An HRCT, high resolution computed tomography, is a type of imaging test. It uses advanced techniques to enhance the resolution of images to diagnose various diseases. It is most commonly used to assess problems in the lungs. It takes up to 15 to 30 minutes to take HRCT.

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How can bronchiectasis be treated?

Query: Hello doctor, I am 31 years old. I am suffering from high BP and I am currently on medication. I have no thyroid issues, no diabetes, and normal lipids. ECG and echo both are normal. But, the main problem is a little breathing difficulty. The X-ray of the chest is clear normal but the HRCT of the c...  Read Full »

Dr. Chandra Shekhar

Answer: Hello, Welcome to I saw your all reports (attachment removed to protect patient identity) and want to say something. Your probable diagnosis is bronchiectasis. Early bronchiectasis does not mean you are a patient of bronchiectasis. Also, you have atelectasis. So, send me a picture ...  Read Full »

Is there any issue with my echo report?

Query: Hi doctor,I had anterior myocardial infarction five years back, and I was on medications until angiogram and angioplasty were done last year. My last month echo report states, mid anterior septum, anterior wall, and anterolateral wall thinned and hypokinetic. Apical septum, LV apex thinned, and akin...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to These are changes due to AWMI (anterior wall myocardial infarction). You are having dysfunction of the heart, which is of moderate intensity. It is a significant dysfunction, but manageable. Normal functioning of the heart is more than 55 %, and yours is 40 %. Surviv...  Read Full »

I have been taking TB medicines for three months and now have breathing problems and cough. Why?

Query: Hello doctor, I have tuberculosis and have been taking medicines for three and half months.  Now, I have a breathing problem and cough.  Read Full »

Dr. Shitla Prasad Upadhyay

Answer: Hello, Welcome to The breathlessness and cough are due to a broncho constriction that is associated with TB (tuberculosis). You can take the following tests: CBC (complete blood count). HRCT (high-resolution computed tomography) thorax. Sputum for AFB (acid-fast bacillus) repeat. I sugg...  Read Full »

Are subpleural fibrotic densities in HRCT indicative of progressive fibrosis or residual scarring?

Query: Hi doctor, My husband is 39-years-old, and he went for HRCT as a prerequisite for eye surgery to check for COVID. Though it was negative for COVID had a comment like small subpleural fibrotic densities seen are of post-infection etiology. Is this progressive fibrosis or some residual scarring? Does...  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to I can understand your concern. According to the HRCT (high-resolution computed tomography) of your husband's chest, the report has revealed that small subpleural fibrotic densities in the right middle lobe and Antero basal segment of the right lower lobe (attachments re...  Read Full »

What investigations are needed in a suspected COVID-19 patient?

Query: Hi doctor,My mother is having fever and cold, slight cough for the last three days. Fever is coming every 10 hours and reducing with tablet Paracetamol. According to the local doctor's advice, we gave her capsule Doxt SL 100 mg twice daily and tablet Calpol for four days. Also, we gave her multivita...  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to Thank you for the query. I can understand your concern. According to your statement, your mother has been suffering from fever, cough, or cold for the last three days. According to the X-ray report (attachment removed to protect the patient's identity), it seems normal...  Read Full »

Is it possible to detect a cancerous lesion with an HRCT?

Query: Hello doctor, My mother had COVID-19 before a month and 10 days. We did CT 11 days ago to be on the safer side, and the report is attached herewith. It looks like a terrifying report. Her oxygen level is around 95 to 96 %. There is no cough and breathing issue as of now, just on and off fever. Plea...  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to I can understand your concern. According to your statement, your mother is suffering from fever now and then, and she was COVID positive a month and 10 days ago. However, her recent HRCT (high resolution-computed tomography) of the chest report (attachment removed to ...  Read Full »

How can false-negative cases in the RT-PCR test for COVID-19 be ruled out?

Query: Hi doctor, I am experiencing COVID-19 symptoms like mild fever, cough, headache, body ache, and rashes in the throat for the past seven days. I have also sent you the reports of RT-PCR and HRCT of the chest. Can you please guide me?  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to According to the report of RT-PCR (reverse transcription-polymerase chain reaction) for the COVID-19 (attachment removed to protect patient's identity), your results are negative. Though RT-PCR is the gold standard test for COVID-19, it may show false negative in true p...  Read Full »

Can COVID lead to pneumonia?

Query: Hi doctor, My dad is living away from us and he got a COVID-19. I have attached the reports. Please give your opinion regarding the health of his lungs.   Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to I understand your concern. According to the statement, your dad is suffering from a COVID-19 (severe acute respiratory syndrome coronavirus 2) infection. According to the X-ray, (attachment removed to protect patient identity), there is slight development of consoli...  Read Full »

Can pulmonary hypertension cause chest tightness?

Query: Hi doctor, I am a 31-year-old female. I have had pretty uncontrolled asthma for many years, and I am overweight and out of shape. I have been feeling quite a bit of chest tightness for a couple of weeks without the typical wheezing that usually accompanies the chest tightness. The tightness occurs ...  Read Full »

Dr. Mangesh Baliram Danej

Answer: Hi, Welcome to With a BMI (body mass index) of 38, I would also advise weight reduction and increasing cardiopulmonary endurance stamina apart from evaluating for idiopathic pulmonary hypertension. For the later diagnosis first step is to do a 2D echocardiography of the heart then. If...  Read Full »

What precaution should I take to prevent the reattack of COVID-19 infection in the future?

Query: Hello doctor,I was tested COVID-19 positive last month, and my HRCT score was 24. I still have a dry cough. What precautions should I take in the near future?  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to I can understand your concern. According to your statement, you had been suffering from pneumonia and had become COVID-19 positive. Your HRCT (high resolution computed tomography) chest show patchy, predominantly peripheral areas of ground-glass opacities, septal thick...  Read Full »

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