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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Nodulocalcific Opacity At The Upper Lobe Of Lung Suggest?

There is nodulocalcific opacity at the right upper lobe superimposed on an adjacent rib. The heart is not enlarged. The diaphragm is sharp and distinct. The pulmonary vessels are within normal limits. The superior mediastinum is not remarkable. The trachea is in the midline. The osseous thoracic cage reveals no significant bony abnormality. Conclusion: NODULOCALCIFIC OPACITY, RIGHT UPPER LOBE. CONSIDER BONE ISLAND VERSUS GRANULOMA. Im so worried about my results? Do i have a TB? I am well and okey! I dont have cough or spitiing any blood? Hope i can hear any feedback Thank you
Mon, 3 Nov 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion it is old healed lesion, so no need to worry much. So be relax and calm.
Any lung infection in past whether TB or pneumonia heals by
1. Fibrosis
2. Calcification
3. Bronchiectasis
4. Rarely complete resolution.
So the appearance of nodulocalcified lesion in upper lobe is due to healed old lesion.
It is inactive lesion. It is not infectious, so no need to worry much.
Better to get done CT Thorax for better evaluation of lung lesion.
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What Does Nodulocalcific Opacity At The Upper Lobe Of Lung Suggest?

Thanks for your question on HCM. In my opinion it is old healed lesion, so no need to worry much. So be relax and calm. Any lung infection in past whether TB or pneumonia heals by 1. Fibrosis 2. Calcification 3. Bronchiectasis 4. Rarely complete resolution. So the appearance of nodulocalcified lesion in upper lobe is due to healed old lesion. It is inactive lesion. It is not infectious, so no need to worry much. Better to get done CT Thorax for better evaluation of lung lesion.