Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
You seems to suffer from -
Chronic Sinusitis with left lung nodule, with
high BP.
Seems mostly to be a case of -
Aspergillosis with ABPA with sinusitis with high BP.
Bronhcoscopic Lavage with aspiration and biopsy-would fix it from other causes-like-TB /Cancer etc.
Remedy-Check up with ENT and
second opinion from Chest and allergy specialist would rule out cause of accompanied high BP with it.
CT Chest with CT -PNS(
paranasal sinuses)would resolve the complex health issues in your case.
Depending on causal confirmation of the lung nodule, attending Physician/chest specialist and
Ent Specialist team would plan further treatment accordingly.
General antibiotics/with enough hydration/ anti-allergic medicines/ and bronchodilators treatment response would further treatment plan in your case.
Commonest cause in your case would be Bronhopnuemonia with aspirations from Sinusitis.Other common cause -TB bronchopneumonia- needs to be ruled out and treated with anti-tb medicines accordingly.
Steroid with Itraconazole(Spronox)-would resolve the nodule -is from aspergillosis. Simultaneous treatment to control high bp with antihypertensive medicnes would be needed in your case.
Hope this would help you to plan further care of this complex illness of yours.
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Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS