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What do my CT scan test results indicate?

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Posted on Wed, 4 May 2016
Question: I wrote to you a few weeks ago about my bronchiectasis. I had a CT scan this week, and the results showed that my lower lungs are okay (some emphesemetous (sp?) changes which have been there). My upper lobes however, have some mucous plugging and inflammation. I am having a bronchoscopy on the 29th and I'm wondering if you can tell me a little bit about the procedure. My doctor said the best case scenario would be to have a slow growing infection that can be treated with antibiotics. A worse scenario would be to have general inflammation that would need to be treated long term (forever?) with steroids. What are your thoughts?

Thanks, XXXXXXX XXX
doctor
Answered by Dr. Kaushal Bhavsar (7 hours later)
Brief Answer:
Can you show me the CT images?

Detailed Answer:
Hi XXXXXXX How are you. I am feeling extremely good by your follow up question.
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
To comment of this, I need to first see the CT images.
Bronchiectesis is almost always associated with inflammation. Infection made it worse.
But inflammation will mostly stay.
I will tell you more after seeing the actual CT images.
Yes, Bronchoscopy is needed to confirm and isolate the causative organism.
In this, bronchoscope is introduced in the lungs through nose, larynx, vocal cords etc.
Then scope is negotiated in the area of interest (bronchiectetic part) for examination and sampling.
Sampling includes XXXXXXX (bronchoalveolar lavage), biopsy (if needed) and brushing (if needed).
Do you have CT images?
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (16 hours later)
I have the dvd of the CT scan, just need to figure out how to send it. I am low tech but will consult with someone who is not and will send. I can tell you, while the lower loves looked okay, the upper lobes have lots of inflammation and some mucous plugs. They will be removed during the bronchoscopy, and maybe that will make me feel better? I just want to know what results to expect. I'll try to send scan soon...
doctor
Answered by Dr. Kaushal Bhavsar (6 hours later)
Brief Answer:
Better to contact Health Care Magic team for this.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
No need to worry, I will wait for your results.
In my opinion, you should consult Health Care Magic team for this. They will definitely guide you more about it.
And yes, Bronchoscopy will remove mucus plugs and it will make you feel better.
Possibility of inflammation worsening by infection is more likely in your case.
Don't worry, reply me scans, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (2 days later)
I can't figure out how to share my CT scan with you. The dvd has a lot of images on it so the file is huge! Are there specific pictures that would be helpful? If I share to a cloud site are you able to access it?
doctor
Answered by Dr. Kaushal Bhavsar (2 hours later)
Brief Answer:
Have you talked with HCM team?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Have you talked with HCM team about this?
And I want to see images where bronchiectesis is seen.
You can mail me the images or link. You will get my mail Id from HCM team.
Please let me know, have you talked with HCM team?
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (12 hours later)
I guess I don't know what it means to talk to the HCM team? How do I do that?
doctor
Answered by Dr. Kaushal Bhavsar (53 minutes later)
Brief Answer:
Mail your query to YYYY@YYYY

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I mean to say that you should contact Health Care Magic team for your query. You can mail to YYYY@YYYY regarding this attachment issue.
Or if you permit, I can talk to them on your behalf for your problem.
I will be happy to help you further. Should I contact them?
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (4 hours later)
I will ask them, thank you!
doctor
Answered by Dr. Kaushal Bhavsar (5 hours later)
Brief Answer:
I will be happy to help you further.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
I will definitely wait for your reply.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14849 Questions

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What do my CT scan test results indicate?

Brief Answer: Can you show me the CT images? Detailed Answer: Hi XXXXXXX How are you. I am feeling extremely good by your follow up question. Thanks for your follow up question on Health Care Magic. I can understand your concern. To comment of this, I need to first see the CT images. Bronchiectesis is almost always associated with inflammation. Infection made it worse. But inflammation will mostly stay. I will tell you more after seeing the actual CT images. Yes, Bronchoscopy is needed to confirm and isolate the causative organism. In this, bronchoscope is introduced in the lungs through nose, larynx, vocal cords etc. Then scope is negotiated in the area of interest (bronchiectetic part) for examination and sampling. Sampling includes XXXXXXX (bronchoalveolar lavage), biopsy (if needed) and brushing (if needed). Do you have CT images? I will be happy to help you further. Wish you good health. Thanks.