What Does The CT Scan Report Indicate?
 
                                    
                                    
                                          
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                                           Fri, 31 Oct 2014
                                           
                                        
                                        
                                        
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                                                Fri, 31 Oct 2014
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                Mon, 24 Nov 2014
                                                
                                                
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                                            Question : Hi, 
My dad recently went for a CT SCAN and here are the results. Can you please interpret the results and provide a diagnosis. He is 70 year old, his blood tests and ECG results are normal.
The CT SCAN report mentions bulky heterogeneously enhancing internally necrotic soft tissue density masses measuring approx. 3.8x3.8cm and 4.7x 3.0cm along the basal aspect of right pleura.
A 19x17mm soft tissue density nodule is seen in the left upper lobe ( lingular segment). 9x8mm nodule is seen in the apical region and 7x6mm nodule is seen anteriorly along the pleura in the left upper lobe,
Moderate right pleural effusion is seen with underlying basal atelectasis. 22x15mm pre carinal lymph node is seen. Few calcified pre carinal lymph nodes are seen.
No evidence of pleural thickening/ effusion seen on left. trachea is central in location.
Cardiac chambers and mediastinal vessels appear normal.
Bony thorax and soft tissue appear unremarkable.
Regards,
XXXX
                            My dad recently went for a CT SCAN and here are the results. Can you please interpret the results and provide a diagnosis. He is 70 year old, his blood tests and ECG results are normal.
The CT SCAN report mentions bulky heterogeneously enhancing internally necrotic soft tissue density masses measuring approx. 3.8x3.8cm and 4.7x 3.0cm along the basal aspect of right pleura.
A 19x17mm soft tissue density nodule is seen in the left upper lobe ( lingular segment). 9x8mm nodule is seen in the apical region and 7x6mm nodule is seen anteriorly along the pleura in the left upper lobe,
Moderate right pleural effusion is seen with underlying basal atelectasis. 22x15mm pre carinal lymph node is seen. Few calcified pre carinal lymph nodes are seen.
No evidence of pleural thickening/ effusion seen on left. trachea is central in location.
Cardiac chambers and mediastinal vessels appear normal.
Bony thorax and soft tissue appear unremarkable.
Regards,
XXXX
                                    Brief Answer:
findings favour lung cancer
Detailed Answer:
CT scan findings favour lung cancer. But diagnosis of cancer can never be confirmed without tissue diagnosis. He needs to get biopsy or FNAC from lung mass. That would confirm what it is.
Other rare possibilities are pulmonary tuberculosis, sarcoidosis. Since non cancer conditions can also present with lung mass,biopsy is mandatory
                                    
                            findings favour lung cancer
Detailed Answer:
CT scan findings favour lung cancer. But diagnosis of cancer can never be confirmed without tissue diagnosis. He needs to get biopsy or FNAC from lung mass. That would confirm what it is.
Other rare possibilities are pulmonary tuberculosis, sarcoidosis. Since non cancer conditions can also present with lung mass,biopsy is mandatory
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Ashwin Bhandari
                                  
                              
                                         
 
                                    
                                    
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