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What causes granuloma in lung?

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Posted on Tue, 12 May 2015
Question: I have a question about granuloma found in the lung. I know this in itself is not a big deal to have. However, I have had an increase over the past three years in the number and a new thing that just recently has come up is granuloma on the liver and spleen. My liver is now also borderline prominent which is new. I have been seeing a doctor to find out why I have been having pain under my fight rib for over a year, along with intense spasms at times. He has not been able to determine why I have the pain. I have had a Cholecystectomy about two years ago. I was also told I had a fatty liver about a year ago but since have changed diet and lost quite a bit of weight. I'm not sure if the granuloma factor in to any of this but wanted to know if I should see someone about my CT results, or is it not a big deal to have more granuoma that appear?

I also forgot to mention I have back pain directly behind the pain under right rib, along with flank and chest pain.
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Answered by Dr. Kaushal Bhavsar (5 hours later)
Brief Answer:
Yes, you should definitely consult pulmonologist.

Detailed Answer:
Thanks for your question on HCM.
I can understand your situation and problem.
Granulomatous lesions on CT thorax is not normal. And you are having worsening (increasing in number) granulomas with appearance on new organs like liver and spleen.
This is not normal or good sign.
You need to know about the etiology of granumas and start appropriate treatment.
Following are the possible causes for this.
1. Tuberculosis.
2. Sarcoidosis
3. Malignant nodules.
So better to consult pulmonologist and get done detailed evaluation of these granulomas for identification of cause and then start appropriate treatment.
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
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Answered by
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Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14852 Questions

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What causes granuloma in lung?

Brief Answer: Yes, you should definitely consult pulmonologist. Detailed Answer: Thanks for your question on HCM. I can understand your situation and problem. Granulomatous lesions on CT thorax is not normal. And you are having worsening (increasing in number) granulomas with appearance on new organs like liver and spleen. This is not normal or good sign. You need to know about the etiology of granumas and start appropriate treatment. Following are the possible causes for this. 1. Tuberculosis. 2. Sarcoidosis 3. Malignant nodules. So better to consult pulmonologist and get done detailed evaluation of these granulomas for identification of cause and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.