HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Hi. I Recently Had A CT Scan That Showed The

default
Posted on Tue, 17 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 provide your interpretation of this? I understand there is nodular pleural thickening, but don't understand the comment "versus pleural based mass, anterior right lobe". This was found when I went to the ER with back pain that felt similar to kidney stone so I wanted to get it checked out. They did CT of abdomen and chest. Everything else was normal except the pleural nodule. However, this back pain has not resolved an its been 3+ weeks. THe doctors have suggested that it most likely muscular as the nodule is in the front and too small at this point to cause pain. The back pain is like a dull ache in upper right side on ribs (i assume this is the back of the lung). I have also had intermittent mild night sweats the last couple weeks, not soaking or drenched. There has been no need to change clothes or sheets. There has been no other symptoms, no weight loss, no change in appetite, no shortness of breath, no cough or fever.

I'm concerned because the back/rib pain is not really resolving (not getting worse at this point either) and is just there. Concerned about the night sweats as well, despite being mild. I am extremely anxious about all this, so not sure if that is contributing. I have an appointment with a thoracic dr. in a couple of weeks.

I have never smoked and to my knowledge have not had significant/any exposure to asbestos.

Your thoughts/advice would be appreciate d.

THanks
default
Follow up: Dr. dr. Jawahar Ticku (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 provide your interpretation of this? I understand there is nodular pleural thickening, but don't understand the comment "versus pleural based mass, anterior right lobe". This was found when I went to the ER with back pain that felt similar to kidney stone so I wanted to get it checked out. They did CT of abdomen and chest. Everything else was normal except the pleural nodule. However, this back pain has not resolved an its been 3+ weeks. THe doctors have suggested that it most likely muscular as the nodule is in the front and too small at this point to cause pain. The back pain is like a dull ache in upper right side on ribs (i assume this is the back of the lung). I have also had intermittent mild night sweats the last couple weeks, not soaking or drenched. There has been no need to change clothes or sheets. There has been no other symptoms, no weight loss, no change in appetite, no shortness of breath, no cough or fever.

I'm concerned because the back/rib pain is not really resolving (not getting worse at this point either) and is just there. Concerned about the night sweats as well, despite being mild. I am extremely anxious about all this, so not sure if that is contributing. I have an appointment with a thoracic dr. in a couple of weeks.

I have never smoked and to my knowledge have not had significant/any exposure to asbestos.

Your thoughts/advice would be appreciate d.

THanks
doctor
Answered by Dr. dr. Jawahar Ticku (22 hours later)
Brief Answer:
Pleural neoplasm

Detailed Answer:
DEAR XXXXXXX
I HAVE GONE THROUGH THIS REPORT. THERE IS NO FULL DESCRIPTION OF THE PLEURAL MASS NEAR THE ANTERIOR RT. LOBE . PLERAL NODULE/ MASS BENIGN OR MALIGNANT IS LIKELY TO GIVE REFERED PAIN TO BACK, CHEST OR RIBS. SINCE THIS MASS IS NOT ENCROACHING ANY VITAL STRUCTURE YOU ARE OTHERWISE ASYMPTOMATIC. I FEEL YOU NEED TO GET FURTHER INVESTIGATED TO RULE OUT THE NATURE OF THIS MASS. IF YOUR DOCTOR ADVISES YOU SHOULD GET US / CT GUIDED FINE NEEDLE ASPIRATION DONE.
TRULY
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. dr. Jawahar Ticku (0 minute later)
Brief Answer:
Pleural neoplasm

Detailed Answer:
DEAR XXXXXXX
I HAVE GONE THROUGH THIS REPORT. THERE IS NO FULL DESCRIPTION OF THE PLEURAL MASS NEAR THE ANTERIOR RT. LOBE . PLERAL NODULE/ MASS BENIGN OR MALIGNANT IS LIKELY TO GIVE REFERED PAIN TO BACK, CHEST OR RIBS. SINCE THIS MASS IS NOT ENCROACHING ANY VITAL STRUCTURE YOU ARE OTHERWISE ASYMPTOMATIC. I FEEL YOU NEED TO GET FURTHER INVESTIGATED TO RULE OUT THE NATURE OF THIS MASS. IF YOUR DOCTOR ADVISES YOU SHOULD GET US / CT GUIDED FINE NEEDLE ASPIRATION DONE.
TRULY
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. dr. Jawahar Ticku (1 hour later)
Thanks for your reply. A few followups:

1) in your opinion what are the chances this is malignant given the information i have provided.
2) do u think the mild night sweats are related
3) what should i be on the lookout for that would say this is more malignant than not?

4) if malignant would u say this is early stages?

Thanks
default
Follow up: Dr. dr. Jawahar Ticku (0 minute later)
Thanks for your reply. A few followups:

1) in your opinion what are the chances this is malignant given the information i have provided.
2) do u think the mild night sweats are related
3) what should i be on the lookout for that would say this is more malignant than not?

4) if malignant would u say this is early stages?

Thanks
doctor
Answered by Dr. dr. Jawahar Ticku (36 minutes later)
Brief Answer:
PLEURAL NODULES

Detailed Answer:
Dear XXXXXXX
Thanks for reverting.
It is very much possible that back pain and night sweats are related. As I told you that we must go for fine needle aspiration to know the nature of this lung mass and pleural nodules. If it is really proved malignant we need more investigations to see that it has not gone distantly. The stage will be decided after further investigations if proved malignant. It can be benign or infected lesion also which can be proved by fnac and can be cured by simple medication.
Truly
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. dr. Jawahar Ticku (0 minute later)
Brief Answer:
PLEURAL NODULES

Detailed Answer:
Dear XXXXXXX
Thanks for reverting.
It is very much possible that back pain and night sweats are related. As I told you that we must go for fine needle aspiration to know the nature of this lung mass and pleural nodules. If it is really proved malignant we need more investigations to see that it has not gone distantly. The stage will be decided after further investigations if proved malignant. It can be benign or infected lesion also which can be proved by fnac and can be cured by simple medication.
Truly
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. dr. Jawahar Ticku (2 hours later)
Thanks for reply. So can a nodule/mass cause mild night sweats and back pain even if benign?

Thanks

default
Follow up: Dr. dr. Jawahar Ticku (0 minute later)
Thanks for reply. So can a nodule/mass cause mild night sweats and back pain even if benign?

Thanks

doctor
Answered by Dr. dr. Jawahar Ticku (8 hours later)
Brief answer:
Pleural nodule

Detailed answer:
Dear XXXXXXX
Benign lesions usually do not cause night sweats and fever but if some infectious type of lesion is there itis likely to cause fever night sweats. Some benign hormone producing benign lesions can aklso cause pain due to pressure effect, night sweats etc. So it is is necessary to investigate the nature of the lesion by cytological examination to get the correct treatment.
Truly

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. dr. Jawahar Ticku (0 minute later)
Brief answer:
Pleural nodule

Detailed answer:
Dear XXXXXXX
Benign lesions usually do not cause night sweats and fever but if some infectious type of lesion is there itis likely to cause fever night sweats. Some benign hormone producing benign lesions can aklso cause pain due to pressure effect, night sweats etc. So it is is necessary to investigate the nature of the lesion by cytological examination to get the correct treatment.
Truly

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
default
Follow up: Dr. dr. Jawahar Ticku (8 hours later)
If i am having night sweats does that mean i am also having a fever? And why wouldnt i have a fever during the day? Could these night sweats be related to anxiety based on everything i have going on?

Also with the ct scan of chest they also fid one of the abdomen. All organs were normal, no masses or swollen lymph nodes etc.

Would the ct scans of the abdomen see any issues with the back and whether there was a tumor somewhere in there?

Thanks

default
Follow up: Dr. dr. Jawahar Ticku (0 minute later)
If i am having night sweats does that mean i am also having a fever? And why wouldnt i have a fever during the day? Could these night sweats be related to anxiety based on everything i have going on?

Also with the ct scan of chest they also fid one of the abdomen. All organs were normal, no masses or swollen lymph nodes etc.

Would the ct scans of the abdomen see any issues with the back and whether there was a tumor somewhere in there?

Thanks

doctor
Answered by Dr. dr. Jawahar Ticku (2 hours later)
Brief Answer:
PLERAL NODULES

Detailed Answer:
DEAR XXXXXXX
THESE ALL OTHER TESTS ARE FUTILE UNLESS WE DO NEEDLE ASPIRATION FOR HISTO CYTOLOGICAL EXAMINATION. LOOKING FOR ANY OTHER LESION IN THE BODY WILL BE A LATTER WORK IF THE ASPIRATION CYTOLOGY IS PATHOLOGICAL. AS I TOLD YOU EARLIER NIGHT SWEATS AND FEVER CAN OCCUR IN CONDITIONS WHICH ARE NOT NECESSARILY MALIGNANT. IN MOST OF THE CONDITIONS THERE ARE NIGHT SWAETS WITH FEVER AND EVEN SKIN ITCHING. WHEN THE FEVER IS CONTINUOUS THE PROBLEM CAN BE MORE ADVANCCED. YOU HAVE A LOCALISED PROBLEM AND CAN EASILY BE TAKEN CARE OF. C T ABDOMEN IS A ROUTINE INVESTIGATION TO RULE OUT ANY PROBLEM IN THE ABDOMINAL CAVITY WHICH COULD GIVE RISE TO THE NODULES OR LUNG LESION IN YOUR CHEST.
PLEASE DONT GET VERY ANXIOUS AND GET THE INVESTIGATIONS DONE WHICH YOU ARE ADVISED AND MAINTAIN COOL.
TRULY
TRULY
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. dr. Jawahar Ticku (0 minute later)
Brief Answer:
PLERAL NODULES

Detailed Answer:
DEAR XXXXXXX
THESE ALL OTHER TESTS ARE FUTILE UNLESS WE DO NEEDLE ASPIRATION FOR HISTO CYTOLOGICAL EXAMINATION. LOOKING FOR ANY OTHER LESION IN THE BODY WILL BE A LATTER WORK IF THE ASPIRATION CYTOLOGY IS PATHOLOGICAL. AS I TOLD YOU EARLIER NIGHT SWEATS AND FEVER CAN OCCUR IN CONDITIONS WHICH ARE NOT NECESSARILY MALIGNANT. IN MOST OF THE CONDITIONS THERE ARE NIGHT SWAETS WITH FEVER AND EVEN SKIN ITCHING. WHEN THE FEVER IS CONTINUOUS THE PROBLEM CAN BE MORE ADVANCCED. YOU HAVE A LOCALISED PROBLEM AND CAN EASILY BE TAKEN CARE OF. C T ABDOMEN IS A ROUTINE INVESTIGATION TO RULE OUT ANY PROBLEM IN THE ABDOMINAL CAVITY WHICH COULD GIVE RISE TO THE NODULES OR LUNG LESION IN YOUR CHEST.
PLEASE DONT GET VERY ANXIOUS AND GET THE INVESTIGATIONS DONE WHICH YOU ARE ADVISED AND MAINTAIN COOL.
TRULY
TRULY
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. dr. Jawahar Ticku (1 hour later)
Thanks so much for your responses. Appreciate it.

Paul
default
Follow up: Dr. dr. Jawahar Ticku (0 minute later)
Thanks so much for your responses. Appreciate it.

Paul
doctor
Answered by Dr. dr. Jawahar Ticku (10 hours later)
Brief Answer:
PLEURAL NODULES

Detailed Answer:
THANK YOU MR. XXXXXXX I AM HAPPY TO HAVE ANSWERED YOUR ALL QUIRRIES THOUGH THERE WAS REPETTION OF SOME OF THESE BUT THEY WERE TO YOUR SATISFACTION.
BEST OF LUCK AND GOOD HEALTH.
TRULY
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. dr. Jawahar Ticku (0 minute later)
Brief Answer:
PLEURAL NODULES

Detailed Answer:
THANK YOU MR. XXXXXXX I AM HAPPY TO HAVE ANSWERED YOUR ALL QUIRRIES THOUGH THERE WAS REPETTION OF SOME OF THESE BUT THEY WERE TO YOUR SATISFACTION.
BEST OF LUCK AND GOOD HEALTH.
TRULY
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. dr. Jawahar Ticku

Oncologist

Practicing since :1979

Answered : 489 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
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 provide your interpretation of this? I understand there is nodular pleural thickening, but don't understand the comment "versus pleural based mass, anterior right lobe". This was found when I went to the ER with back pain that felt similar to kidney stone so I wanted to get it checked out. They did CT of abdomen and chest. Everything else was normal except the pleural nodule. However, this back pain has not resolved an its been 3+ weeks. THe doctors have suggested that it most likely muscular as the nodule is in the front and too small at this point to cause pain. The back pain is like a dull ache in upper right side on ribs (i assume this is the back of the lung). I have also had intermittent mild night sweats the last couple weeks, not soaking or drenched. There has been no need to change clothes or sheets. There has been no other symptoms, no weight loss, no change in appetite, no shortness of breath, no cough or fever. I'm concerned because the back/rib pain is not really resolving (not getting worse at this point either) and is just there. Concerned about the night sweats as well, despite being mild. I am extremely anxious about all this, so not sure if that is contributing. I have an appointment with a thoracic dr. in a couple of weeks. I have never smoked and to my knowledge have not had significant/any exposure to asbestos. Your thoughts/advice would be appreciate d. THanks