Ct Chest

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Are x-ray chest, CT chest ant PFT results reliaible to rule out lung cancer?

Query: Hello doctor, I had a smoking history of three years. Three months back there were a few blood drops were there in the phlegm while clearing the throat. Out of curiosity I had few like chest x-ray, chest CT scan with contrast (lymph nodes were there but in CT reports it was written like no signific...  Read Full »


Dr. Amolkumar W Diwan

Allergy Specialist, Pulmonologist

Answer: Hello, Welcome to icliniq.com. After going through your case, I do not think there is something to worry about the possibility of lung cancer as it can be just a smoker's bronchitis. As you said, you do not have any symptoms at present and all the tests including x-ray CT (computed tomography) and...  Read Full »

Please interpret the findings of my CT thorax.

Query: Hello doctor, The CT thorax report for chronic cough in comparison made to chest radiograph. 5 mm nodule seen within the left upper lobe. No other discrete pulmonary nodule or mass is identified. 1.3 cm short axis pretracheal lymph node is identified. Calcifications noted within a normal-sized subc...  Read Full »


Dr. Amolkumar W Diwan

Allergy Specialist, Pulmonologist

Answer: Hello, Welcome to icliniq.com. I understand from your description that you have a chronic cough and did a CT Thorax, but I am confused as there are no CT images attached. Still, I will try to help you with this report. It says, 5 mm nodule seen within the left upper lobe and 1.3 cm short axis pr...  Read Full »

Can smoking cause clubbed nails?

Query: Hello doctor, I am a 23 year old male, who weighs 195 lbs and I am 5.10 feet tall. All of my fingers are clubbed. My nails have become wide and thick giving them an abnormal round appearance. The skin above my cuticles is slightly raised and red. My nails do not extend straight out, but they curve d...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. I have seen the photo (attachment removed to protect patient identity) of your nails and fingers, and it is in fact clubbing. The cause is smoking-induced lung damage and bronchiectasis. Regarding the reversibility, we cannot be sure at this moment, as it will depend ...  Read Full »

Does "tree in bud nodules" in CT scan mean cancer?

Query: Hi doctor, My CT scan says defined streaky opacity with associated loss volume and clustered tree in bud nodules have developed in the anterior segment of the upper left lobe. The associated central bronchi are impacted. Without an obvious mass, although a small central lesion is not excluded. The ...  Read Full »


Dr. Sunil Kumar Nookala

Allergy Specialist, Pulmonologist, Sleep Medicine Physician

Answer: Hello, Welcome to icliniq.com. Tree in bud appearance generally favors an infection. Can you upload your CT scan so that it may help? Do not bother about lung cancer. Revert with more information to a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist  Read Full »

Am I suffering from pneumonia?

Query: Hi doctor, I am having fever for about a month now. So, I have done a master health checkup and the report shows raised PLBS 184, SGPT 121, LDL 112 and fatty liver. My chest x-ray PA view shows right lower zone soft tissue opacity. Because of the soft tissue opacity fever pack, thyroid profile, bloo...  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi, Welcome to icliniq.com. Based on these reports, you are suffering from pneumonia. As your PPBS (postprandial blood sugar) is high, you need further evaluation and treatment. I would advise you to get a CT chest done. Also, get a sputum fungal stain and culture done. Check HbA1...  Read Full »

Side Effects Of Phendimetrazine

Query: Hi doctor, I took thermogenic Phendimetrazine for two days. I am now experiencing shortness of breath and excessive yawning. I am also burping all the time. I stopped taking the medicine six days ago and, yet I am still gasping for breath and experiencing these side effects. My doctor did an EKG an...  Read Full »


Dr. Saumya Mittal

Diabetologist, Family Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. The symptoms of the query are quite suggestive of the side effects of the medicine Phendimetrazine, an appetite suppressant. The symptoms should go away. However, it may take up to 15 days. Yes, the side effects can come within 2 days. Also, this side effect is well kn...  Read Full »

What is the hazy region near lung nodule in a CT-scan?

Query: Hello doctor, My mother is a 68-year-old female, non-smoker. She had a severe cold and cough two months ago. After a course of Azithromycin, her symptoms improved except she just has a dry cough at night. Last week she had a cough with blood. I took her to urgent care, they prescribed antibiotics (...  Read Full »


Dr. Vivek Chail

Family Physician, General Practitioner, Radiodiagnosis Physician, Radiologist

Answer: Hi, Welcome to icliniq.com. I have read through the 10 images uploaded, 8 CT images and two report images (attachment removed to protect patient identity). You are right about the haziness posterior to the nodule in images 97-99/ 241. So what we see is a nodule with hazy margins. Concerning this a...  Read Full »

Can an interstitial lung disease be detected on a 64 slice chest CT angiography?

Query: Hello doctor,Can an interstitial lung disease be detected on a 64 slice chest CT angiography or a 128 slice 3 mm of the chest with no contrast? For the past four months, I have symptoms of chest tightness, fatigue, anxiety, broken sleep, and low back pain.  Read Full »


Dr. Vivek Chail

Family Physician, General Practitioner, Radiodiagnosis Physician, Radiologist

Answer: Hi, Welcome to icliniq.com. Interstitial lung disease can be visualized in 64 slices and 128 slice CT machines (attachment removed to protect patient identity). A particular HRCT chest protocol is to be followed. No contrast is needed.  Read Full »

Will CAT scan show lung cancer if pleural effusion is present?

Query: Hello doctor, How likely is a CAT scan to show a lung cancer if a pleural effusion is present? My husband has a pleural effusion and has had four CT scans, none of which show any suspicious mass. Cytology records are inconclusive. I am wondering if the presence of the pleural effusion limits the vi...  Read Full »


Dr. Chitrangada

Radiodiagnosis Physician, Radiologist

Answer: Hi, Welcome to icliniq.com. Detection of tumor on CAT (computed tomography) scan has nearly 85 to 90 percent efficacy which further increases to 95 percent in post-contrast studies. The pleasurable effusion can be due to numerous causes and in your case due to mucous plugging causing lung lobe col...  Read Full »

How to calculate the radiation dose from three scout scans?

Query: Hello doctor, I had a CT scan of the chest and abdomen. What is odd about this scan is that the technician did three scout scans before the final helical scan, which made me uncomfortable because I do not know how much radiation I received in those scans. When I got the CD, I looked at the dose repo...  Read Full »


Dr. Vivek Chail

Family Physician, General Practitioner, Radiodiagnosis Physician, Radiologist

Answer: Hello, Welcome to icliniq.com. I have seen the reports (attachment removed to protect patient identity). From calculations, the total radiation dose received by you during the CT scan is likely 10 mSv. Please note that scout images give low dose and three scout images will not significantly increas...  Read Full »

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Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.