CT scan

Posted by jimis65 @jimis65, Nov 26, 2022

I had a CT scan for TIA and the scan showed my upper lungs and they found subpleural interlobular septal thickening identified throughout
the upper lungs bilaterally without evidence of honeycombing. What is this?

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@jimis65 Good morning, and welcome to Mayo Connect. As Connect members, we are patients and caregivers who share our journeys and try to help one another, but there are no Mayo medical professional monitoring our discussions and providing diagnosis.

As a person with a fairly rare lung disease myself, I know how scary uninterpreted CT reports sound. I can tell you that what is described can be an indication of several lung conditions, some more serious than others. You may be diagnosed from these results based on your medical history, or referred to a pulmonologist, or more testing will possibly be needed.

Was this a test result posted on your patient portal without a doctor's explanatory note? There has been a recent discussion here about whether seeing this raw information is helpful to patients. You can read it at: https://connect.mayoclinic.org/discussion/the-patient-portal-help-or-hindrance/
if you are interested.

If the doctor or someone from their staff doesn't call Monday with an explanation, be sure to call their office for a followup. Do you have a primary care provider?
Sue

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Hi Sue I hope all is well, this came from my ER visit after 3rd TIA episode, I saw this on my portal I texted my dr and asked WTH? she put me in for a full lung CT SCAN which will be done 2 Dec but nobody would in plain English tell me what it all means, very frustrating

Have a great Sunday
Jim

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@jimis65

Hi Sue I hope all is well, this came from my ER visit after 3rd TIA episode, I saw this on my portal I texted my dr and asked WTH? she put me in for a full lung CT SCAN which will be done 2 Dec but nobody would in plain English tell me what it all means, very frustrating

Have a great Sunday
Jim

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Hi Jim, If it was an emergency or critical situation, you would not be waiting until Friday - you would be seen today or tomorrow - so you can breathe easily. What you will probably hear is that you are in the beginning stages of a lung disease, or you are showing scars from an old infection. These surprises seem to come with greying hair...just like TIA's
Fingers crossed for a good report!
Sue

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Hi Sue
I agree completely, the ER dr told me about the finding in a casual way, my son looked at me and said excuse me what? So when the report hit my inbox I read it all then texted my dr and sent a copy to her. She replied that a CT scan request was sent to my med provider under "urgent" United Healthcare took 2 weeks to approve it and the radiology people got me scheduled as fast as they could. I myself was not going to jump over those sicker than me, hell I didn't even know I had a lung issue till then alot to digest
Have a great week
Jim

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@jimis65

Hi Sue
I agree completely, the ER dr told me about the finding in a casual way, my son looked at me and said excuse me what? So when the report hit my inbox I read it all then texted my dr and sent a copy to her. She replied that a CT scan request was sent to my med provider under "urgent" United Healthcare took 2 weeks to approve it and the radiology people got me scheduled as fast as they could. I myself was not going to jump over those sicker than me, hell I didn't even know I had a lung issue till then alot to digest
Have a great week
Jim

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Hi Jim,
I always recommend people follow their medical reports. For sure the terminology will not be familiar. However, with Google it is not difficult to develop a list of definitions for these medical terms. Like all learning, it is one building block on top of another.

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Thank you Vic
I have used Google to understand terminology I have to read it like 3 times to get it!!! But I am a trooper I keep plugging away
Have a great week!!
Jim

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@jimis65

Hi Sue
I agree completely, the ER dr told me about the finding in a casual way, my son looked at me and said excuse me what? So when the report hit my inbox I read it all then texted my dr and sent a copy to her. She replied that a CT scan request was sent to my med provider under "urgent" United Healthcare took 2 weeks to approve it and the radiology people got me scheduled as fast as they could. I myself was not going to jump over those sicker than me, hell I didn't even know I had a lung issue till then alot to digest
Have a great week
Jim

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Hi Sue
I hope All is well with you, I got mt CT scan back and my dr called to inform me I have bilateral symetric pulmonary fibrosis, so now I go see a lung Dr

Have a great Wednesday
Jim

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@jimis65

Hi Sue
I hope All is well with you, I got mt CT scan back and my dr called to inform me I have bilateral symetric pulmonary fibrosis, so now I go see a lung Dr

Have a great Wednesday
Jim

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Hi Jim, I was wondering what you learned. I am glad to see you are getting answers, and hopefully the Lung doc will get you on a management plan.
Please stay in touch.
Sue

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Hi Sue

Yes I have a lung Dr will see him as soon as insurance approves it, i hope your doing well

Jim

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@sueinmn

Hi Jim, I was wondering what you learned. I am glad to see you are getting answers, and hopefully the Lung doc will get you on a management plan.
Please stay in touch.
Sue

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This is what they said
IMPRESSION:
1. Mild bilateral symmetric pulmonary fibrosis, probable UIP pattern, consider possibility for hypersensitivity pneumonitis.
2. Occasional lung nodules up to 4 mm, using Fleischner Society guidelines no further imaging follow-up necessary, consider one-year follow-up surveillance if the patient has high clinical risk factors for lung cancer..

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