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What Does My CT Scan Of Chest Indicate?

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Posted on Mon, 19 Jan 2015
Question: CT - CHEST


Helical plain CT study of the chest with HRCT study of the lungs:


Fibrotic areas in left upper lobe apicoposterior segment, right lower lobe apical segment


Fibro calcific bronchiectatic areas with small cavities formation seen in right upper lobe apical segment with adjacent pleural thickening


Rest of the lung fields appear clear bilaterally with no focal lesions identified within.


Mediastinal position appears normal.


The trachea and its bifurcation, thoracic aorta and the main pulmonary artery with its proximal branches appear normal.


No definite mass lesions identified in the mediastinal or hilar regions.


No significant lymph node enlargement identified.


No significant pleural thickening or fluid collection seen.


No bony destruction seen.


Superficial soft tissues of the chest wall appear normal.


Upper part of the liver, spleen and adrenals included in the study region show no obvious abnormality.


IMPRESSION:


CT study of the chest shows :


1.     Fibrotic areas in left upper lobe apicoposterior segment, right lower lobe apical segment

2.     Fibro calcific bronchiectatic areas with small cavities formation in right upper lobe apical segment with adjacent pleural thickening . ---- old / chronic tuberculosis .

3.     No active airspace opacities / necrotic lymhadenopathy seen
doctor
Answered by Dr. Indu Kumar (22 minutes later)
Brief Answer:
Your findings suggests sequel of past tubercular infection.

Detailed Answer:
Hello XXXX

Your findings suggests sequel of past tubercular infection.
Infection naturally heals by calcification and fibrosis.
There are fibrotic areas in left upper and right lower lobe.
There are also bronchiectatic areas with small cavities formation in right upper lobe apical segment,it is due to destruction of small areas of lung.Destruction of lung parenchyma depend upon severity of infection.These are irreversible changes and patient only need symptomatic treatment.
There are also adjacent pleura thickening.It is also sequel of infection.

Rest of the findings are normal.There are no lymph node enlargement. Mediastinum and soft tissue also normal.
Visualized liver,spleen and adrenal glands are normal.

There are no active infection in lungs at present.

Get well soon.
Hope I have answered your query
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indu Kumar (4 minutes later)
Hi Doctor, Do you think that i have TB Now or are there any chances that it might come again?
doctor
Answered by Dr. Indu Kumar (1 hour later)
Brief Answer:
TB Gold test can be done for confirmation.

Detailed Answer:
Hello XXXX

It is important to know your symptoms.You need proper clinical evaluation.
HRCT doesn't indicate active infection,but it need clinical correlation and further investigations.
TB Gold test can be done for confirmation.

Get well soon.
Hope I have answered your query
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6729 Questions

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What Does My CT Scan Of Chest Indicate?

Brief Answer: Your findings suggests sequel of past tubercular infection. Detailed Answer: Hello XXXX Your findings suggests sequel of past tubercular infection. Infection naturally heals by calcification and fibrosis. There are fibrotic areas in left upper and right lower lobe. There are also bronchiectatic areas with small cavities formation in right upper lobe apical segment,it is due to destruction of small areas of lung.Destruction of lung parenchyma depend upon severity of infection.These are irreversible changes and patient only need symptomatic treatment. There are also adjacent pleura thickening.It is also sequel of infection. Rest of the findings are normal.There are no lymph node enlargement. Mediastinum and soft tissue also normal. Visualized liver,spleen and adrenal glands are normal. There are no active infection in lungs at present. Get well soon. Hope I have answered your query Further queries are most welcome. Take Care Dr.Indu XXXXXXX