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.
Dr. Jacob George P
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
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.
Dr. JACOB GEORGE P