Small trial suggests the scans might help, but experts aren't so sure
by xrylump on Thu Jun 10, 2010 03:05 AM
I am a 42-year old male, non-smoker, with no history of respiratoryproblems. I was recently diagnosed with bronchitis/COPD/asthma whichhas been causing shortness of breath and bronchospasms (asthmaattacks) over the past month. Started as a cold/congestion, evolved tocough, then breathing problems (inflammation). Currently being treatedwith antibiotics and advair & xopenex, and recovering (symptoms mostlygone, mild tightness of chest, mild chest pain remains).As part of diagnosis (to rule out pneumonia), doctor ordered chestX-Ray last week. I have detailed the findings below. Basically, it isabnormal with a 1.5-cm mass. What exactly is a "ductus aneurysm"? Whatare the chances that this "mass" is simply due to theinfection/congestion because of bronchitis? Is that what "adenopathy"is? Could it just be inflammation of the lymph node due to infection?A chest X-Ray taken in April (as part of routine check-up) was normal,though there is always a chance they missed the "mass". Is that toobig to "miss"? Can it grow 1.5-cm in a month (if it is a tumor)?I want to wait at least a month for my bronchitis to fully clearbefore taking another X-Ray, and possibly CT scans etc. I amself-insured with a high-deductible insurance plan, so I will bepaying out of pocket. Hence, the hesitation in proceeding with therecommended CT scans. Thanks for any suggestions on the odds of this"mass" just going away with the resolution of the bronchitis.=== Chest X-Ray report ====Findings:Two views of the chest were obtained and demonstrate a 1.5-cm massprotruding from the left AP window. A ductus aneurysm would be aconsideration but confirmation would require a CT chest with contrastwith attention to the aortic arch and AP window. A mass or adenopathycannot be excluded. Pulmonary arteries are slightly prominent. Lungsare midly hyperinflated and hyperlucent. Correlate with any history ofCOPD or asthma. No focal infiltrates or effusions noted. Broad basedminor mid dorsal dextroscoliosis curve is noted. Heart size is small.Impression:There is a left AP window 1.5-cm mass possibly a ductus aneurysm. Thiscould be further confirmed by contrast enhanced CT chest study. Otheralternative would be to compare this with old films to assess forstability. Adenopathy or mass of other etiology cannot be excluded.
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