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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Mild Centrilobular Emphysema Mean?

I ve received results of a ct scan. Lungs. Mild centrilobular emphysema, foci of minimal, peribronchial nodular additional lung disease within the right upper lobe and to a lesser degree in the upper left lobe. Otherwise clear lungs. Evaluation go the solid mediastinal structures and issei us structures is markedly limited or precluded by ultra low dose technique. Additional significant findings. Multiple no obstructing left renal calculi. Two foci of minimal, nodular peribronchial intertidal disease involving the bilateral upper lobes as detailed above. Appearance and pattern is highly suggestive of infectious or inflammatory sequels. Short term follow up ct in 3 months what s all this mean
Tue, 11 Nov 2014
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Pulmonologist 's  Response
Thanks for your question on HCM.
I want to ask few questions.
1. Are you smoker?
2. Do you have TB in past?
Your CT report is not much worrisome.
As upper lobe emphysema (centrilobular) can be seen in smokers and old TB lesion.
So if you are smoker than you need to quit smoking as soon as possible.
And if you had past TB than this can be due to old fibrotic lesion. So you need to get done sputum examination for TB and if it is negative than no need to worry.
So consult pulmonologist and discuss all these.
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What Does Mild Centrilobular Emphysema Mean?

Thanks for your question on HCM. I want to ask few questions. 1. Are you smoker? 2. Do you have TB in past? Your CT report is not much worrisome. As upper lobe emphysema (centrilobular) can be seen in smokers and old TB lesion. So if you are smoker than you need to quit smoking as soon as possible. And if you had past TB than this can be due to old fibrotic lesion. So you need to get done sputum examination for TB and if it is negative than no need to worry. So consult pulmonologist and discuss all these.