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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Following HRCT Report Suggest?

findings of HRCT chest are as below Few fibrotic infiltrates are seen in bilateral upper lobes in apical segments. Ground glassings is seen in bilateral upper and lower lobes Trachea, major bronchial divisions and mediastinal great vessels appear unremarkable. No evidence of significant mediastinal/ hilar lymphadenopathy. No evidence of any pleural effusion/ thickening seen. cardiac size is normal with apparently normal configuration. No obvious pericardial collection seen Chest wall structures unremarkable Opinion: Few fibrotic infiltrates are seen in bilateral upper lobes in apical segments s/o sequelae of oldinfection may i request you what these findings suggest ?
Fri, 28 Sep 2018
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Internal Medicine Specialist 's  Response
Hi,

You may have bilateral apical fibrotic infiltration means normal ling tissue replaced by fibrous tissue. Causes are:
1. Pulmonary tuberculosis
2. Pulmonary sarcoidosis
3. Langerhans cell histiocytosis
4. Histoplasmosis
5. Allergic bronchopulmonary aspergillosis
6. Pleural thickening, etc.

Until examination is done it is difficult to say what it is. Please consult your physician/pulmonologist they may correlate clinically with investigation then treat you accordingly.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Penchila Prasad Kandikattu,
Internal Medicine Specialist
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What Does The Following HRCT Report Suggest?

Hi, You may have bilateral apical fibrotic infiltration means normal ling tissue replaced by fibrous tissue. Causes are: 1. Pulmonary tuberculosis 2. Pulmonary sarcoidosis 3. Langerhans cell histiocytosis 4. Histoplasmosis 5. Allergic bronchopulmonary aspergillosis 6. Pleural thickening, etc. Until examination is done it is difficult to say what it is. Please consult your physician/pulmonologist they may correlate clinically with investigation then treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist