Dear patient,
Regards from doctor spring.
I had a look through the reports although I would have preferred the films.
Your husbands present condition, the CT report and what you suspected 2 years back are all different events although they led to discover one another. If you had asked me an opinion 2 years back ( or now, with the report done 2 years back), I would have asked you to relax, ask him to exercise a bit and to take deep breathing exercises. In fact i would have done every thing to comfort you.
Now the recent chest pain has to be pneumonia ( air space disease) but a normal CT thorax rules it out. In fact it rules out any known complication. I will ask you not to bother about the atelectasis (collapse of lung) also. So the plausible cause of the chest pain is musculo- skeletal pain, which has come down on rest. yes, hence he can safely travel.
However I am bothered about the 2 nodules, though small and may be ignored right now. So I will advise you to meet a pulmonologist, and have a 6 months follow up, repeat the CT scan after 6 months and then after a year. If the nodules remain stationary then also, we can ignore it.
Right now I can neither confirm nor refute a malignant cause for the nodules and hence I advise a followup
Hope i have answered your queries.
Regards
Dr. Jacob George P
MD, FCCP
Patient replied :
Thank you, we will make sure he gets follow up CT. Is there a percentage of risk for malignancy? Also, should we see GP for fatty liver or what kind of specialist? Thank you
dear patient,
Regards again from our team.
There is a low risk for malignancy- however it is too early to comment. If it increases its size by 6 months, then we should do further investigations to confirm / refute the same.
I would not be bother about a fatty liver. I would advise a fasting lipid profile to see his cholesterol level, stress on exercise, and to abstain from alcohol. Right now no further consultation is required for the fatty liver.
Regards,
Dr. JACOB GEORGE P
MD, FCCP