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

Is it possible to detect interstitial lung disease on a 64 slice chest CT angiography?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Vivek Chail

Medically reviewed by

iCliniq medical review team

Published At December 30, 2018
Reviewed AtJune 14, 2023

Patient's Query

Hello doctor,

Can an interstitial lung disease be detected on a 64-slice chest CT angiography or a 128-slice three millimeters of the chest with no contrast? For the past four months, I have had symptoms of chest tightness, fatigue, anxiety, broken sleep, and low back pain.

Thanks.

Answered by Dr. Vivek Chail

Hi,

Welcome to icliniq.com.

I understand your concern.

Interstitial lung disease can be visualized in 64 and 128-slice CT (computed tomography) machines. A particular HRCT (high-resolution computed tomography) chest protocol is to be followed. No contrast is needed.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thanks for the reply.

Please review my CT scan for any lung disease abnormalities. Do you see the need for a follow-up HRCT scan? I have sharp chest pain and backache right now. It feels like a tearing sensation in my muscles in my back and chest. As per the doctor, I do not have cough, wheezing, or crackles in my lungs. I feel exhausted, mostly with pain in my chest, back, and lower abdomen. I also have increased tactile fremitus. Please help.

Thanks.

Answered by Dr. Vivek Chail

Hi,

Welcome back to icliniq.com.

I understand your concern.

There is no need for an HRCT (high-resolution computed tomography) lung. The lungs are looking normal with no obvious focal or diffuse lesion. Have you ever had problems with your right clavicle, like a previous injury?

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thank you for the reply.

No, that has never bothered me. Right now, I am trying to figure out what is causing this sharp pain beneath my sternum. What is causing an increase in the vibration of my voice in my chest? I have also lost about 14 pounds and cannot regain it. What test do you suggest I take next? I have had X-rays, EKG (electrocardiogram), stress EKG, two CT (computed tomography) scans, and spirometer results were within normal limits besides small airways, which were 66 %. That was the only outlier. DLCO was 106 %, and DEV was well above 90 %. At rest, my pain is alright, but upon exertion, it escalates. The back pain is most severe in my lower back. However, the sharp, uncomfortable pain in my chest drives me crazy. I have been sleeping more than usual and can still feel tired during the day.

Thank you.

Answered by Dr. Vivek Chail

Hi,

Welcome back to icliniq.com.

I understand your concern.

Pain near the sternum can be from a condition called costochondritis, inflammation of the junction between the anterior ribs and the cartilage areas. This condition is benign, but the pain can be disturbing for a long time. CT (computed tomography) or X-ray cannot pick up the condition, and diagnosis is made by eliminating other possible causes of pain in front of the ribs. Severe pain in the back might need to be evaluated by doing a screening MRI (magnetic resonance imaging) of the whole spine to see if any nerve is being pinched or if there is any pressure on the spinal cord. This is not evaluated on a CT scan. The more disturbing pain needs to be first investigated in detail.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thank you for replying back to me.

Please review the attached documents and let me know if anything concerns you. Also, these symptoms I have been experiencing have been for the past 17 weeks. One symptom that bothers me is foamy or cloudy urine. If I urinate directly into the water, it foams up. If I urinate next to the bowl, it looks like I have white particles in my urine. I have been tested for infection, and nothing came up. They gave me a device to try and catch the particles, but they seemed to slip right through. My primary care also tested my urine for protein; he said my levels were acceptable. Any idea why I would have foamy urine for 17 weeks? If I urinate sitting down, it does not foam but still has some small white particles. Would pleurisy and other lung or heart-related problems have been diagnosed via a CT scan? My xiphoid process is also sore to the touch. I also wonder if you have any idea why that might be. I was a former smoker, and a night of binge smoking led to all this. I was not a heavy smoker, more social, maybe half a pack a month. That was off and on for 15 years. Could that night of binge smoking cause injury to my health, leading to tightness in the chest, rapid heartbeat, and other underlying symptoms?

Thanks.

Answered by Dr. Vivek Chail

Hi,

Welcome back to icliniq.com.

I understand your concern.

Foamy urine can happen due to many causes. Protein in urine and infection are the common causes. There can be less common causes like dehydration and retrograde ejaculation. You might like to review the possible reason with your doctors. Costochondritis is a benign inflammation of the anterior ribs and cartilage areas. It is a disturbing symptom, and the severe pain may be controlled with medicines. The pain can persist for two to six months and rarely longer. This does not need definitive treatment, and recovery is spontaneous over weeks to months.

I hope this information will help you.

Thank you.

Patient's Query

Hi dotor.

Thanks for the reply.

Did you see anything abnormal with my laboratory results or spirometer? How can I address the increased vibration of my voice and chest? Could anxiety or depression be causing these symptoms? Do you have any steps I should take in testing? Could GERD be a problem, and maybe that is keeping me from gaining weight again?

Thanks.

Answered by Dr. Vivek Chail

Hi,

Welcome back to icliniq.com.

I understand your concern.

The airway resistance is in the normal range. Your hemoglobin is on the lower side of normal but in the normal range. You might like to get anemia testing and a peripheral blood smear done if not done before. The TSH (thyroid stimulating hormone) is also near the lower limit of normal. This is not a concern. I am not sure, but you might be having decreased intake of nutritious foods due to GERD (gastroesophageal disorder) and anxiety, which might cause low normal hemoglobin. The pain in the xiphoid process area can be from costochondritis or anxiety.

I hope this information will help you.

Thanks.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vivek Chail
Dr. Vivek Chail

General Practitioner

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