Hi ! Good morning. I am Dr Shareef, a
general surgeon answering your query.
From your history of
smoking and surgery for suspected gall bladder malignancy 4 weeks ago, the first thing one has to exclude is either a primary or a metastatic malignant lesion in your lungs. This might have come to light by the way of investigation for
pneumonia and presumably were not present at the time of pre-operative investigations for your
gall bladder surgery. You have not mentioned about the hitopathological report of the gall bladder specimen of yours.
Whatever it is, if I were your doctor, I would have advised you for a CT/MRI scan of both the abdomen and the chest to reach nearer to the possibilities of these nodules. As your doctor advised you to see a pulmonologist, he may also consider an endoscopic biopsy of the nudules which has not subsided during the 3 weeks treatment for your pneumonia. The management will depend on this report finally.
This information is not to make you more anxious , but just to let you know what to expect in your likely investigations, so that the management can be properly planned. You can also discuss with your doctor on these points.
The rashes over your body are to be seen by a
dermatologist to know the cause and treat them accordingly.
Your
wheezing requires for the present nebulisation with
budecort 1 mg as per requirement, and may be a bronco-dilator drug.
Thanks for choosing health care magic for your query on health. Wishing you an early recovery . Dr Shareef.