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Calculus noted on the GB lumen. CT scan shows heterogeneous lesion in the lungs, pleural effusion. What does it mean?

A calculus is noted in teh GB lumen. CT Findinds reveal a large heterogeneous lesion with evidence of liquefaction & cavitation in the medial part of left lower lung lobe parenchyma with associated mild to moderae left pleural effusion - Impaging features suggest possibility of ?mitotic etiology with less likely diferential of infective etiology.
Asked On : Mon, 4 Mar 2013
Answers:  1 Views:  1270
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Internal Medicine Specialist 's  Response
Welcome to HCM,
You have given limited information but the report suggest strong possibility of lung malignancy may be with super added infection and associated pleural effusion also contributory.
Please get in touch with Chest physician and get proper investigation done like aspiration of pleural fluid and test it for cytology which will confirm the diagnosis.
You can also get a trans thoracic or bronchoscopic biopsy to confirm the histologic diagnosis.
Once diagnosis is confirmed then staging would be required to plan the therapy, which could be curative or palliative surgery, radiotherapy or Chemotherapy.
A calculus in Gall bladder is incidental finding and does not require any treatment if there is no pain.
If symptomatic pain and infection is there it can be treated with antibiotics and definitive treatment is surgery.
Take care.
Good Luck.

Answered: Mon, 4 Mar 2013
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