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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is The Well Defined Ovoid Opacity In The Left Lower Lung Be A Matter Of Concern?

I am 52 years old, male, active in sports. I got sick couple days back, fever, I went to my doctor for a check-up. Had an x-ray done as well. Results show that I have a well-defined ovoid opacity in the left lower lung overlying the 6th anterior and 9th posterior ribs. Is this ok? Is this life threatening? Thank You..
Thu, 30 Oct 2014
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Pulmonologist 's  Response
Thanks for your question on HCM.
There are many causes for ovoid opacity in left lower lung. Like
1. Benign cystic lesion (bronchogenic cyst)
2. Malignant mass
3. Rounded pneumonia etc.
So we need to rule out all these.
CT thorax with contrast is needed in your case. As CT will give you better idea about the lesion like exact size of the lesion, its shape, borders, necrotic or not, associated with lung lesion or not, mediastinal lymphnodes enlarged or not etc.
And all the above points are important in deciding etiology. And you may need biopsy also for proper diagnosis.
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Is The Well Defined Ovoid Opacity In The Left Lower Lung Be A Matter Of Concern?

Thanks for your question on HCM. There are many causes for ovoid opacity in left lower lung. Like 1. Benign cystic lesion (bronchogenic cyst) 2. Malignant mass 3. Rounded pneumonia etc. So we need to rule out all these. CT thorax with contrast is needed in your case. As CT will give you better idea about the lesion like exact size of the lesion, its shape, borders, necrotic or not, associated with lung lesion or not, mediastinal lymphnodes enlarged or not etc. And all the above points are important in deciding etiology. And you may need biopsy also for proper diagnosis.