HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Does This CT Scan Test Result For Chest Pain And Breathlessness Indicate?

large pericardial effusion one year ago. window left in heart ask for fluid to drain. went to ER for chest pain and shortness of breath. everything came back fine but Ddimers where high, so they thought clot in my lung. no clot. do was possible pericarditis. subsequently the ct scan found a 12mm spot on my lung.mstill experiencing same symptoms
Thu, 22 Aug 2019
Report Abuse
General Surgeon,  's  Response
Hi,

Noted your history about chest pain and shortness of breath for which you went to ER and they found out pericardial effusion, advised drainage of fluid, symptoms remain the same in spite of D dimers. CT scan has shown no clot means no embolism, possible pericarditis might have been a sequel of pericardial effusion. 12 mm spot on CT scan must have been reported as possible cause and your Doctors must have thought of some disease that caused such a spot. This can be due to small lung abscess, past embolism causing fibrosis; tuberculosis should have been thought of as well as other granulomatous lesion.

You need the following in such a situation:
Get an opinion of a Pulmonologist.
Review limited scan for the lesion.
Guided FNAC if possible.
Bronchoscopy and lavage to be sent for lab tests to know the possible cause.
Relevant tests of blood.

All these will lead to a proper diagnosis and thus allow for proper management.

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

Regards,
Dr. T. Chandrakant, General Surgeon
I find this answer helpful
Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
What Does This CT Scan Test Result For Chest Pain And Breathlessness Indicate?

Hi, Noted your history about chest pain and shortness of breath for which you went to ER and they found out pericardial effusion, advised drainage of fluid, symptoms remain the same in spite of D dimers. CT scan has shown no clot means no embolism, possible pericarditis might have been a sequel of pericardial effusion. 12 mm spot on CT scan must have been reported as possible cause and your Doctors must have thought of some disease that caused such a spot. This can be due to small lung abscess, past embolism causing fibrosis; tuberculosis should have been thought of as well as other granulomatous lesion. You need the following in such a situation: Get an opinion of a Pulmonologist. Review limited scan for the lesion. Guided FNAC if possible. Bronchoscopy and lavage to be sent for lab tests to know the possible cause. Relevant tests of blood. All these will lead to a proper diagnosis and thus allow for proper management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon