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Hi. I Recently Had A CT Scan That Showed The

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Posted on Thu, 5 Nov 2020
Question: Hi. I recently had a CT scan that showed the following:

FINDINGS:
Pulmonary arteries: Normal. No pulmonary emboli.
Aorta: Unremarkable. No aortic aneurysm. No aortic dissection.
Lungs: Unremarkable. No consolidation. No masses.
Pleural space: 17 mm in greatest dimension area of nodular pleural thickening
versus pleural based mass in the anterior right lower lobe.
Heart: Unremarkable. No cardiomegaly. No pericardial effusion.
Lymph nodes: Unremarkable. No enlarged lymph nodes.
Bones/joints: Unremarkable. No acute fracture.
Soft tissues: Unremarkable.
IMPRESSION:
1. No evidence of pulmonary embolus or aortic dissection.
2. Small focus of nodular pleural thickening versus pleural based mass,
anterior right lower lobe.

Can you interpret this for me in terms of the findings regarding lungs? i had a follow-up with my primary care and she said it was a 17mm nodule and is sending me to a thoracic dr for followup. if i read the info above it seems lie there is a mass in the pleural space? if so, how big is that and what does that mean in vs. the findings that say
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Follow up: Dr. Indranil Ghosh (0 minute later)
Hi. I recently had a CT scan that showed the following:

FINDINGS:
Pulmonary arteries: Normal. No pulmonary emboli.
Aorta: Unremarkable. No aortic aneurysm. No aortic dissection.
Lungs: Unremarkable. No consolidation. No masses.
Pleural space: 17 mm in greatest dimension area of nodular pleural thickening
versus pleural based mass in the anterior right lower lobe.
Heart: Unremarkable. No cardiomegaly. No pericardial effusion.
Lymph nodes: Unremarkable. No enlarged lymph nodes.
Bones/joints: Unremarkable. No acute fracture.
Soft tissues: Unremarkable.
IMPRESSION:
1. No evidence of pulmonary embolus or aortic dissection.
2. Small focus of nodular pleural thickening versus pleural based mass,
anterior right lower lobe.

Can you interpret this for me in terms of the findings regarding lungs? i had a follow-up with my primary care and she said it was a 17mm nodule and is sending me to a thoracic dr for followup. if i read the info above it seems lie there is a mass in the pleural space? if so, how big is that and what does that mean in vs. the findings that say
doctor
Answered by Dr. Indranil Ghosh (9 hours later)
Brief Answer:
It may be a mass but size small

Detailed Answer:
Hi
Thanks for your query.

There is a 17 mm area of thickening vs mass in the right pleural space. It may be due to infection, infective sequelae or even malignancy. Difficult to say from the report only. The size is not too large but as >1 cm, needs further evaluation.

I would have liked to know why this CT was done (any symptoms?).

Still, I would recommend a CT guided fine needle aspiration or biopsy from the area to confirm the diagnosis.

Hope this helps.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Indranil Ghosh (0 minute later)
Brief Answer:
It may be a mass but size small

Detailed Answer:
Hi
Thanks for your query.

There is a 17 mm area of thickening vs mass in the right pleural space. It may be due to infection, infective sequelae or even malignancy. Difficult to say from the report only. The size is not too large but as >1 cm, needs further evaluation.

I would have liked to know why this CT was done (any symptoms?).

Still, I would recommend a CT guided fine needle aspiration or biopsy from the area to confirm the diagnosis.

Hope this helps.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indranil Ghosh (5 hours later)
Thanks for your reply. I had been having some back pain the last couple weeks like a pulled muscle in the right middle back. At times it felt like a kidney stone which i have had in the past. I also had an unexlaines blood clot in leg before and clot in arm after shoulder surgery. So i wanted to rule those out before i went to my neuromuscalar guy for the pain. Both dr. Think the pain is muscular and say the nodule is too small to be causing that pain. So that was the genesis of them finding the thickening. I have no other symptoms, aside now from the constant worry and anxiety. I have never smoked or drink alcohol and have never had any lung issues in the past.

You mention potential infection. Could i have had an infection and not know it?

What type of things should i be on the lookout for in terms of symptoms?

Thanks
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Follow up: Dr. Indranil Ghosh (0 minute later)
Thanks for your reply. I had been having some back pain the last couple weeks like a pulled muscle in the right middle back. At times it felt like a kidney stone which i have had in the past. I also had an unexlaines blood clot in leg before and clot in arm after shoulder surgery. So i wanted to rule those out before i went to my neuromuscalar guy for the pain. Both dr. Think the pain is muscular and say the nodule is too small to be causing that pain. So that was the genesis of them finding the thickening. I have no other symptoms, aside now from the constant worry and anxiety. I have never smoked or drink alcohol and have never had any lung issues in the past.

You mention potential infection. Could i have had an infection and not know it?

What type of things should i be on the lookout for in terms of symptoms?

Thanks
doctor
Answered by Dr. Indranil Ghosh (3 hours later)
Brief Answer:
Your symptoms don't point to an infection

Detailed Answer:
I agree that it's too small to cause that much pain. Still I would recommend an FNAC or biopsy before labelling it as musculoskeletal.

Is there any fever or weight loss? No other specific symptoms to look for.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Indranil Ghosh (0 minute later)
Brief Answer:
Your symptoms don't point to an infection

Detailed Answer:
I agree that it's too small to cause that much pain. Still I would recommend an FNAC or biopsy before labelling it as musculoskeletal.

Is there any fever or weight loss? No other specific symptoms to look for.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Indranil Ghosh (2 hours later)
No other symptoms and no fever or weight loss. I started physical thrapy yesterday for back and see some improvement already. Not sure if there was a trigger point in there but i will continue with pt for a few weeks.

The appt with thoracic specialist is prob not for a few weeks. I am waiting for them to schedule. So i assume i shld ask them to do another ct to check if size has changed, correct?
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Follow up: Dr. Indranil Ghosh (0 minute later)
No other symptoms and no fever or weight loss. I started physical thrapy yesterday for back and see some improvement already. Not sure if there was a trigger point in there but i will continue with pt for a few weeks.

The appt with thoracic specialist is prob not for a few weeks. I am waiting for them to schedule. So i assume i shld ask them to do another ct to check if size has changed, correct?
doctor
Answered by Dr. Indranil Ghosh (8 hours later)
Brief Answer:
Yes we can do another CT

Detailed Answer:
But at least 4 weeks gap should be given between the CT scans to get any meaningful difference.

Till that time you can continue the PT.

Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Indranil Ghosh (0 minute later)
Brief Answer:
Yes we can do another CT

Detailed Answer:
But at least 4 weeks gap should be given between the CT scans to get any meaningful difference.

Till that time you can continue the PT.

Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Indranil Ghosh (2 days later)
In either case, based on what we”ve talked about so far, if this is something malignant would you say that it early given no symptoms and size of nodule?
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Follow up: Dr. Indranil Ghosh (0 minute later)
In either case, based on what we”ve talked about so far, if this is something malignant would you say that it early given no symptoms and size of nodule?
doctor
Answered by Dr. Indranil Ghosh (3 hours later)
Brief Answer:
Yes it's early

Detailed Answer:
Given the size I would say it's early. Symptoms are variable and may not correlate with size.

Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Indranil Ghosh (0 minute later)
Brief Answer:
Yes it's early

Detailed Answer:
Given the size I would say it's early. Symptoms are variable and may not correlate with size.

Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Indranil Ghosh (2 days later)
Hi. I have recently had nite sweats over the last week. Is this a sign of anything or can it be driven by anxiety.

Alsi got a little more clarity on the scan. There is pleral noduling in lower right lobe 17mm.

I have appt wth thoracic dr in 3weeks.
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Follow up: Dr. Indranil Ghosh (0 minute later)
Hi. I have recently had nite sweats over the last week. Is this a sign of anything or can it be driven by anxiety.

Alsi got a little more clarity on the scan. There is pleral noduling in lower right lobe 17mm.

I have appt wth thoracic dr in 3weeks.
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Follow up: Dr. Indranil Ghosh (12 minutes later)
Also, as clarification, the nite seeats have been mild, bed not soaked and no need to change clothes.

No fever, chills, or weight loss.
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Follow up: Dr. Indranil Ghosh (0 minute later)
Also, as clarification, the nite seeats have been mild, bed not soaked and no need to change clothes.

No fever, chills, or weight loss.
doctor
Answered by Dr. Indranil Ghosh (4 hours later)
Brief Answer:
These are not significant night sweats

Detailed Answer:
Hence they can't be considered as suggestive symptoms.

Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Indranil Ghosh (0 minute later)
Brief Answer:
These are not significant night sweats

Detailed Answer:
Hence they can't be considered as suggestive symptoms.

Regards
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
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Dr. Indranil Ghosh

Oncologist

Practicing since :2004

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Hi. I Recently Had A CT Scan That Showed The

Hi. I recently had a CT scan that showed the following: FINDINGS: Pulmonary arteries: Normal. No pulmonary emboli. Aorta: Unremarkable. No aortic aneurysm. No aortic dissection. Lungs: Unremarkable. No consolidation. No masses. Pleural space: 17 mm in greatest dimension area of nodular pleural thickening versus pleural based mass in the anterior right lower lobe. Heart: Unremarkable. No cardiomegaly. No pericardial effusion. Lymph nodes: Unremarkable. No enlarged lymph nodes. Bones/joints: Unremarkable. No acute fracture. Soft tissues: Unremarkable. IMPRESSION: 1. No evidence of pulmonary embolus or aortic dissection. 2. Small focus of nodular pleural thickening versus pleural based mass, anterior right lower lobe. Can you interpret this for me in terms of the findings regarding lungs? i had a follow-up with my primary care and she said it was a 17mm nodule and is sending me to a thoracic dr for followup. if i read the info above it seems lie there is a mass in the pleural space? if so, how big is that and what does that mean in vs. the findings that say