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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest CT Showed Lymphadenopathy, Nodules. Started Anti TB Treatment, Nodules Reduced. Another CT Scan Required?

In 2012 May, ophthalmologist diagnosed my sister as uveitis since she had floaters in her right eye then sent her for CT of the chest which showed lymphadenopathy and nodules within the necrosis stage. so chest physician started her ant TB drugs and after 2 months treatment again CT chest was done which showed the size of the nodules reduced, now she has completed 9 months treatment, but till now she does not have any symptoms as such and again they have recommended CT of the scan with contrast. what would be the suggestion?
Thu, 1 Aug 2013
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Pulmonologist,  's  Response
If patient is asymptomatic and responded to ATT, better do not go for repeat CT scan. It may be logical to have CT scan chest with contrast, but in any case treatment for TB has to be stopped at this point of time. Lymph node enlargement due to TB may persist in-spite of good treatment and it does not changes plan of management.
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Chest CT Showed Lymphadenopathy, Nodules. Started Anti TB Treatment, Nodules Reduced. Another CT Scan Required?

If patient is asymptomatic and responded to ATT, better do not go for repeat CT scan. It may be logical to have CT scan chest with contrast, but in any case treatment for TB has to be stopped at this point of time. Lymph node enlargement due to TB may persist in-spite of good treatment and it does not changes plan of management.