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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Continued Low Grade Fever With CT Showing Shade In The Lung Mean?

An 80-year-old male has had low grade fever almost daily between 37.8c-36.5c for over a month. Currently he stays in the hospital with diagnosis as unknown fever. His culture and blood exam come as normal. CT found some shade in the lung, but exclude cancer and infection. Do you have any suggestions? Thank you ver much.
Thu, 13 Nov 2014
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Pulmonologist 's  Response
Thanks for your question on HCM.
In my opinion the shade on CT plate must be ground glass opacities (GGO).
GGOs are very common in old age due to inflammation of lung. It is not infection. It is inflammation of lungs mostly due to inhalational injury.
So ask your radiologist about possibility of GGOs.
As treatment is consist of steroids only.
10-15 days of steroids are sufficient to improve these GGOs. Steroids show dramatic improvement. But we need to first rule out infection.
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What Does Continued Low Grade Fever With CT Showing Shade In The Lung Mean?

Thanks for your question on HCM. In my opinion the shade on CT plate must be ground glass opacities (GGO). GGOs are very common in old age due to inflammation of lung. It is not infection. It is inflammation of lungs mostly due to inhalational injury. So ask your radiologist about possibility of GGOs. As treatment is consist of steroids only. 10-15 days of steroids are sufficient to improve these GGOs. Steroids show dramatic improvement. But we need to first rule out infection.