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My mother's HRCT lung shows lesions. Is it post-covid symptoms or malignancy?

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Published At May 27, 2021
Reviewed AtJuly 14, 2023

Patient's Query

Hello doctor,

My mother had COVID-19 before a month and 10 days. We did computed tomography (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. Please advice us. Is it temporary COVID-19 changes or some malignancy?

Hi,

Welcome to icliniq.com. 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 protect the patient's identity) has revealed multiple pulmonary mass lesions with centrilobular nodular opacities in the right upper, middle and lower lobe. Such radiological picture of HRCT chest may result from various respiratory complications such as inflammatory conditions like tuberculosis, bacterial, viral, or fungal infections, sarcoidosis, malignancy or carcinoma, etc. An HRCT of the Chest does not tell whether the lung masses and nodules are cancerous or not. The size of the masses and nodules is an important parameter. Less than 9 mm of mass and nodule are generally considered non-cancerous, but it still could be early cancer in rare cases. For confirming the diagnosis, your mother should undergo CT (computed tomography) guided FNAC (fine needle aspiration cytology) or biopsy from the lung masses and nodules and then start the treatment protocol according to the FNAC or biopsy report. Without confirming the diagnosis by CT-guided FNAC or biopsy, we cannot predict if her radiological changes have been due to cancerous causes. Do the CT-guided FNAC or biopsy test as soon as possible, and that will confirm everything. Take care. In case of any other query, ask me.

Patient's Query

Thank you doctor,

Can you check these images of the computed tomography (CT) and guide me?

Hi,

Welcome back to icliniq.com. I have gone through your mother's high resolution computed tomography (HRCT) of the chest (attachment removed to protect the patient's identity). It shows pulmonary masses with nodular opacities in the lung. computed tomography (CT)-guided fine needle aspiration (FNAC) or biopsy can help confirm such radiological changes that happened in her HRCT of the chest. According to your statement, your mother has been suffering from fever now and then for the last few months. She was COVID positive before two months. Her recent HRCT of the chest has revealed multiple pulmonary mass lesions with centrilobular nodular opacities in the right upper, middle and lower lobe of the lungs, suggestive of malignancy. Such radiological changes on HRCT of the chest may result from various respiratory complications or diseases like inflammatory conditions like tuberculosis, bacterial, viral, or fungal infections, sarcoidosis, malignancy or carcinoma, etc. An HRCT of the chest does not tell whether the lung masses and nodules are cancerous or not. The size of the masses and nodules is an important parameter. Less than 9 mm in size of mass and nodule are generally considered non-cancerous, but it still could be early cancer in rare cases. For confirming the diagnosis, your mother should undergo a CT-guided FNAC or biopsy from the lung masses and nodules and then start the treatment protocol according to the FNAC or biopsy report. Without confirming the diagnosis by CT-guided FNAC or biopsy, nobody can predict if her radiological changes are due to cancerous reasons. So, try to do the CT-guided FNAC or biopsy test quickly to confirm the cause. I have repeated everything because almost every doctor will have the same comment on your mother's HRCT of chest film. So, FNAC or biopsy test will confirm everything. So, please try to do the test rapidly. Take care. In case of any other query, ask me.

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

Dr. Muhammad Zubayer Alam
Dr. Muhammad Zubayer Alam

Pulmonology (Asthma Doctors)

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