Help Me understand..

[draytonc]

I had a CT ABD/PEL done today.Comparison to December 14,2011 there is now some chronic appearing
changes  within the lung base which appear associated with some nodularity as well as area within the right lower
lobe which appears somewhat speculated measuring 2.7 cm. Sould I have Chest CT for further evaluation?

[Dr Santos]

Hi,
Thanks for the updates. How are you? How was your surgery/biopsy?It is good that your were able to discuss the results  with your attending physician also. Hope all is well and do keep us posted.

[draytonc]

Hello, Dr Santos
Thank you for your help in helping me understand.I had the CT chest scan and i will be having surgery to remove one of the glands to have test on it so they can find out why this happening.

[draytonc]

I went back for my CT chest scan results,There is axillary adenopathy, left greater than right,with the largest lymph nobe on the left measuring 2.1 x 1.5 cm and largest on right measuring 1.9 x 1.4 cm there is marked mediastinal adenopathy which appears to come confluence with the largest seen within the right paratracheal region measuring 3.6 x 2.5 cm.There is marked hilar adenopathy, right greater than left which becomes confluent. There is no evidence of aortic aneurysm or dissection.No definite filling defedts are seen suggest pulmonary embolus.There is no evidence of pleural or pericardial effusion.Small pulmonary nobles are seen bilaterally in area of speculation seen within the rirgt lower lobe measuring at least 2 x 1.5 cm and with adjacent areas of atelectasis and/or scarring as well as some within the right middle lobe.The doctor wants to take one of the glands out and send for test.He also said if not treated it could become tumerous.

[Dr Santos]

Hi,
What other symptoms are present? If there are changes in the ct scan result, it is recommended that further evaluation be done.  While CT scan of the chest may help with the nodularity evaluation, it is best that you discuss the result prior with your attending physician for proper evaluation.   The result may need to be correlated with the symptoms present and additional tests may be indicated. Lung nodules may be associated with infection, inflammation, hamartoma, lung cysts, vascular abnormalities as well as malignancy. Hope this helps. Take care and do keep us posted.