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Suggest Treatment For Right Sided Pain In Lower Chest Area

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Posted on Thu, 27 Aug 2015
Question: I was diagnosed with diverticulitis in march left side. but the achy pain is on the right side. could the lung findings be the right side pain, liver function blood work was normal . just had lung CT should I be scared at findings. I do get bronchitis or pneumonia every year since a child and it is difficult to get over. should I be concerned about the lymph node or is it common to go with lung.
doctor
Answered by Dr. Vivek Chail (38 minutes later)
Brief Answer:
Please write in details of lung CT scan and the lymph node

Detailed Answer:
Hi XXXXX,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. A right sided pain in the lower chest or upper abdominal wall, especially along the sides, might be due to a lung or pleura condition. Pleura is the membrane covering the lung and is pain sensitive.

2. Regularly having pneumonia and bronchitis might lead to scarring of the lung or pleura and unless the CT scan lung findings are evaluated in detail, it is difficult to confirm the findings.

3. Lymph nodes are usually not common to go with the lungs. May I request you to write in with complete detail regarding the lymph node you have mentioned in your query. I will discuss in detail following your update.

Waiting for updates from you.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (13 minutes later)
I tried to send a copy of the report. I will try again .
doctor
Answered by Dr. Vivek Chail (34 minutes later)
Brief Answer:
The lymph node is unlikely to be a concern.

Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.

1. I reviewed the report of CT scan lung. It shows small calcified granulomata in the right lung and tiny nodules else where. There is also a mention of a calcified lymph node. These findings are least likely to be responsible for the cause of any pain in the right chest.

2. The lymph node is not a concern and it is confirmed to be a benign residual change following an infection probably many years back. If your doctor considers you to be at high risk of lung disease then they might repeat the CT scan chest after 12 months.

3. In conclusion, the pain on right side of chest is unlikely to be from the calcified lymph node and the node itself is a benign finding.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (49 minutes later)
it was very alarming getting the CT report. so you are saying all of the lung (both lungs) findings are from my annual bouts with bronchitis? I get bronchitis 1 to 2 times a year since I was a child. Thank you so much for your help.
doctor
Answered by Dr. Vivek Chail (8 hours later)
Brief Answer:
The calcified lymph node is probably from a healed infection

Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.

1. The findings are possibly from an earlier infection in the lungs. If you remember any severe attack of respiratory infection then probably that is the cause. However the calcified lymph node shows changes compatible with healed infection and therefore not a serious concern.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6874 Questions

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Suggest Treatment For Right Sided Pain In Lower Chest Area

Brief Answer: Please write in details of lung CT scan and the lymph node Detailed Answer: Hi XXXXX, Thanks for writing in to us. I have read through your query in detail. Please find my observations below. 1. A right sided pain in the lower chest or upper abdominal wall, especially along the sides, might be due to a lung or pleura condition. Pleura is the membrane covering the lung and is pain sensitive. 2. Regularly having pneumonia and bronchitis might lead to scarring of the lung or pleura and unless the CT scan lung findings are evaluated in detail, it is difficult to confirm the findings. 3. Lymph nodes are usually not common to go with the lungs. May I request you to write in with complete detail regarding the lymph node you have mentioned in your query. I will discuss in detail following your update. Waiting for updates from you. Regards, Dr.Vivek