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What does findings on my chest CT scan indicate?

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Posted on Wed, 18 Mar 2015
Question: What do these findings on a chest CT scan mean?
Findings:

The soft tissue structures of the base of the neck are unremarkable. Mild fat haziness within the anterior mediastinum likely relates to residual thymic tissue. No discrete mass appreciated. No lymphadenopathy in the chest or axilla. The heart and
great vessels are unremarkable. The trachea and mainstem bronchi show no significant abnormality.

The lungs show no evidence of air space consolidation or mass. No evidence of pulmonary emphysema. There is dependent atelectasis present at the lung bases. There is linear fibrotic scarring versus atelectasis present within the left lingula, left
lower lobe, and right middle lobe. No pulmonary nodule/mass appreciated. No significant volume of pleural fluid or pneumothorax. No lung parenchymal findings of chronic obstructive airways disease/emphysema.

The visualized upper abdominal soft tissues are unremarkable.

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Answered by Dr. Kaushal Bhavsar (3 hours later)
Brief Answer:
Atelectesis is partial collapse of part of lung.

Detailed Answer:
Hello dear, thanks for your question on HCM.
I can understand your situation and problem.
Thanks for the detailed report of CT scan.
Linear atelectesis means partial collapse of part of lung.
It is not complete collapse of lung.
The most common cause is retained secretions in bronchi.
These secretion, if not expectorated cause partial obstruction in the bronchi and part of lung , distal to the bronchi, due to poor air flow, becomes atelectetic. So removal of secretion is needed to treat this atelectesis.
The most common cause for retained secretions is infection. Other prevalent cause is smoking.
You are also having linear fibrotic scarring , this suggest old infection like pneumonia or tuberculosis. These infections, once healed can produce fibrotic scarring.
So let me know following things.
1. Are you smoker?
2. Are you symptomatic at present?
3. Have you suffered from pneumonia or tuberculosis in the past?
Following are the treatment options for atelectesis.
1. Quit smoking if you are smoker.
2. Vigorous chest physiotherapy to remove secretions.
3. Antibiotics for infection.
4. Mucolytics, expectorant to remove secretions.
5. Bronchoscopic removal of secretions, if needed.
So better to consult pulmonologist and discuss all these.
Please reply me answers of above asked questions ,so that I can help you better.
I will be happy to help you further.
Wish you good health.
Thanks.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
Dr.
Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14776 Questions

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What does findings on my chest CT scan indicate?

Brief Answer: Atelectesis is partial collapse of part of lung. Detailed Answer: Hello dear, thanks for your question on HCM. I can understand your situation and problem. Thanks for the detailed report of CT scan. Linear atelectesis means partial collapse of part of lung. It is not complete collapse of lung. The most common cause is retained secretions in bronchi. These secretion, if not expectorated cause partial obstruction in the bronchi and part of lung , distal to the bronchi, due to poor air flow, becomes atelectetic. So removal of secretion is needed to treat this atelectesis. The most common cause for retained secretions is infection. Other prevalent cause is smoking. You are also having linear fibrotic scarring , this suggest old infection like pneumonia or tuberculosis. These infections, once healed can produce fibrotic scarring. So let me know following things. 1. Are you smoker? 2. Are you symptomatic at present? 3. Have you suffered from pneumonia or tuberculosis in the past? Following are the treatment options for atelectesis. 1. Quit smoking if you are smoker. 2. Vigorous chest physiotherapy to remove secretions. 3. Antibiotics for infection. 4. Mucolytics, expectorant to remove secretions. 5. Bronchoscopic removal of secretions, if needed. So better to consult pulmonologist and discuss all these. Please reply me answers of above asked questions ,so that I can help you better. I will be happy to help you further. Wish you good health. Thanks.