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What Does This CT Scan Report Indicate?
Question: Hi I recently had a CT scan because 18 months ago I had an infection in the same area of my lung Upper right Lobe I have had rheumatoid sthritis for 35 years since I was 2 , now 37 it has always been managed well and has never been serve case. My CT scan says mild Bronchial wall thickening and tree in bud opacites, after the Ct scan I was diagnosed with whooping cough. Can whooping cough cause this to happen in the lung or do I have something more sinister going on? Also can you get infection in the same part of the lung twice without it being from lung damage?
Brief Answer:
You should definitely consult pulmonologist and rule out tuberculosis.
Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
Yes, recurrent lung infection at the same site is not uncommon.
So recurrent lung water the same part of lung is seen.
Your CT report is suggestive of bronchial wall thickening and tree in bud appearance.
You are also having upper lobe involvement.
So all these are suggestive of tuberculosis more.
Rheumatoid arthritis is also causing lung infection like tuberculosis.
So we should first rule out tuberculosis in your case.
And so better to consult pulmonologist and discuss all these. You should get done sputum examination, bronchoscopy and XXXXXXX (bronchoalveolar lavage) analysis to rule out tuberculosis.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health. Thanks.
You should definitely consult pulmonologist and rule out tuberculosis.
Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
Yes, recurrent lung infection at the same site is not uncommon.
So recurrent lung water the same part of lung is seen.
Your CT report is suggestive of bronchial wall thickening and tree in bud appearance.
You are also having upper lobe involvement.
So all these are suggestive of tuberculosis more.
Rheumatoid arthritis is also causing lung infection like tuberculosis.
So we should first rule out tuberculosis in your case.
And so better to consult pulmonologist and discuss all these. You should get done sputum examination, bronchoscopy and XXXXXXX (bronchoalveolar lavage) analysis to rule out tuberculosis.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
What is lung water ?
Brief Answer:
Sorry, it was typing error.
Detailed Answer:
Thanks for your follow up question on HCM.
I am extremely sorry. It was typing error.
I meant lung infection, not lung water.
I was trying to say that recurrent lung infection can occur at same site in lung.
So, sorry for my mistake.
I will be happy to help you further.
Wish you good health. Thanks.
Sorry, it was typing error.
Detailed Answer:
Thanks for your follow up question on HCM.
I am extremely sorry. It was typing error.
I meant lung infection, not lung water.
I was trying to say that recurrent lung infection can occur at same site in lung.
So, sorry for my mistake.
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Can whooping cough cause tree in bud and mikd bronchial thickening ?
Brief Answer:
Possibility of whooping cough is less.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Whooping cough is caused by pertusis bacteria.
And usually we all are vaccinated for pertusis in childhood.
So at the age of 37 possibility of pertusis is extremely low.
Tree in bud appearance with bronchial wall thickening and that to in upper lobe and with history of rheumatoid arthritis are favouring more towards tuberculosis.
Another favouring thing is recurrent infection. Tuberculosis has tendency to relapse after 2-3 months at same site.
So please let me know
1. What are your exact symptoms at present?
2. Do you have fever, cough, chest pain, breathlessness?
3. Do you have weight loss, decreased appetite?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
Possibility of whooping cough is less.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Whooping cough is caused by pertusis bacteria.
And usually we all are vaccinated for pertusis in childhood.
So at the age of 37 possibility of pertusis is extremely low.
Tree in bud appearance with bronchial wall thickening and that to in upper lobe and with history of rheumatoid arthritis are favouring more towards tuberculosis.
Another favouring thing is recurrent infection. Tuberculosis has tendency to relapse after 2-3 months at same site.
So please let me know
1. What are your exact symptoms at present?
2. Do you have fever, cough, chest pain, breathlessness?
3. Do you have weight loss, decreased appetite?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi i had a blood test for whooping cough and it came back positive . Sore throat 10 weeks ago followed by a cough felt like it was in throat and after 8 weeks of non stop coughing and trying to clear my throat felt like i have been suffocating . Still get a fever every now and then about 37.5 no weight loss or decreased appetite
Brief Answer:
Which was that blood test?
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Which was that blood test? It was mostly antibody test for pertusis. It is positive in vaccinated individuals.
And your symptoms are not improving even after treatment of pertusis.
So pertusis is unlikely in your case.
Please let me know
1. Which was that blood test?
2. Have you taken vaccine for tuberculosis in childhood?
3. Which treatment you took for pertusis?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
Which was that blood test?
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Which was that blood test? It was mostly antibody test for pertusis. It is positive in vaccinated individuals.
And your symptoms are not improving even after treatment of pertusis.
So pertusis is unlikely in your case.
Please let me know
1. Which was that blood test?
2. Have you taken vaccine for tuberculosis in childhood?
3. Which treatment you took for pertusis?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Ok thanks for the information you prompted me to get into see lung specialist quicker . He thinks it may be TB also have to have a scope . Have 2 wait 2 weeks thou or could be fungal not sure . Tb sounds like it is slow growing
Brief Answer:
Possibility of tb is more.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Possibility of fungal infection is less likely.
Fungal infection is more common in immunocompromised patients.
Immunocompromised patients include patients on long term steroid therapy, cancer patients taking chemotherapy, HIV positive patients etc.
So fungal infection is less likely.
Possibility of tb is more.
Both, tb and fungal infection are chronic infections.
So both are slow growing.
So better to consult pulmonologist and rule out tuberculosis.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on XXXX
Wish you good health. Thanks.
Possibility of tb is more.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Possibility of fungal infection is less likely.
Fungal infection is more common in immunocompromised patients.
Immunocompromised patients include patients on long term steroid therapy, cancer patients taking chemotherapy, HIV positive patients etc.
So fungal infection is less likely.
Possibility of tb is more.
Both, tb and fungal infection are chronic infections.
So both are slow growing.
So better to consult pulmonologist and rule out tuberculosis.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on XXXX
Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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