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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Mild Splenomegaly And Fibrosis Mean?

I have been diagnosed with mild splenomegaly with ap span of 14.5 cm, and a 2 mm nodule in the left lower lobe and minimal linear atelectasis or fibrosis within the right middle lobe. A 2mm left lower lobe nodule. Please explain what this means, thanks in advance :))
Tue, 4 Nov 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I want to ask you few questions.
1. What symptoms you have?
2. Are you having any respiratory symptoms?
3. Are you smoker And alcoholic?
4. Is there any past history of TB or pneumonia?
Mild spleenomegaly can be seen in alcoholics. It can be a normal finding in individual too. Or seen in gastrointestinal infection. So no need to worry much for mild spleenomegaly.
For your CT findings of lung, no need to worry. As linear atelectesia and fibrosis is seen in old infection. 3 mm nodule in keft lung is also due to old infection. So if you are asymptotic for chest than no need to worry for this finding. I advice to repeat CT thorax after 6 months and if findings are similar than no need for further CT as it is inactive lesion only.
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What Does Mild Splenomegaly And Fibrosis Mean?

Thanks for your question on HCM. I want to ask you few questions. 1. What symptoms you have? 2. Are you having any respiratory symptoms? 3. Are you smoker And alcoholic? 4. Is there any past history of TB or pneumonia? Mild spleenomegaly can be seen in alcoholics. It can be a normal finding in individual too. Or seen in gastrointestinal infection. So no need to worry much for mild spleenomegaly. For your CT findings of lung, no need to worry. As linear atelectesia and fibrosis is seen in old infection. 3 mm nodule in keft lung is also due to old infection. So if you are asymptotic for chest than no need to worry for this finding. I advice to repeat CT thorax after 6 months and if findings are similar than no need for further CT as it is inactive lesion only.