My mother is a 68-year-old female, non-smoker. She had a severe cold and cough two months ago. After a course of Azithromycin, her symptoms improved except she just has a dry cough at night. Last week she had a cough with blood. I took her to urgent care, they prescribed antibiotics (Doxycycline) and cough syrup Promethazine. Also, they asked for a chest X-ray to rule out any other serious condition. The X-ray came back with a 2.3 cm lung nodule or scar tissue in left upper lung and recommended a follow-up X-ray after 3 to 4 months or a chest CT scan.
CT scan came back with scar tissue in the upper left lung but has a 4 mm nodule in lower left lung. The nodule is visible clearly on the HRCT CT-scan slide (96-97-98) (1.25 mm lung). But slide 99-100 looks like hazy or patchy region posterior to the nodule (the report does not mention that but it is what I think I saw). Does this mean it is a ground glass opacity nodule or nodule is clear and this hazy region is some kind of infection? CT-scan does not mention ground glass opacity where I am worried about but it does mention patchy ground-glass opacity in lingula region and attribute it to infection or aspiration. Only aspiration I can think of is could be my mother lost two chewing tooth in the back and has trouble chewing food. She has been trying a partial denture but it is a task for her and I am not a doctor to make judgment. It has been stressful for me and everyone in my family. I would like some feedback on this. By the way, cough in blood reduced on the very second day and after the third day, there was no more blood in a cough.
I want a radiologist to look at the report which mentions mild to moderate bronchiectasis and has Fitchner society guideline for nodule below 6 mm. More details about the presenting complaint:
My mother had a severe chest or throat infection two months ago. A course of Azithromycin cleared most of the symptoms except a cough at night time. She had bloody cough (very dark red like cough with clots) that was on the 12th of this month. It subsided after the doctor prescribed Doxycycline. Besides, there is no weight loss. She was taking Repaglinide to control blood sugar. Otherwise, normally she is taking Metformin 250-500-500.
Previous history of the same issue:
None- my mother remembers a severe episode of a cough for a month around 40+ years. No history of tuberculosis. Current medications: Doxycycline 100 mg twice for 14 days. She has been taking since last week. Metformin 250-500-500 total 1250 in a day for blood sugar, Rosuvastatin 10/Clopidogrel 75, (TMT was done last month- No findings).
Lab tests performed: Chest X-ray and CT scan.