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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Be Worried About Mild Bilateral Chronic Lung Changes With Area Of Pleural And Parenchymal Scarring?

Healthy 59yr old female never smoked. routine chest xrays show abnormality so had CT scan w/o contrast. Results say mild bilateral chronic lung changes with area of pleural and parenchymal scarring particulary involving the R middle lobe and lingular segment of the left lung and right infrahilar region. No well-defined discrete soft tissue mass in the areas of right infrahilar region or reticular nodular at electativ changes of parenchymal scarring changes in appearance. Finding require short term progress CT chest to evaluate stability or change. An active process cannot be excluded vs chronic lung change. Should I be worried and what is next
Mon, 27 Feb 2023
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General & Family Physician 's  Response
Hi,

Yes. You should once tested for sputum AFB for TB. Also, should go for repeat CT scan. Full course of broad spectrum antibiotic is needed. Also, anti cox treatment if found positive for TB.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Jayesh Rana, General & Family Physician
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Should I Be Worried About Mild Bilateral Chronic Lung Changes With Area Of Pleural And Parenchymal Scarring?

Hi, Yes. You should once tested for sputum AFB for TB. Also, should go for repeat CT scan. Full course of broad spectrum antibiotic is needed. Also, anti cox treatment if found positive for TB. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Jayesh Rana, General & Family Physician