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CT resutls please help me

please help what  does this mean?!?!??!!

1. No discrete lung parenchymal mass. Multiple remote healed posterior
right rib fractures are noted, which may explain finding on chest x-ray.

2. Mild mediastinal and left hilar lymphadenopathy. Findings are
indeterminate for neoplasm. Differential diagnosis includes sarcoidosis
and lymphoma.


all blood work is normal except "esophophila"

could this really be lymphoma? no other symptoms at ALL other than asthmatic like symptoms

Normal CBC except high esonophils
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1081992 tn?1389903637
COMMUNITY LEADER
Hi, the report does indeed suggest that the possibilities are sarcoidosis
and lymphoma.

But, since you also have eosinophilia, I'd think that shifts the odds towards the immune condition: sarcoidosis -- maybe you are breathing in something that you are allergic to, like pollens or molds among many possibilities.

Do you also happen to sometimes have difficulty swallowing?
Helpful - 0
Avatar universal
no difficulty swallowing, how do you seem to know a lot about esonophils and blood tests? The only thing I really have is a cough , and its worse when outside , and also outside my voice with get hoarse too . AUtoimmune disease also runs in the family but I really don't have much symptoms, I do have these chronic hives but after being on allergy meds they've gone away. thanks for your reply.
Helpful - 0
1081992 tn?1389903637
COMMUNITY LEADER
Glad to be of help. I know somebody who has eosinophilic esophagitis, that's why I asked about difficulty swallowing -- same blood cell, different location though.

Having autoimmunity in your family also makes you more likely to have an immune condition in your lungs, instead of a cancer. The same is true for your hives.

So your CT shows no mass in the lungs themselves (parenchyma basically means the lung tissue). You do have enlarged nodes (lymphadenopathy) where the left lung attaches to the airpipe (hilum), and also some in the chest cavity (mediastinum).

Eosinophils are associated with allergy. So are mast cells. You can try somehow removing or avoiding the suspected allergy causing substance (dog or cat?), after that a person has to take immune suppressing drugs.

Eosinophils aren't yet well understood. Some people's eosinophils just react more strongly and hang around too long. That's genetic.

Helpful - 0
1081992 tn?1389903637
COMMUNITY LEADER
Well, I don't want to be too alarming but I think you should be aware of some things. Your condition was going through my mind because the presence of eosinophils tends to mean that greater destruction of tissue takes place.

So I looked around and found this:
"Eosinophilic granuloma"  (occurs in both humans and animals)
https://en.wikipedia.org/wiki/Eosinophilic_granuloma

So that ties in having the appearance of granuloma on the CT, along with Eosinophils. But very importantly, there's something else, too: that condition also causes bone breaks to occur because it eats away at bone. When you broke your ribs, was it from force that maybe seemed like it wasn't really enough to cause such damage?

This is related:
"Langerhans cell histiocytosis"
https://en.wikipedia.org/wiki/Langerhans_cell_histiocytosis



Keep in mind that wikipedia is *not* an authoritative source and so a doc might just shrug it off. But if you like, I'll try to find some authoritative pages that you can print out and take to your next doc appointment.
Helpful - 0
Avatar universal
oh ken - the broken bones are from a car accident years ago.
Helpful - 0
1081992 tn?1389903637
COMMUNITY LEADER
Okay, then that certainly tends against bone weakening via eosinophilic granuloma, The same is true for the fact that the CT report is not talking about any new lesions in bones.

I'd still suggest, though, that you keep those eosinophils in mind. The really revealing test would be if they are now found in excessive quantities in the lungs, and especially in the enlarged nodes.
Helpful - 0
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