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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This CT Scan Report Signify?

Hi My mothers age is 61. Last month suddenly she had fever with chronic cough. So she went to doctor and in blood report ESR was 140 and hemoglobin was 9. So Doctor gave Antibiotics. Chest X-ray was not clear. In septum test TB is negative.

After one month again blood test is done and ESR reduced to 102 and hemoglobin is 10. Since x-ray was not clear now CT scan is done. So report says

"Mild interstitial thickening with bronchiectatic noted. Patchy areas of nodular opacities and consolidation noted. Lymph node largest size is 11x7 mm.

So now Doctor has given Multivitamins and medicine for easy breathing.

So kindly help is there any serious issue in this?
Wed, 7 Jun 2017
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Radiologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

The sign of anemia is little bit worrying. You have to check from what it came from. Usually stool for microscopic blood is checked and if it is positive then your mother has to do a fibrogastroscopy and/or colonoscopy.

As for the CT scan, I don't understand if this image "patchy areas of nodular opacities and consolidation noted" is unilateral or in both lungs, is in the middle or upper or lower lobe? Because, if it is unilateral most probably is something local (infection or something else), but if it is bilateral than you have to check for some other non-lung disease (rheumatologic, oncologic, etc).

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Klodian
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General & Family Physician Dr. Anusuya Ramesh's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

ESR is high. Necessary antibiotic is needed. IV goes best and some iron syrup can be given to raise hemoglobin. No big issues.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Anusuya Ramesh
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What Does This CT Scan Report Signify?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The sign of anemia is little bit worrying. You have to check from what it came from. Usually stool for microscopic blood is checked and if it is positive then your mother has to do a fibrogastroscopy and/or colonoscopy. As for the CT scan, I don t understand if this image patchy areas of nodular opacities and consolidation noted is unilateral or in both lungs, is in the middle or upper or lower lobe? Because, if it is unilateral most probably is something local (infection or something else), but if it is bilateral than you have to check for some other non-lung disease (rheumatologic, oncologic, etc). Hope I have answered your query. Let me know if I can assist you further. Regards, Klodian