can somebody translate this following CTscan result in layman's term, i want a second opinion. because the doctors impression is a 4th stage cancer...
Plain and contrast Chest CT scan:
Indication Loculated pleural effusion, right lung area.
1. Large volume of loculated pleural effusion in the right mid to lower hemethorax with several confluent air collections and split pleural sign. approximate volume is about 500 ml.
2. Collapsed right lower lobe with air fluid level, characteristic of necrotic abscess formation.
3. Pleural based nodularities likewise seen in the right, biggest wound noted in the superior basal segment, measuring about 4.0 x 3.0 cm.
4. Confluence of enhancing mediastinal adenopathies also seen along the right paratracheal space, extending into the right paravertebral spaces, biggest measuring about 4.0 x 2.3 cm.
5. Mediastinal shifting to the right appreciated with compensatory hyperaerated left lung parenchyma.
6. No bone lytic changes.
7. Visualized upper abdomen appears normal.
8. No ascites.
-EMPYEMA THORACIS, RIGHT WITH COLLAPSED RIGHT LOWER LOBE AND CENTRAL AREA OF ABSCESS FORMATION.
-ENHANCING PLEURAL BASED MASS, RIGHT SUPERIOR BASAL SEGMENT.
-CONFLUENCE OF RIGHT PARATRACHEAL AND PARAVERTEBRAL ADENOPATHIES.
The changes may not specifically indicate cancer and can be seen with other conditions such as chronic granulomatous infections etc as well. However there may be other characteristics on the CT films that could turn the diagnosis towards a malignancy, while this may need to be confirmed with other tests such as PET or biopsy. I would suggest consulting a pulmonologist for an accurate diagnosis and appropriate management.
Hope this helps.
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