This question was answered on Thu 04, Dec 2008 11:40am by Dr.Bhumika Aggarwal

CT Scan of Lungs Interpretation

    
Asked by jcasey83 (Female; 42; USA; Asthmatic, mild epilepsy, high blood pressure.; Relevant drugs:None. ) on Fri 12, Sep 2008 08:41am

It has been almost 5 months and Doctor has not yet interpreted CT scan. Can you? FINDINGS: This examination is slightly limited, as the lung bases were not included on all planes. Within these limitations, there are scattered noncalcified pleural and parenchymal nodular densities within the medial aspect of the right lower lobe. The largest of these measures up to 8mm in size. The lungs are otherwise clear and no pleural effusion is seen. The heart size is within normal limits without pericardial effusion. There is mild prominence of the ascending thoracic aorta measuring up to 3.5 x 3.6 cm in size. This normalizes in caliber at the level of the thoracic aortic arch. There is no evidence of thoracic aortic dissection. No central pulmonary embolus is identified. There is material of heterogeneous increased attenuation within the anterior mediastinum suggestive of probable residual thymus. Enlarged subcarinal and right hilar lymph nodes are noted. The largest subcarinal lymph node measures up to 1.4 cm in short axis. The central airways are grossly patent. Limited evaluation of the upper abdomen is grossly unremarkable. The adrenal glands however were not included on this exam. There are no gross, acute osseous findings. CT scan performed on 5/14/2008. Radiologist report completed on 5/14/2008.

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Answer by Dr.Bhumika Aggarwal  on Thu 04, Dec 2008 11:40am:

Hi, The important sentences in the report are - 'scattered noncalcified pleural and parenchymal nodular densities within the medial aspectof the right lower lobe. Enlargedsubcarinal and right hilar lymph nodes are noted.' The rest of the report just mentions the findings are normal. You should discuss these two sentences with your doctor - we would also be able to help you if you could provide us some background aboud the current complaints or symptoms, past medical and treatment history. Let us know the above details so that we may be able to help you. Regards.
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Comment by Heidi on Wed 22, Sep 2010 01:42pm:
I had breast cancer in 2008. Bi lateral mastectomies with reconstruction. Recently had a sinus CT unrelated to BC and had to have my adenoids removed. One sentence in the report bothered me stating "probable residual thymus". My oncologist said we'll watch it, and then said really it's nothing. How do I know? How do I gain comfort that it isn't somethng? Is the thymus removed during a bilateral mastectomy? Does it look "irregular" than normal thymus if it's a problem? How do I even know it really is thymus? I need to find a little piece of mind on this...Thanks!

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