Respiratory Disorders Expert Forum
What could this be?
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What could this be?

My father has been hoarse for 9 weeks and saw an Otolaryngology yesterday.  His findings were that the left vocal cord is paralized.  My father had had a CT scan of his chest the day before.  The results state: Very large amont of mediastinal and bilateral hilar lymphadenopathy encasing the main stem bronchi.  This has a matted confluent apperance and within the subcarinal region measures approx 35mm AP and 40 mmCC Tight hilar lymphadenopathy measures approx 23mmAP and 28 mm TR.  The left hilar lymphadenopathy is small encasing the airway and a portion of the lower lobe artery. A right paratracheal lymph node measures 29mm AP, 245mmTR. A large amount of lymphadenopathy present within the AP window. No supraclavicular or axillary lymphadenopathy.  It also shows 6mm pleural-based nodule left lower lobe. Pleura based 7 mm nodule left lower lobe. These are soft tisssue attenuation.   Hopefully someone can give me some insite as to what might be going on?  Thanks Linda
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I am sorry to hear of your father’s problem and the “large amount” of abnormal lymph node enlargement demonstrated by the CT Scan.  Lymph node enlargement of this degree could be a reflection of benign inflammatory disease, infectious disease or cancer. It is highly likely that a biopsy will be necessary to establish a diagnosis and that should be performed without delay, unless the CT characteristics of these enlarged nodes, enable your father’s physicians to make a diagnosis with reasonable certainty, enough so as to allow for treatment.

It would be reasonable for his physicians to request consultation with an Oncologist (cancer specialist) and/or a Pulmonologist (lung specialist).  There is a sub-specialty of Invasive Diagnostic Radiologists and the location of these nodes might allow for a diagnosis to be made by minimally invasive testing.

Good luck.
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