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Increasing Right Upper lung Nodule ,Now in 6 mm.
I Share  my health conditions in this blog to get some reassurance . At Mar 2015 , I experienced some burning and localized type chest pain in left chest area .After taking several investigation like Ecocaridography and Nuclear stress test  it was confirm that it was not from Heart .Doctor told me to GERD ,musculoskeletal or something like that .Also perform upper gastro endoscopy in May which came back normal. But in Jun 2016 I found my left Supra Clavicle  region slightly higher than right .After that one doctor recommend me to perform MRI. Findings of MRI Shows no Lymph node .Only 3 mm thickness in transverse process muscle body in Brachial Plexus region Higher than Right area.
After that because of chest pain I take another opinion who recommend  me to perform CT and after performing that with 5mm thickness pre and post contrast  findings are  multinodular  densities shows in both lung field at October 13,2016.One Subcentrimetric  Sizable nodule in left lower lobe at Lateral Basal Segment .
In November 2016 I have some cough with blood sputum in morning . So Perform Skin tuberculin test which come back +8 mm and Two Consecutive acid first Bacillii (AFB ) Test show negative result .Then perform another IV contrast CT with 2.5 mm MPR Images Result Shows :
(21 st November 2016 CT Date ) : CT-1 (Findings )
Right Lung :  
-small round 3.6 mm nodule seen in the peripheral part ,anterior segment of the right upper lobe with smooth well defined margin with surrounding  lung parenchyma.
-4 small irregular shaped nodules ranging from 3-4 mm seen in posterior basal segment ,located adjacent to each other surrounding lung parenchyma .
Left Lung :
-solitary, round 9.4mm sub pleural nodule is seen at the lateral basal segment of the left lower lobe ,well defined margin surrounding  lung parenchyma.
(12th  February  2017 CT Date ) : CT-2 (Findings )
No appreciable interval changes as compared to the previous study, the previously seen nodules shows no change in size nor in number or location.
After another six month follow up I take appointment in another ct. In the mean time I experience several symptoms like Bad headache, serious Back pain , some swelling in LUQ area but Performing ultrasound ,no organomegaly  or abnormal pathology seen.
(24th  July  2017 CT Date ) : CT-3 (Findings )
Scan through the chest shows a well defined nodule in the anterior segment of the right upper lobe.No intralesional calcification or cavitation noted.It measures about 6mm.Another pleural based nodule noted in the left lower lobe along the postero lateral chest wall.It contain foci of calcification and measures about 9mm in size.
Bilateral lung nodule,one in the right upper lobe and another one in the left lower lobe as described.Further workup advised.
In comparison with the last CT dated 12/02/17,the size of the right upper lobe nodule shows increase in size. However, the nodules noted in the right lower lobe as mentioned in the previous report are not visualized in the current study.
Blood Profile Count History :
All other parameter of total biochemistry remain normal except uric acid shows high maximum time. I also perform RF Factor which came back normal.
My lymphocyte count maximum time in near the top and some times higher than range .But RBC ,WBC ,Haemoglobulin within normal range .
Dated Differential Range Absolute Range ×1000
03-01-17 34.07% 20 %-50 % 2.4×1000 2.0-4.0
10-01-17 45.2 % 20.5 %-51.1 % 3.5×1000 1.20-3.40
22-01-17 42.7% 19.4%-44.9 % 2.56×1000 1.30-3.5
05-02-17 33.66% 20 %-50 % 2.5×1000 2.0-4.0
23-04-17 46.8 % 20 %-50 % 2.8×1000 2.0-4.0
07-05-17 44.6 % 20 %-50 % 3.23×1000 2.0-4.0
21-06-17 30.6 % 20 %-50 % 2.0 ×1000 2.0-4.0
22-07-17 52.4 % 20 %-50 % 3.43×1000 1.0-4.0 (Low Neu)
30-07-17 46.3% 20 %-50 % 3.2×1000 2.0-4.0
This is my disease history. But I am now very much concerned regarding experiencing some during pressing at toilet .some pain in right upper rib cage sternum area when bent. And also increase Size of Right upper lung nodule.
What should be the next point now this stage what should I do from my view point ???
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