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What Does Chronic Volume Loss And Cylindrical Bronchiectasis Mean?
I recently had two bouts of pneumonia in a 4 month period. I had a CT Scan this past week. findings were significant volume loss of the inferior aspects of the right middle lobe, infereo-medial lingula and basilar right lower lobe. The atelectatic segments demonstrate mild to moderate cynlidrical bronchiecrasis. Associated with tree-in-bud airspaces nodules predominately involving the lower lung zones with several nodules appearing confluent.. Sizes range from 1-2 mm up to 6mm. Areas of peribronchial thickening also noted in these regions. Relative sparing of the lung apices noted. No plueral effusion. There is a mediastinal lymphadenopathy noted. Minimal residual thymic tissue is seen. No axillary nodule enlargement. Mild calcifications of the major coronary arteries. No pericardial fluid. The impression is chronic volume loss and cylindrical bronchiectasis involving the inferiro middle lobe, intermedial lingula, anterobasal right lower lobe and medial subsegmental aspects of the left lower lobe. Is is possible that I have bronchiolitis, TB or cancer?
Tue, 26 May 2015
Hello, thanks for the details of your reports.
Bronchiectasis i.e. dilated bronchi, peribronchial thickening (wall thickening), tree-in-bud opacities (plugging of airways): all denote abnormality of the last few segments of the airway tree in the lungs.
This has resulted in volume loss in the right lung, i.e. collapse/loss of normal air exchange.
To summarize, these changes are highly suggestive of the sequelae of an infective process- most likely tuberculosis.
Further testing- eg needle biopsy maybe performed to confirm.
Kindly consult a chest physician. Eat healthy.
Take care.
Bronchiectasis i.e. dilated bronchi, peribronchial thickening (wall thickening), tree-in-bud opacities (plugging of airways): all denote abnormality of the last few segments of the airway tree in the lungs.
This has resulted in volume loss in the right lung, i.e. collapse/loss of normal air exchange.
To summarize, these changes are highly suggestive of the sequelae of an infective process- most likely tuberculosis.
Further testing- eg needle biopsy maybe performed to confirm.
Kindly consult a chest physician. Eat healthy.
Take care.
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