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HomeAnswersPulmonology (Asthma Doctors)tuberculosisKindly explain my chest CT scan.

I am worried about my chest CT scan. Kindly explain.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At October 21, 2016
Reviewed AtJuly 3, 2023

Patient's Query

Hi doctor,

I had viral fever about three weeks back accompanied by cough, breathlessness and exertion. I have consulted a pulmonologist and he advised blood tests. Now, I have breathlessness after a long walk and slopes, tingling sensation in the heart and there is a feeling of phlegm in the throat. I had tuberculosis about 32 years back.

Hello,

Welcome to icliniq.com. From your computed tomography (CT) findings (attachment removed to protect patient identity), it appears to be a post-tuberculosis sequelae. As you have exertions, breathlessness and feeling of expectoration, I suggest you to undergo a spirometry to rule out post-tuberculosis COPD (chronic obstructive pulmonary disease).

Patient's Query

Thank you doctor,

We are worried about subcentimeter lower paratracheal lymph node measuring 6 x 5.8 mm as given in CT scan. It also shows a few calcific nodules. Please advise.

Hi,

Welcome back to icliniq.com. Regarding the nodule, which is alymph node enlargement, may be because of infectionyou had at that time. Secondly, your history suggests the following differential diagnosis: 1. Post-tuberculosis COPD. 2. Post-tuberculosis bronchiectasis. 3. Relapse of tuberculosis. So, we need to think about each diagnosis.

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

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Dr. Nookala Sunil Kumar

Pulmonology (Asthma Doctors)

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