Dr Schiano - Part 2 Cat scan

[PaulaAnn]

Intrahepatic findings (i.e. ascites, splenomegaly):
Spleen - The spleen measures 12 cm in length, normal. There are
no focal splenic masses.
Ascites - There is no ascites.

Biliary system and pancreas: There is no intrahepatic or extrahepatic
biliary dilatation. The gallbladder is normal. There are no pancreatic
masses or pancreatic ductal dilation.

Kidneys: There is a cortical scar in the upper pole of the left kidney
with a 1 cm focus of dystrophic calcification. The inferior half of the
left kidney is atrophic. Fused supernumerary right kidney (rare
congenital anomaly) is noted.

Adrenal glands: The adrenal glands are normal.

Bones: degenerative changes without destructive lesion.

Lung bases: There is honey combing with sparing of the costophrenic
angles.
IMPRESSION:

MORPHOLOGIC CHANGES OF EARLY CIRRHOSIS. SMALL ESOPHAGEAL VARICES.

HONEY COMBING WITH SPARING OF THE COSTOPHRENIC ANGLES, LIKELY FIBROTIC
NONSPECIFIC INTERSTITIAL PNEUMONITIS GIVEN HISTORY OF SJOGREN'S.
DEDICATED CHEST IMAGING IS RECOMMENDED.

[Thomas D Schiano, MD]

definitely see a lung expert--as along as you are asymptomatic i think that you will be fine--could potentially be related to sjorgen's or MTX

[PaulaAnn]

I am calling my dr for a referral to a pulmonologist.  I know this bas to be done.  My autoiimmune issues are piling up on me.  I have also read that MTX methotrexate is known to cause liver damage and lung damage.  

Shocked again to get another illness.  

I know honeycombing is not good.  I've never been out of breath at all.  just constant throat clearing.  asked my 5 drs and they've told me its: dehydration,  hernia, gerd, gastritis.and also went an ENT who tod me it was just the sinusitis. I had allergy testing done then. My rheumy checks my lungs all the time and never mentioned crackles...  

Thank you...Paula