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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Be The Spot On The Lung That Is Seen Through X-ray That Was Diagnosed As Walking Pneumonia And Has Not Reduced Even After Taking Medications?

My father 65 went to see his MD the day after a thanksgiving b/c of a tickle in his throat/cough he has had since being in FL in Oct. He diagnosed him with walking pneoumia after a spot was seen on his X-ray and was asked to come back in 2 weeks and take a Z pack prescription. 2 weeks later the cough and spot on his lung was still there via X-ray so he prescribed a fungal medicine and went back after another 2 weeks to find it is still there however he did not take the medicine correctly nor did he take it all due to side effects. He did smoke 30+ years ago , feels totally fine, has an appetite etc.. What could this be?
posted on Mon, 30 Dec 2013
Twitter Tue, 31 Dec 2013 Answered on
Twitter Tue, 31 Dec 2013 Last reviewed on
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Radiologist,  's  Response
Hi,

Bacterial pneumonia is the first suspicion for a spot in the lungs associated with acute symptoms. The size and doubling time of such a spot is most important. If the antibiotics dont work then patients are given anti fungals. If the spot doubles after 3 months then a malignancy may be suspected. If a patient doesnt respond to anti biotics and anti fungals then doing a CT scan is necessary to confirm diagnosis.
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What Could Be The Spot On The Lung That Is Seen Through X-ray That Was Diagnosed As Walking Pneumonia And Has Not Reduced Even After Taking Medications?

Hi, Bacterial pneumonia is the first suspicion for a spot in the lungs associated with acute symptoms. The size and doubling time of such a spot is most important. If the antibiotics dont work then patients are given anti fungals. If the spot doubles after 3 months then a malignancy may be suspected. If a patient doesnt respond to anti biotics and anti fungals then doing a CT scan is necessary to confirm diagnosis.