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

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

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.
Answered by Dr. Nookala Sunil Kumar

Education:

MBBS

Professional Bio:

Dr. Nookala Sunil Kumar is an Allergy Specialist, Pulmonologist, and Sleep Medicine Specialist with extensive expertise in diagnosing, managing, and treating respiratory, allergic, and sleep-related disorders. He helps in the evaluation and treatment of allergies, including food, drug, and environmental allergies. He also does sleep disorder management, including obstructive sleep apnea, insomnia, and restless leg syndrome. He is in advanced respiratory care, including oxygen therapy and non-invasive ventilation. He gives patient counseling on lifestyle modifications, triggers, and long-term disease management.

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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.

Answered by Dr. Nookala Sunil Kumar

Education:

MBBS

Professional Bio:

Dr. Nookala Sunil Kumar is an Allergy Specialist, Pulmonologist, and Sleep Medicine Specialist with extensive expertise in diagnosing, managing, and treating respiratory, allergic, and sleep-related disorders. He helps in the evaluation and treatment of allergies, including food, drug, and environmental allergies. He also does sleep disorder management, including obstructive sleep apnea, insomnia, and restless leg syndrome. He is in advanced respiratory care, including oxygen therapy and non-invasive ventilation. He gives patient counseling on lifestyle modifications, triggers, and long-term disease management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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.

Medically reviewed by iCliniq medical review team
Published At October 21, 2016
Reviewed At July 3, 2023

Education:

MBBS

Professional Bio:

Dr. Nookala Sunil Kumar is an Allergy Specialist, Pulmonologist, and Sleep Medicine Specialist with extensive expertise in diagnosing, managing, and treating respiratory, allergic, and sleep-related disorders. He helps in the evaluation and treatment of allergies, including food, drug, and environmental allergies. He also does sleep disorder management, including obstructive sleep apnea, insomnia, and restless leg syndrome. He is in advanced respiratory care, including oxygen therapy and non-invasive ventilation. He gives patient counseling on lifestyle modifications, triggers, and long-term disease management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Prep / Recovery Guide

Chest CT Scan Concerns Prep and Recovery Guide

How it works

Understanding your chest CT scan results and what they mean can help you prepare for discussions with your doctor. Learn about common findings and next steps.

1

Interpret
Findings

2

Understand
Diagnoses

3

Diagnostic
Tests

4

Prepare
Visit

5

Monitor
Symptoms

6

Long-term
Health

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.
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Dr. Nookala Sunil Kumar

Pulmonology (Asthma Doctors)

Education:

MBBS

Professional Bio:

Dr. Nookala Sunil Kumar is an Allergy Specialist, Pulmonologist, and Sleep Medicine Specialist with extensive expertise in diagnosing, managing, and treating respiratory, allergic, and sleep-related disorders. He helps in the evaluation and treatment of allergies, including food, drug, and environmental allergies. He also does sleep disorder management, including obstructive sleep apnea, insomnia, and restless leg syndrome. He is in advanced respiratory care, including oxygen therapy and non-invasive ventilation. He gives patient counseling on lifestyle modifications, triggers, and long-term disease management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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