Do I need to see a doctor?
The CT scan report of your father indicates: Apical fibrosis in both lungs; otherwise, the remaining lung is clear.
There are left renal stones, a calcified spot in the liver, calcification of the coronary arteries, and a small cyst on the spleen.
Should we be concerned about any serious issues, and does he need to go to the hospital for further examination? Thank you!
joey, 30~39 year old female. Ask Date: 2009/05/08
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello,
Lungs: There may be fibrosis due to pneumonia, often a result of scarring from old pulmonary tuberculosis.
Kidneys: Right kidney stone; if symptomatic, seek care from a urologist.
Liver: Calcifications may also indicate intrahepatic stones; if asymptomatic, no treatment is necessary.
Coronary arteries: Calcification is often a result of aging.
Spleen: Cyst, also known as a fluid-filled sac, is not of major concern.
Wishing you good health,
Dr.
Chi-Feng Chen, Taoyuan Hospital, Department of Health.
Reply Date: 2009/05/08
More Info
Based on the details provided in your father’s CT scan report, there are several findings that warrant further discussion and possibly additional evaluation. Let's break down the findings and their implications:
1. Apical Fibrosis in Both Lungs: This finding suggests that there may be some scarring or fibrosis at the apex (top) of both lungs. While apical fibrosis can be benign and associated with conditions like old infections or environmental exposures, it can also indicate more serious lung conditions. It is important to correlate this finding with any symptoms your father may be experiencing, such as shortness of breath, chronic cough, or any history of lung disease.
2. Left Renal Stones: The presence of renal stones (kidney stones) can lead to significant discomfort and complications, such as obstruction or infection. If your father is experiencing pain, hematuria (blood in urine), or any urinary symptoms, it would be advisable to consult a urologist for further evaluation and management. Depending on the size and location of the stones, treatment options may vary from conservative management to surgical intervention.
3. Liver Calcified Spot: A calcified spot in the liver can be due to a variety of reasons, including previous infections (like hepatitis), benign lesions, or even malignancies. It is essential to evaluate the clinical context of this finding. If your father has a history of liver disease or elevated liver function tests, further imaging or follow-up may be necessary to rule out any serious conditions.
4. Coronary Artery Calcification: This finding indicates the presence of calcified plaques in the coronary arteries, which can be a sign of atherosclerosis (hardening of the arteries). It is a risk factor for cardiovascular disease, and it would be prudent for your father to discuss this with his primary care physician or a cardiologist, especially if he has risk factors such as hypertension, diabetes, or a family history of heart disease.
5. Small Spleen Cyst: Spleen cysts are often benign and may not require treatment unless they are symptomatic or significantly large. However, it is still important to monitor this finding, especially in the context of other health issues.
Given these findings, it is advisable for your father to follow up with his healthcare provider. They can provide a comprehensive assessment of the CT results in the context of his overall health, medical history, and any symptoms he may be experiencing. It may also be beneficial to get referrals to specialists, such as a pulmonologist for the lung findings, a urologist for the kidney stones, and a cardiologist for the coronary artery calcification.
In conclusion, while some of these findings may not be immediately alarming, they do warrant further investigation and monitoring. It is always better to err on the side of caution and seek professional medical advice to ensure that any potential issues are addressed promptly. Your father's health and well-being should be the priority, and open communication with his healthcare team will be crucial in managing his conditions effectively.
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