Granulomas are a benign condition characterized by a small area of inflammation, which are accidentally detected in an X-ray. It most commonly occurs in the lungs but may also occur in other parts of the body. It is a defensive mechanism that triggers the body to stop the invaders from spreading. It does not usually require treatment.

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Does apical calcified granuloma in chest x-ray indicate a Pancoast tumor?

Query: Hello doctor,I have been having pain in my shoulder blade and under my ribs for the past nine months. Physiotherapy and chiro therapy did not help. And my x-ray showed an apical calcified granuloma in the left lung. Could this be a pancoast tumor?Thanks.  Read Full »

Dr. Zubayeralam

Answer: Hi,Welcome to you for the query. I can understand your concern. According to your statement, you have been suffering from pain in the shoulder blade and under ribs for the last nine months.Your x-ray shows (attachments removed to protect the patient’s identity) subsegmental atele...  Read Full »

I have a smooth patch on my finger. What is the cause?

Query: Hello doctor, I have a smooth patch on my finger, which is pale pink or orange in color. It is not painful, and it is very slightly raised, but you can only feel it raised. If you see it, it appears flat. It had appeared overnight on a previously clear area of skin and has grown a tiny amount sin...  Read Full »

Dr. Rakesh Kumar Bahunuthula

Answer: Hi, Welcome to From your history, there is a possibility that your lesion could be a wart. However, it would serve best if we can have a look at the lesion. Kindly upload appropriate images of the present condition, so that I can suggest you better. Revert with more information to a d...  Read Full »

After undergoing skin firming treatment, I have two large bulges on my lower face. Why?

Query: Hi doctor, I am 34, and I used to get Botox once in every few months. I recently went to a plastic surgeon to have a consult for skin firming treatment. I was told that I am an excellent candidate for Sculptra facial injections. I was told that the facial injections would cause no down time and g...  Read Full »

Dr. Atishay Bukharia

Answer: Hi, Welcome to You might be suffering from granuloma formation following allergic reaction to injected substance. In some cases, they may take years to subside. A physical examination is required to confirm the diagnosis, and a long course of Prednisolone may be needed to hasten the re...  Read Full »

What are some of my yellow and green tattoos itchy, hard, and bumpy?

Query: Hi doctor, I am concerned about my tattoo placed before two months back. I have five tattoos with different colors such as blue, yellow, red, green, and purple. I have itching on my yellow and green tattoos from time to time and it lasts for two weeks. It subsides eventually for five to eight days ...  Read Full »

Dr. Suvina Attavar

Answer: Hi, Welcome to Itchiness and thickening over tattoos indicate a couple of things. As these are occuring over colored pigments, there is a high chance for you to have tattoo granuloma. It means that the colored pigments have caused a foreign body reaction in your skin. If topical s...  Read Full »

What does lower lobe granuloma and elevated AEC in asthma patients indicate?

Query: Hi doctor, I had a cough with mild expectoration for the past six months, for which I had consulted a pulmonologist before the COVID-19 lockdown. Subsequently, I got an x-ray and PFT done, and I was told that I have mild early bronchial asthma. I took Formoterol, and symptoms subsided. But my main ...  Read Full »

Dr. Amit Jauhari

Answer: Hi, Welcome to Your AEC (absolute eosinophil count) is on the higher side, which means allergic levels are high. Your need to cough is due to the fibrosis seen in the left lung lower lobe - a sign of change in normal lung tissue. There is a small granuloma issue. Also, this can be du...  Read Full »

Kindly explain my condition based on the scan report taken for sarcoidosis.

Query: Hello doctor,I am in an awful condition and have been diagnosed with sarcoidosis. I have a range of neurological pain and inflammatory symptoms. I need someone to assess a couple of scans that I have. I have nasal congestion for five years, with lots of mucus in the chest and throat. Last two years,...  Read Full »

Dr. Chitrangada

Answer: Hello, Welcome to By the clinical images you sent (attachment removed to protect patient identity), I can understand the degree of the inflammatory response in your body tissues and concerns associated with it. I am unable to access your radiology images and would request y...  Read Full »

Is it safe to apply salt for umbilical granuloma in a newborn baby?

Query: Hello doctor, My son is 53 days old. He has developed umbilical granuloma. I have applied Mupirocin and Neosporin dusting powder, but no change is noticed. Is application of salt will be useful? If so how should I apply that? Someone told me that sometimes granuloma bleeds after application of salt...  Read Full »

Dr. Manu Bharadwaj

Answer: Hello, Welcome to I have seen the picture (attachment removed to protect patient identity). You are right about the diagnosis being umbilical granuloma. The treatment for it is the application of copper sulfate crystals over the umbilicus for a couple of minutes and then it has to b...  Read Full »

What causes fleshy growth over the appendicectomy stitches?

Query: Hi doctor, Four years ago, I had an appendicitis surgery. There is a flesh like growth where the stitches are placed. What should I do now? How to get it removed?  Read Full »

Dr. Eriol Braholli

Answer: Hi, Welcome to The fleshy lumps you are feeling in the incision area are granulomas due to the body reaction against the material of the stitches. Sometimes, they go away using anti-inflammatory drugs and antibiotics. So, I would suggest Clarithromycin and Ibuprofen twice daily for 10 d...  Read Full »

Why do I feel pressure and discomfort in neck after accidental strangulation?

Query: Hello doctor, Five weeks ago, I fell down while mountain-biking. I went over the handlebars and hit my head and chest. I was wearing a helmet and a chest protector and both of them had cracked as a result of the impact. The helmet strap had strangulated my neck pretty hard. Ever since I have been c...  Read Full »

Dr. Jagdish Chaturvedi

Answer: Hi, Welcome to Sorry to hear about your injury. Since your CT (computed tomography) scan is normal, it is very unlikely that there is any bony or skeletal injury hence reducing the possibility of something permanent. It appears that there is some soft tissue injury in the laryngophar...  Read Full »

Why do I testicular pain if I do not masturbate or have sex?

Query: Hello doctor, My husband is 33 years old with a weight of 95 kg and 5 feet 9 inches height. He has been having pain in his scrotum and testis area for the past 6 to 7 years after every 2 to 3 days whenever he does not masturbate or does not have sexual intercourse. If he masturbates daily or has se...  Read Full »

Dr. Seikhoo Bishnoi

Answer: Hello, Welcome to I can understand your concern. He has persistent testicular pain which develops usually when he does not masturbate or have sex. If the pain is persistent and is severe then that should be evaluated. The causes should be ruled out in order to make the diagnosis. Infe...  Read Full »

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