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Necrotizing granulomatous inflammation along with pulmonary embolisam

Hi,
My mother age is about 54 years. six months back she diagnosed with the left pulmonary artery thrombo embolism (PE) later got treatment with  LMWH (warfrine) injunctions with hospitalization for five days and then she was on meditation by using the blood thinners (Pradaxa). After two months cavity in the lung got increased which was initially about 1 cm now it increased to 3.8*2.8 cm. Done biopsy and found that lung tissue Necrotizing granulomatous inflammation but not diagnosed as TB.
Can any one suggest will chronic PE will causes this?
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15695260 tn?1549593113
How is your mother doing?  
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Avatar universal
Could you elaborate on increased cavity in lung?
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15695260 tn?1549593113
Hello and welcome to MedHelp's forums.  We are really sorry to hear about your mother.  That sounds very stressful and worrying and we are sorry your family is going through this.  The best source of information is obviously her doctors and it helps to write down all of your questions and concerns and attend the next appointment with her.  Writing it down ahead of time assures you don't forget or get side tracked and can get the information you need.  This is good practice when serious conditions are being treated.

Most necrotizing granulomas can be caused by either fungal infections or micobacteria (TB being one but there are others), however, it is also very often unclear as to the cause. Basically it is often a group of cells that form when the body is trying to fight off an infection and they stay. This is why TB is often associated with it but I do not that this is not the case with your mother.

Here is a pretty comprehensive list of conditions that can cause necrotizing granulomas. https://emedicine.medscape.com/article/2078678-overview.  

When is your follow up with your mother's doctor?  What is your next step?
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