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Dr. Andrew Rynne

Family Physician

Exp 50 years

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I am suffering from right pleural effusion

Hi, I am suffering right pleural effusion , CT scan was taken the following result finding are given: 1. there is moderate right pleural effusion shown 2. There is collapse of right lower lobe . oblique fissural thickening and fibrosis seen in the left lower lobe. 3. There are a few enlarged mediastinal nodes seen in the following groups (a) Pretracheal and (b) right paratracheal regions. the nodes measures about 0.9 to 1.0cm. few enlarged nodes are seen in the right subphrenic space. 4. Mesenteric fat stranding is seen in the abdomen. 5. Focal haemangioma is seen in the D4 vertebra. 6. Rest of the lungs, distribution of brochial and vascular structure, cardiac size and suprarenal glands are normal. Kindly give your opinion regarding the above finding and medically suggest me regarding the same, thanks
Thu, 12 May 2011
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General & Family Physician 's  Response
Thank you for choosing health care magic! I appreciate your patience. Plueral effusion could be because of many medical conditions. It could be either an Infection or heart failure or malignancy. Only microscopic , microbiological and biochemical examinations of the pleural fluid can determine the cause. Enlargement of lymphnodes could be caused by either infection or malignancy. Some times physicians opt for lymph node biopsy for definitive diagnosis. Discuss with your physician regarding the biopsy of lymph node and pleural fluid. He is the right person to talk about your condition in detail. Wish you a speedy recovery.
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