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CT Scan Report shows multiple enlarged homogeneously enhancing non-necrotic lymph nodes in the pretracheal. Meaning?

MY CT Scan Report shows multiple enlarged homogeneously enhancing non-necrotic lymph nodes seen in the pretracheal, paratracheal, subcarinal and azygo oesophageal regions with no evidence of calcification . Conclusion suggest Non-necrotic mediastinal adenopathy. Please advise me how serious is this disease. Is it life threatening?
Asked On : Tue, 5 Mar 2013
Answers:  3 Views:  429
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Radiologist 's  Response
Hi Krishna
Multiple enlarge non necrotic lymphnode with homogenous enhancement with contrast without any calcification. First of all you should ask for size of lymphnode, if it is more 10mm we call them enlarged.
This type of nodes can be seen in early tuberculosis.
If nodes are more than 20mm or 30mm it could be due to lymphoma or sarcoidosis.
So you to consult with chest physician for further guidance .
Regards best of your health.
Answered: Tue, 5 Mar 2013
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Internal Medicine Specialist Dr. Prasad Akole's  Response
Dear friend, welcome and thanks for entrusting your query here at HCM!
I am Dr. Prasad Akole (Critical Care Expert- and am glad to address to your query here.

Your CT scan shows enlarged (swollen) draining lymph nodes around the wind and food pipes in the chest. They are not calcified (hardened with calcium) nor decaying.
They may be enlarged due to various causes like infection, TB, some blood cancers, lymphomas etc.
Please give details of symptoms, reports, any consultations here to enable me to give a definite advice.

You could ask a question to me on this website and upload all reports, scans, Xrays etc.
Be guided by your chest physician and get evaluated.

A lymph node biopsy from an accessible site is usually advised.
Seriousness depends on the cause. Most are treatable. Do not neglect.

I hope you are fully satisfied with the guidance I gave.
Hope I have answered all your questions. I would be glad to answer any further queries. Please ask for
any clarifications before closing and rating this answer.

Thank you and Good luck!
Answered: Tue, 5 Mar 2013
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General & Family Physician Dr. Gustav Gous's  Response
Welcome to HCM.
Unfortunately you make no mention of why the CT scan was done in the first place. Any test can only be interpreted in relation to the clinical picture. Any enlargement of glands are abnormal , this is your immune system reacting to an invasion of your body. The lymph glands themselves are not dangerous , depending on what is causing them to enlarge. You need to sit down with your doctor and discuss what the cause is of these enlarged glands. If your doctor does not have an awnser further testswill have to be done to find an awnser. I trust you find this helpful.
Answered: Wed, 6 Mar 2013
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