Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does This Chest CT Scan Report Indicate?
Question: Respected Sir,
Details report of my Chest CT Scan.
Report :
64 SLICE - CT CHEST
High resolution plain & contrast lung sequestration (paucity of bronchi) is seen in the posterior basal segment of right lower lobe with vascular supply from descending thoracic aorta and drainage into the pulmonary veins.
-- Linear branching nonenhancing tubular structure is noted within - Probably cyst
Tiny calcified lymphonodes are seen in the left hilum.
Rest of the lung fields appears normal with normal branching pattern of bronchial tree.
The pulmonary arteries appear grossly normal The pulmonary vascular branches show normal branching pattern.
The anatomical configuration of the structures in the mediastinum is within normal limits.
There is no significant mediastinal lymphadenopathy.
There is no evidence of pleural effusion.
Soft tissue of the chest wall and bony thorax shows no obvious abnormality.
IMPRESSION
-- Incidental finding of right lower lobe intra pulmonary lung sequestration
-- Tiny calcified lymphnodes in the left hilum.
----------------------------------- End of report ------------------------
Sir, Please tell me, what is going on within my lungs. Please suggest me for
further investigation or treatment.
Sir, if possible, please suggest me top ten names of the Hospital and Doctor within XXXXXXX
Thanks and regards.
Ram XXXXXXX XXXXXXX
Details report of my Chest CT Scan.
Report :
64 SLICE - CT CHEST
High resolution plain & contrast lung sequestration (paucity of bronchi) is seen in the posterior basal segment of right lower lobe with vascular supply from descending thoracic aorta and drainage into the pulmonary veins.
-- Linear branching nonenhancing tubular structure is noted within - Probably cyst
Tiny calcified lymphonodes are seen in the left hilum.
Rest of the lung fields appears normal with normal branching pattern of bronchial tree.
The pulmonary arteries appear grossly normal The pulmonary vascular branches show normal branching pattern.
The anatomical configuration of the structures in the mediastinum is within normal limits.
There is no significant mediastinal lymphadenopathy.
There is no evidence of pleural effusion.
Soft tissue of the chest wall and bony thorax shows no obvious abnormality.
IMPRESSION
-- Incidental finding of right lower lobe intra pulmonary lung sequestration
-- Tiny calcified lymphnodes in the left hilum.
----------------------------------- End of report ------------------------
Sir, Please tell me, what is going on within my lungs. Please suggest me for
further investigation or treatment.
Sir, if possible, please suggest me top ten names of the Hospital and Doctor within XXXXXXX
Thanks and regards.
Ram XXXXXXX XXXXXXX
Brief Answer:
No need to worry much if you are asymptomatic.
Detailed Answer:
Thanks for your question on HCM.
I can understand your concern.
Pulmonary sequestration is congenital anomaly of lung.
It is the part of lung which is separated from rest of lung. It is actually developmental defect.
If you are asymptomatic then no treatment is required.
Common symptoms are recurrent lower respiratory tract infection, consolidation on same x ray region.
In symptomatic patients surgical removal is advised.
But in asymptomatic patients, no treatment is required.
In XXXXXXX PGI XXXXXXX XXXXXXX XXXXXXX KEM XXXXXXX are having good Pulmonary medicine department.
So please let me know if you are having any symptoms.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.
No need to worry much if you are asymptomatic.
Detailed Answer:
Thanks for your question on HCM.
I can understand your concern.
Pulmonary sequestration is congenital anomaly of lung.
It is the part of lung which is separated from rest of lung. It is actually developmental defect.
If you are asymptomatic then no treatment is required.
Common symptoms are recurrent lower respiratory tract infection, consolidation on same x ray region.
In symptomatic patients surgical removal is advised.
But in asymptomatic patients, no treatment is required.
In XXXXXXX PGI XXXXXXX XXXXXXX XXXXXXX KEM XXXXXXX are having good Pulmonary medicine department.
So please let me know if you are having any symptoms.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Respected Sir,
Thanks for the reply. Please clarify the words ASYMPTOMATIC and SYMPTOMATIC, what does it mean.
What type of symptoms could have in such type of patients, which you have asked ?
Sir,
My Chest CT scan report shows these under noted remarks, which I quoted earlier.
1 - Linear branching nonenhancing tubular structure is noted within - Probably cyst
2 - Tiny calcified lymphnodes in the left hilum
Is there any thing here to worry ?
Please reply.
Thanks and regards.
Ram XXXXXXX XXXXXXX
Thanks for the reply. Please clarify the words ASYMPTOMATIC and SYMPTOMATIC, what does it mean.
What type of symptoms could have in such type of patients, which you have asked ?
Sir,
My Chest CT scan report shows these under noted remarks, which I quoted earlier.
1 - Linear branching nonenhancing tubular structure is noted within - Probably cyst
2 - Tiny calcified lymphnodes in the left hilum
Is there any thing here to worry ?
Please reply.
Thanks and regards.
Ram XXXXXXX XXXXXXX
Brief Answer:
Asymptomatic means without any symptoms (complains).
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Symptoms means complains of patient.
So if patient is having complains like fever, cough, weakness then he/she is considered as symptomatic.
But if patient is not having any complaints then he/she is considered as asymptomatic.
Your CT report clearly mentioned about this finding as accidental finding.
This is the reason why I am asking you about your complaints.
Pulmonary sequestration can cause recurrent respiratory tract infection, pneumonia patch on same location on chest x ray, fever, cough, expectoration etc.
So if you are not having any symptoms then no need to worry for this CT findings.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.
Asymptomatic means without any symptoms (complains).
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Symptoms means complains of patient.
So if patient is having complains like fever, cough, weakness then he/she is considered as symptomatic.
But if patient is not having any complaints then he/she is considered as asymptomatic.
Your CT report clearly mentioned about this finding as accidental finding.
This is the reason why I am asking you about your complaints.
Pulmonary sequestration can cause recurrent respiratory tract infection, pneumonia patch on same location on chest x ray, fever, cough, expectoration etc.
So if you are not having any symptoms then no need to worry for this CT findings.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Respected Sir,
Thanks for the reply.
I have complains of little cough, some weakness, rarely feeling short of breath to be completely open, sinus (front head and near nose, found by a separate CT scan of skull, up to the neck and suggested to operate by an ENT splst.) problem. I am a XXXXXXX syndrome pertinent.
-- Now, what step can be taken by a Doctor, in my case ? Any
test/investigation/surgery or medicine treatment ?
-- In my case, what is surgical removal, as you advised earlier ?
-- In whole, is there any life threatening matter ?
-- Can, walking and breathing exercises help me to resolve some problems ?
-- You suggested for XXXXXXX N XXXXXXX PGI XXXXXXX and KEM XXXXXXX
Is there any competitive Hospital in XXXXXXX Vellore and XXXXXXX ?
Sir, if possible, please reply to the individual queries.
Regards.
Ram XXXXXXX XXXXXXX
Thanks for the reply.
I have complains of little cough, some weakness, rarely feeling short of breath to be completely open, sinus (front head and near nose, found by a separate CT scan of skull, up to the neck and suggested to operate by an ENT splst.) problem. I am a XXXXXXX syndrome pertinent.
-- Now, what step can be taken by a Doctor, in my case ? Any
test/investigation/surgery or medicine treatment ?
-- In my case, what is surgical removal, as you advised earlier ?
-- In whole, is there any life threatening matter ?
-- Can, walking and breathing exercises help me to resolve some problems ?
-- You suggested for XXXXXXX N XXXXXXX PGI XXXXXXX and KEM XXXXXXX
Is there any competitive Hospital in XXXXXXX Vellore and XXXXXXX ?
Sir, if possible, please reply to the individual queries.
Regards.
Ram XXXXXXX XXXXXXX
Brief Answer:
Consult pulmonologist at CMC vellore.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Answer to your 1st question.
Next step in your case is to determine whether you have infection or not at that sequestered segment.
If you are not having any infection then no need to worry much. To rule out infection, you need bronchoscopy and XXXXXXX (bronchoalveolar lavage) analysis.
Answer to your 2nd question.
Bronchoscopic evaluation to rule out infection is needed in your case. Because chances of infection are high in sequestered segment due to hypoventilation.
Answer to your 3rd question.
Surgical removal means total removal of that particular sequestered segment. This segment can easily be removed as it is having separate blood supply and it is also hypoventilating. But this is indicated only on recurrent lower respiratory tract infection.
Answer to your 4th question.
No this is not life threatening condition.
Answer to your 4th question.
Since this is anatomical variation, it can not be removed without surgery. Breathing exercises will help you in prevention of infection, but it will not make it normal.
Answer to your 5th question.
CMC (Christian Medical College) Vellore is having excellent Pulmonary department. You can consult there.
Pulmonary sequestration is congenital condition like XXXXXXX syndrome. So there may be some genetic connection between them.
Please let me know if you are having any symptoms of XXXXXXX syndrome at present.
I will be happy to help you further.
Wish you good health.
Thanks.
Consult pulmonologist at CMC vellore.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Answer to your 1st question.
Next step in your case is to determine whether you have infection or not at that sequestered segment.
If you are not having any infection then no need to worry much. To rule out infection, you need bronchoscopy and XXXXXXX (bronchoalveolar lavage) analysis.
Answer to your 2nd question.
Bronchoscopic evaluation to rule out infection is needed in your case. Because chances of infection are high in sequestered segment due to hypoventilation.
Answer to your 3rd question.
Surgical removal means total removal of that particular sequestered segment. This segment can easily be removed as it is having separate blood supply and it is also hypoventilating. But this is indicated only on recurrent lower respiratory tract infection.
Answer to your 4th question.
No this is not life threatening condition.
Answer to your 4th question.
Since this is anatomical variation, it can not be removed without surgery. Breathing exercises will help you in prevention of infection, but it will not make it normal.
Answer to your 5th question.
CMC (Christian Medical College) Vellore is having excellent Pulmonary department. You can consult there.
Pulmonary sequestration is congenital condition like XXXXXXX syndrome. So there may be some genetic connection between them.
Please let me know if you are having any symptoms of XXXXXXX syndrome at present.
I will be happy to help you further.
Wish you good health.
Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Respected Sir,
Thanks for the reply.
I have these symptoms which may be related with Gilbert's syndrome symptoms :
--- Some times feeling very tired (fatigue)
--- Some times little dizziness for 0.3 second only.(one third of a second time)
(I have to mention here that I am suffering from Cervical Spondylosis/spondylities, but at present I am not taking any medicine nor doing any exercises, because at present I have no such problem due to CS)
-- All the below tests was done in the third week of May'2015 --
01. Glucose - serum / plasma (random) (Glucose Oxidase Trinder-endpoint) (GOD/POD) -- 87
02. Urea - serum / plasma (urease-GLDH-UV) -- 26
03. Creatinine - serum/plasma (Jaffe kinetic) -- 0.9
04. Liver Function Test (Package)
= BILIRUBIN, TOTAL - SERUM (Vandate Oxidation) -- 3.5
= BILIRUBIN CONJUGATED (Direct) - serum (vandate Oxidation) -- 0.8
= BILIRUBIN UNCONJUGATED - SERUM (Calculated) -- 2.7
= PROTEIN TOTAL - SERUM/PLASMA (Biuret) -- 7.4
= ALBUMIN - SERUM (BCG) -- 4.7
= GLOBULIN - SERUM (Calculated) -- 2.7
= AST (SGOT) - SERUM (IFCC) -- 20
= ALT (SGPT) - SERUM/PLASMA (IFCC) -- 26
= GGTP (Gamma Glutamyl Transpeptidase- serum(modified ifcc method) -- 35
= ALKALINE PHOSPHATASE - SERUM / PLASMA
(IFCC Modified AMP buffer) -- 103
-------------
CBC
= Hemoglobin (Optical/Impedance) -- 14.3
= Packed cell volume (calculated) -- 44
= WBC count (Optical/Impedance) -- 7.6
= Platelet Count (Optical/Impedance) -- 242
= ESR (Automated - Westergren method) -- 4
DIFFERENTIAL COUNT ((Optical/Impedance/Microscopy)
= Neutrophils -- 53
= Lymphocytes -- 37
= Eosinophils -- 5
= Monocytes -- 5
-------------------------------------
IMMUNOLOGY
= Total IgE, serum (Eclia /serum) -- 165 -- unit IU/ml -- Ref range 0-100
-------------------------------------
THYROID FUNCTION TEST - TOTAL
= Total T3 (serum) (Eclia/serum) -- 115.4
= Total T4 (serum) (Eclia/serum) -- 7.98
= TSH (serum) (Eclia/serum) -- 1.16
------------------------------------
Throat Swab Bacterial Aerobic Culture
= Gramstain : Few pus cells, few epithelial cells, moderate gram negative cocci and few gram positive cocci in pairs sen.
= Final report : Heavy growth of Moraxella spp.
---------------------------------------
Please reply with a advise that is there can any problem, if I proceed for my treatment after 1 month time.
Regards.
Ram XXXXXXX XXXXXXX
Thanks for the reply.
I have these symptoms which may be related with Gilbert's syndrome symptoms :
--- Some times feeling very tired (fatigue)
--- Some times little dizziness for 0.3 second only.(one third of a second time)
(I have to mention here that I am suffering from Cervical Spondylosis/spondylities, but at present I am not taking any medicine nor doing any exercises, because at present I have no such problem due to CS)
-- All the below tests was done in the third week of May'2015 --
01. Glucose - serum / plasma (random) (Glucose Oxidase Trinder-endpoint) (GOD/POD) -- 87
02. Urea - serum / plasma (urease-GLDH-UV) -- 26
03. Creatinine - serum/plasma (Jaffe kinetic) -- 0.9
04. Liver Function Test (Package)
= BILIRUBIN, TOTAL - SERUM (Vandate Oxidation) -- 3.5
= BILIRUBIN CONJUGATED (Direct) - serum (vandate Oxidation) -- 0.8
= BILIRUBIN UNCONJUGATED - SERUM (Calculated) -- 2.7
= PROTEIN TOTAL - SERUM/PLASMA (Biuret) -- 7.4
= ALBUMIN - SERUM (BCG) -- 4.7
= GLOBULIN - SERUM (Calculated) -- 2.7
= AST (SGOT) - SERUM (IFCC) -- 20
= ALT (SGPT) - SERUM/PLASMA (IFCC) -- 26
= GGTP (Gamma Glutamyl Transpeptidase- serum(modified ifcc method) -- 35
= ALKALINE PHOSPHATASE - SERUM / PLASMA
(IFCC Modified AMP buffer) -- 103
-------------
CBC
= Hemoglobin (Optical/Impedance) -- 14.3
= Packed cell volume (calculated) -- 44
= WBC count (Optical/Impedance) -- 7.6
= Platelet Count (Optical/Impedance) -- 242
= ESR (Automated - Westergren method) -- 4
DIFFERENTIAL COUNT ((Optical/Impedance/Microscopy)
= Neutrophils -- 53
= Lymphocytes -- 37
= Eosinophils -- 5
= Monocytes -- 5
-------------------------------------
IMMUNOLOGY
= Total IgE, serum (Eclia /serum) -- 165 -- unit IU/ml -- Ref range 0-100
-------------------------------------
THYROID FUNCTION TEST - TOTAL
= Total T3 (serum) (Eclia/serum) -- 115.4
= Total T4 (serum) (Eclia/serum) -- 7.98
= TSH (serum) (Eclia/serum) -- 1.16
------------------------------------
Throat Swab Bacterial Aerobic Culture
= Gramstain : Few pus cells, few epithelial cells, moderate gram negative cocci and few gram positive cocci in pairs sen.
= Final report : Heavy growth of Moraxella spp.
---------------------------------------
Please reply with a advise that is there can any problem, if I proceed for my treatment after 1 month time.
Regards.
Ram XXXXXXX XXXXXXX
Brief Answer:
Yes you can consult after 1 month.
Detailed Answer:
Thanks for your question on HCM.
Your all blood reports are normal. No need to worry for these.
Your symptoms are not due to Pulmonary sequestration. So in my opinion, you should not worry for your CT report.
And yes, you can definitely wait for 1 month.
Consult CMC vellore, it is good hospital.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks
Yes you can consult after 1 month.
Detailed Answer:
Thanks for your question on HCM.
Your all blood reports are normal. No need to worry for these.
Your symptoms are not due to Pulmonary sequestration. So in my opinion, you should not worry for your CT report.
And yes, you can definitely wait for 1 month.
Consult CMC vellore, it is good hospital.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Respect Sir,
Thanks for the reply.
Sorry, but once again I have to ask a modified question.
-- My son is awaiting for admission in engineering college and the admission process will end in the month of August'15.
So the question is that, can I proceed for my further investigation/treatment in the month of August'15 (third week).
This is very important for me. Please reply.
Regards.
Ram XXXXXXX XXXXXXX
Thanks for the reply.
Sorry, but once again I have to ask a modified question.
-- My son is awaiting for admission in engineering college and the admission process will end in the month of August'15.
So the question is that, can I proceed for my further investigation/treatment in the month of August'15 (third week).
This is very important for me. Please reply.
Regards.
Ram XXXXXXX XXXXXXX
Brief Answer:
Yes, you can go in August. No need to worry for this.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Yes, you can definitely consult in August 3rd week. And you can definitely wait till that time. No need to worry for this. This will not cause any life threatening complications during this waiting time.
So be relax and calm.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health. Thanks.
Yes, you can go in August. No need to worry for this.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Yes, you can definitely consult in August 3rd week. And you can definitely wait till that time. No need to worry for this. This will not cause any life threatening complications during this waiting time.
So be relax and calm.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Respected Sir,
Thanks for the reply.
I would like to ask one more and last question of this session.
My friends planned for Shri Amarnathji yatra from 4th July to 16th July this year. All reservations and registration with XXXXXXX AMARNATHJI SHRINE BOARD has already been completed in the month of April'15.
Sir, during the yatra, I have to walk 32 KMs in two days and sleeping arrangements in tent, where temperature can comes to 4 to 5 degree.
Will you suggest me to avail this Yatra ? Normally I have no problem, some how breathing can be a little problem, as there is lac of oxygen on the way.
(Actually the question is related with my cold problem, if any other wise I have no problem)
Awaiting for your reply sir.
Regards.
Ram XXXXXXX XXXXXXX
Thanks for the reply.
I would like to ask one more and last question of this session.
My friends planned for Shri Amarnathji yatra from 4th July to 16th July this year. All reservations and registration with XXXXXXX AMARNATHJI SHRINE BOARD has already been completed in the month of April'15.
Sir, during the yatra, I have to walk 32 KMs in two days and sleeping arrangements in tent, where temperature can comes to 4 to 5 degree.
Will you suggest me to avail this Yatra ? Normally I have no problem, some how breathing can be a little problem, as there is lac of oxygen on the way.
(Actually the question is related with my cold problem, if any other wise I have no problem)
Awaiting for your reply sir.
Regards.
Ram XXXXXXX XXXXXXX
Brief Answer:
No need to worry. You can definitely go to this yatra.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Just let me know these things.
1. Do you have shortness of breath on exertion?
2. Do you have fever, sneezing, running nose?
3. Do you have headache and weakness?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
No need to worry. You can definitely go to this yatra.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Just let me know these things.
1. Do you have shortness of breath on exertion?
2. Do you have fever, sneezing, running nose?
3. Do you have headache and weakness?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
