneumonia or tuberculosis or cancer. This dilemma is very common in old age. So in my opinion, we should go for microbiological investigations to confirm her diagnosis. So first get done sputum microscopic examination and sputum cytology. If sputum is not available then she will need bronchoscopy, BAL (bronchoalveolar lavage) and Biopsy. BAL analysis will diagnose if she is having tuberculosis or not. Biopsy will confirm if it is cancer. So by this, we can diagnose her and start appropriate treatment quickly. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.