Aa
Could someone help me understand?
Hello,
I am trying to understand, but it is a very confusing situation. Pulmonary nodules can you have one in 1 lung then get 1 in the other lung? We were told that it Can Not be cancer because cancer does not appear like that. You have to have multiple of nodules in 1 lung then it spreads to the other lung/sites. Is this right? What if you found out you have Cerebellum Atrophy NOT caused by the Traumatic Brain Injury? What can cause Cerebellum Atrophy? What does "Lungs demonstrate bi-apical pleural-parenchymal scarring. Multifocal areas of pleural thinckening posteriorly. Parenchymal thickening seen posterior Left lower lobe. What is an ovoid nodular opacity left lower lobe/base? Noncalcified pulmonary nodule also identified right middle lobe." Have not been sick or had any symptoms of being sick. Thankyou for your time. Lisa
I am trying to understand, but it is a very confusing situation. Pulmonary nodules can you have one in 1 lung then get 1 in the other lung? We were told that it Can Not be cancer because cancer does not appear like that. You have to have multiple of nodules in 1 lung then it spreads to the other lung/sites. Is this right? What if you found out you have Cerebellum Atrophy NOT caused by the Traumatic Brain Injury? What can cause Cerebellum Atrophy? What does "Lungs demonstrate bi-apical pleural-parenchymal scarring. Multifocal areas of pleural thinckening posteriorly. Parenchymal thickening seen posterior Left lower lobe. What is an ovoid nodular opacity left lower lobe/base? Noncalcified pulmonary nodule also identified right middle lobe." Have not been sick or had any symptoms of being sick. Thankyou for your time. Lisa
MEDICAL PROFESSIONAL
A paraneoplastic syndrome is not likely to be due to a TBI, but could occur in parallel to, and unrelated to a TBI. It's important to get an explanation of these findings.
Hello Dr Enoch Choi,
Thank you for answering some of my questions. What would cause the thickening and also the scarring and all that other stuff that was seen on CT? None of the Dr.s have said yet. Also my husband fell off our roof on to his head on cement. Now he has so many deficits. He also had many MVA's and been in an explosion. These are his symptoms:
Bad Headaches daily, Cerebellar Degeneration, Nystagmus, Vertigo, Nausea, Coordination issues include Symptoms of both Midline and Hemispheric Cerebellar Syndromes, Diplopia, Visual Disturbances, Short Term Memory, some Speech Problems, Sleep Disturbances,(sleep study showed stage 2 - 5% & stage 3,4 - 0% of time w/o sleep apnea. Hand Tremors, Mood Swings, Light Sensitivity, Intermittent times when he walks everything goes white and he collapses, episodes of passing out, Positive Basilar Artery Occlusion (through PT testing) Positive MRA, bottom of his Feet and palm of his Hands are Numb (Peripheral Neuropathy), Hypothyroid, Atonic Bladder (neurogenic bladder), Dysphasia, Normal Strength, but Diminished Reflexes/sometimes none, Heart Palpitations, Hot Flashes, skin itching, the list goes on. Now having high Triglycerides, sugar, Cholesterol problems.
He had some of the problems but not that bad that he couldn't cope with. Now he has all of those problems. Why would he have such a hard time sleeping? What can be done about it?
He had a Fractured Skull and Epidural Hematoma at the Occipital and Left Temporal area of the brain in 2004 then his MRI's were good no blood. Then the end of 2005-06 till now he has "abnormal bright T2 signals seen within bilateral cerebellar folia with prominent and dilated major cerebellar fissures" which were not there before. What could cause that????? Since he had normal MRI's in 2005.
He has had episodes of unresponsiveness where there was a code blue called. Dementia episode, The Dr.'s told me he had an episode of being unresponsive to where he was screaming and diaphoretic for 2 hours.
I am not saying that he can not do anything, but it is just hard. Like I had mentioned before they think he has Paraneoplastic Syndrome because of the nodules that have just shown up. 2 within 6 months. And because of the symptoms that he has had. What do you think the likelihood would be that after a TBI he would end up with this syndrome they are saying. If it turns out that it is WHAT do we do then???? And if it isn't still what do we do????? Thank you so much for your help. Lisa
Thank you for answering some of my questions. What would cause the thickening and also the scarring and all that other stuff that was seen on CT? None of the Dr.s have said yet. Also my husband fell off our roof on to his head on cement. Now he has so many deficits. He also had many MVA's and been in an explosion. These are his symptoms:
Bad Headaches daily, Cerebellar Degeneration, Nystagmus, Vertigo, Nausea, Coordination issues include Symptoms of both Midline and Hemispheric Cerebellar Syndromes, Diplopia, Visual Disturbances, Short Term Memory, some Speech Problems, Sleep Disturbances,(sleep study showed stage 2 - 5% & stage 3,4 - 0% of time w/o sleep apnea. Hand Tremors, Mood Swings, Light Sensitivity, Intermittent times when he walks everything goes white and he collapses, episodes of passing out, Positive Basilar Artery Occlusion (through PT testing) Positive MRA, bottom of his Feet and palm of his Hands are Numb (Peripheral Neuropathy), Hypothyroid, Atonic Bladder (neurogenic bladder), Dysphasia, Normal Strength, but Diminished Reflexes/sometimes none, Heart Palpitations, Hot Flashes, skin itching, the list goes on. Now having high Triglycerides, sugar, Cholesterol problems.
He had some of the problems but not that bad that he couldn't cope with. Now he has all of those problems. Why would he have such a hard time sleeping? What can be done about it?
He had a Fractured Skull and Epidural Hematoma at the Occipital and Left Temporal area of the brain in 2004 then his MRI's were good no blood. Then the end of 2005-06 till now he has "abnormal bright T2 signals seen within bilateral cerebellar folia with prominent and dilated major cerebellar fissures" which were not there before. What could cause that????? Since he had normal MRI's in 2005.
He has had episodes of unresponsiveness where there was a code blue called. Dementia episode, The Dr.'s told me he had an episode of being unresponsive to where he was screaming and diaphoretic for 2 hours.
I am not saying that he can not do anything, but it is just hard. Like I had mentioned before they think he has Paraneoplastic Syndrome because of the nodules that have just shown up. 2 within 6 months. And because of the symptoms that he has had. What do you think the likelihood would be that after a TBI he would end up with this syndrome they are saying. If it turns out that it is WHAT do we do then???? And if it isn't still what do we do????? Thank you so much for your help. Lisa
MEDICAL PROFESSIONAL
Cerebellum Atrophy is shrinkage of the part of the brain called the Cerebellum.
Your doctors told you right, cancer usually causes many nodules in one side first before spreading.
"bi-apical pleural-parenchymal scarring" is scarring of the tops of both lungs.
"pleural thinckening posteriorly" is thickened lining of the lung in the back of the lung
"Parenchymal thickening seen posterior Left lower lobe" is thickened lining of the lung in the back of the Left lower lung lobe
"ovoid nodular opacity left lower lobe/base" is a possible mass in the left lower lung lobe
"Noncalcified pulmonary nodule also identified right middle lobe." is a nodule in the right lung in the middle lobe that doesn't show signs of calcium deposition in it.
Ask your doctor for more explanation, it doesn't make sense without the doctor examining you.
Dr. Enoch Choi, MD
Palo Alto, CA
Your doctors told you right, cancer usually causes many nodules in one side first before spreading.
"bi-apical pleural-parenchymal scarring" is scarring of the tops of both lungs.
"pleural thinckening posteriorly" is thickened lining of the lung in the back of the lung
"Parenchymal thickening seen posterior Left lower lobe" is thickened lining of the lung in the back of the Left lower lung lobe
"ovoid nodular opacity left lower lobe/base" is a possible mass in the left lower lung lobe
"Noncalcified pulmonary nodule also identified right middle lobe." is a nodule in the right lung in the middle lobe that doesn't show signs of calcium deposition in it.
Ask your doctor for more explanation, it doesn't make sense without the doctor examining you.
Dr. Enoch Choi, MD
Palo Alto, CA
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