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What Does The Following Cardiac CT Scan Result Suggest?

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Posted on Thu, 21 Jul 2016
Question: Good afternoon. I am a 57 year old man in good health. I was sent for a CT cardiac calcium scoring test (my brother passed away of a heart attack at 54) and my calcium score was 0. All good. The radiologist noted that I had a "3mm pleural tag on the right".
I gave up smoking 25 years ago. My father was a heavy lifetime smoker and died of lung cancer at 55. Should I be concerned about this or schedule follow up? I have no other symptoms (shortness of breath, coughing, blood, etc).
Many thanks. XXXX
doctor
Answered by Dr. Deepak Sundriyal (1 hour later)
Brief Answer:
Hello dear. You require follow up.

Detailed Answer:
Hello Dear. Welcome to HCM. I have gone through the details.

As you are a non smoker, and the lesion picked up is very small, for all reasons practically it is a benign lesion. Lesions less than 8 mm require only follow up and most of them regress over a period of time.

Moreover please scan the report and upload it here in the reports section. I would like to see it once.

You need to be on follow up with a CT scan every 3 month period to see its course. If it is progressing or a new sign develops, then further evaluation in the form of biopsy is warranted.
Till then rest assured.

Feel free to ask further
Thanks and Regards
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Deepak Sundriyal (21 minutes later)
Dear Dr Sundriyal

The relevant section is exactly as I indicated above. There is no mention of a nodule or anything else. Just the incidental finding of a 3mm pleural tag and the reporting of the calcium score itself. Based on your prompt response, I will follow up with my primary care physician.

Is there a way to provide a positive review? Appreciate your rapid response.

XXXX
doctor
Answered by Dr. Deepak Sundriyal (1 hour later)
Brief Answer:
Hello dear. please upload report

Detailed Answer:
Hello once again.

I would still like to see the report if u can upload it please. Alternatively You can e-mail it to YYYY@YYYY and keep the subject as ATTN:Dr XXXXXXX SUNDRIYAL and i'll get them..

Thanks and regards
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Deepak Sundriyal

Oncologist

Practicing since :2005

Answered : 1633 Questions

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What Does The Following Cardiac CT Scan Result Suggest?

Brief Answer: Hello dear. You require follow up. Detailed Answer: Hello Dear. Welcome to HCM. I have gone through the details. As you are a non smoker, and the lesion picked up is very small, for all reasons practically it is a benign lesion. Lesions less than 8 mm require only follow up and most of them regress over a period of time. Moreover please scan the report and upload it here in the reports section. I would like to see it once. You need to be on follow up with a CT scan every 3 month period to see its course. If it is progressing or a new sign develops, then further evaluation in the form of biopsy is warranted. Till then rest assured. Feel free to ask further Thanks and Regards