Hi,
I am 34 yrs old. I got my normal medical done on 03jun08 which included chest x-ray, normal blood tests, urine tests etc. My LDL levels came closer to 165 and the chest x ray showed 'lymph node swelling' and the report suggested that CT scan is recommended.
On 23aug08, i got my CT contrast done , which evidenced round masses mediastinal and extensive hilar adenopathy. Post this the chest phy recommended a series of tests which included Montoux, TB Gold test, ACE, IGE, CBC, Platlet, PT test, PFT, Abdomen Ultra sound.
Liver/pancreas were normal.
Ultra sound was normal. TB Gold (gamma) test was negative. PFT test was normal ( score was 149 approx ) , Montoux was negative.
I went to another famous chest specialist/surgeon and showed all my reports. Unfortunately he said Lnode biopsy is not possible as the nodes/round glands seen in CT plates are quite deep. Hence recommended me to go for two options.
Options no 1- To adopt a empirical approach ( judgemental ) - i.e take 6-8 medicnes , probably meant for mild TB or sarcoidoisis ( corticosteriods) or go for another test which is called I guess PET test where a glucose dye is injected while CT is done. This test again he said has only 25-33 % success rate, but if am fortunate can give the doctor firm diagnosis.
My worry - I asked doctor if this is lymphoma or what or is it TB or Sarcoid ? Currently I have no problems like fever, weight loss, lossof appetite, no visible nodes seen around neck area, arm pits, groin etc .
I am unable to interpret the reports and see no confidnce in what doctors say. Doctors even says these glands sometimes go on their own within 2-3 months.
I remember I had severe cough from August 2007 till atleast Apr 2008 and i did not went to the doctor and took only ususal cough syrups and my profile is consistent traveling around the globe , like visiting Taiwan, Shanghai, Swiss, UK, Greece, Malaysia etc , as even i would speak something, i would cough, or laugh even now loud, then i cough , sometimes I get weezing as well in the night post my dinner.
What should I do, kindly help as i am quite health concious and would like to get rid of these glands even I have no trouble currently.
Many thanks in advance for your support.
Anupam