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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Non-calcified Pulmonary Nodules, Pleural And Parenchymal Scarring Indicate?

Bilateral pulmonary nodules of which are less than 1.0cm and most nodules are noncalcified. etiology is uncertain and the findings are nonspecific and ranges from benign noncalcified granulomas to pulmonary metastatic disease. largest measuring 2.9 x 1.3 cm left lung . Chronis lung changes manifested by pleural and parenchymal scarring some of which is nodular with calcifications with mediastinum and major vascular structures and pulmonary hila are unremarkable except for randomly scattered mediastinal lymph nodes.
Fri, 30 Jan 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion you should consult pulmonologist and get done bronchoscopy with BAL (Bronchoalveolar lavage) analysis and biopsy if needed.
The size of largest nodule is quit big to say benign nodule.
Possibility of malignancy is always there with this size of nodule.
So every possible way to rule out malignancy should be done.
Bronchoscopic evaluation will be best for you. BAL analysis is superior in identify malignancy. And biopsy can be taken if suspicious lesion in seen in bronchus.
So consult pulmonologist and rule out malignancy first in your case.
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What Could Non-calcified Pulmonary Nodules, Pleural And Parenchymal Scarring Indicate?

Thanks for your question on HCM. In my opinion you should consult pulmonologist and get done bronchoscopy with BAL (Bronchoalveolar lavage) analysis and biopsy if needed. The size of largest nodule is quit big to say benign nodule. Possibility of malignancy is always there with this size of nodule. So every possible way to rule out malignancy should be done. Bronchoscopic evaluation will be best for you. BAL analysis is superior in identify malignancy. And biopsy can be taken if suspicious lesion in seen in bronchus. So consult pulmonologist and rule out malignancy first in your case.