What Does This CT Scan Report Indicate?

Posted on Sun, 26 Feb 2017

Sun, 26 Feb 2017 Answered on

Wed, 15 Mar 2017 Last reviewed on

Question : I had a CT scan done can you interperate this result. I also had a Abnormal FVC on A PFT it was lower than normal. I have not followed up with my lung doctor but my primary care doctor said this result was nothing to worry about. Can you please give me your opinion i do have shortness of breath during exertion.

Answered by Dr. Drkaushal85 (2 hours later)

Brief Answer:
I need more information.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
I have gone through the CT report you have attached.
This report suggests upper lobe bronchiectesis with upper lobe ILD (interstitial lung disease).
There are many causes for this.
So I need to know few more things first.
So please let me know
1. Do you smoke?
2. Have you ever had tuberculosis or pneumonia in the past?
3. Where do you work?
4. Do you have allergies?
5. Do you have any pet?
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. Yogesh D

Follow up: Dr. Drkaushal85 (20 minutes later)

I used to smoke i have not since 2015. Smoked about 6 cigirattes a day for 10 years
I have no pets
I have never had TB or pneumonia
I am a vehicle mechanic
I have no allergies to my knowlege
I had a chest x ray that was clear 4 years ago. .

Answered by Dr. Drkaushal85 (57 minutes later)

Brief Answer:
Possibility of old healed lesions is more.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
These CT lesions are more suggestive of old healed lesions.
Since you were smoker for 10 years, these old healed lesions can be due to cigarette smoking.
Smoking can cause upper lobe fibrosis and bronchiectesis.
Another possibility is old undiagnosed tuberculosis or pneumonia.
In my opinion, you should get done bronchoscopy and XXXXXXX (bronchoalveolar lavage) to rule out active infection.
You will need inhaled bronchodilators for breathlessness.
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. Yogesh D