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

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.

Thank you doctor,

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 pains and pretty bad back pain right now. My chest can be tight as well for the most part and it feels like a tearing sensation in my muscles in my back and chest. My SPO stats during the day stay above 96. I do not have a cough nor wheezing or crackles in my lungs as per the doctor. Just feel fatigued for the most part with pain in my chest, back, lower abdomen area. I also seem to have what seems to be increased tactile fremitus. Not sure if it is just my nerves though.

Thank you doctor,

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, and this incredible back pain. I have also lost about 14 pounds and cannot seem to gain it back. What test do you suggest I take next? I have had X-rays, EKG, stress EKG, two CT scans, 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 fine but upon exertion, it escalates. The back pain is most severe in my lower back, however, the sharp uncomfortable pain in the chest is driving me crazy. Plus the vibration in my chest. I have been sleeping more than usual and can still feel tired in the day.

Hi doctor,

Thank you for replying back to me. Will you please look at the attached documents and let me know if anything is of concern to you? Also, these symptoms I have been experiencing have been for the past 17 weeks. One symptom that seems to bother me is foamy/ 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 seem to slip right through. My primary care also tested my urine for protein and he said my levels were fine. Any idea why I would have foamy urine for 17 weeks? If I urinate sitting down it does not foam but still will have some slight white particles in it.

For costochondritis, do you suggest that I treat that injury? Would pleurisy and other lung or heart-related problems have been diagnosed via CT scan? My xiphoid process is sore to the touch as well wondering if you have any idea why that might be. Thank you for your help as I have been anxious and depressed these past 17 weeks with my condition. I am a former smoker and a night of binge smoking lead to all of 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 that has led to the tightness in the chest, rapid heartbeat, and these other underlying symptoms?