Lung Nodule, D-Dimer elevation and ANA +VE
Lung Nodule, D-Dimer elevation and ANA +VE:
Do I have LUPUS?
In June during my India trip left side Ribs pain started when breathing.I returned to US on July 5th and next day I visited primary care, he ordered CMP and X-RAY both are normal.nothing shown in the X-RAY.After 2 weeks I visited primary care again, then he checked EKG, it was normal.In my 3rd visit Primary care ordered bone scan which gave some clue about pleural effusion.After that i visited Pulomonologist, he checked ANA which came +VE,D-Dimer elevated(high).Then Pulomonologist ordered CT scan in which identified a patchy nodule, by this time pain was severe, lots of burping and incomplete yawning. For small burping and yawing back was hurting a lot.
After nodule identified in the lung, doctor put me on LEVOFLOXACIN for one week then pain got controlled.I finished medication on 09/27, after 10 days ribs pain started again. I am 47 yrs old,hypothyroid patient,previously i was diagnosed with Fibromyalgia (since 2010).These things are scaring me and making me sleepless. Need advise.
Chest X-Ray report (07/12/2018)
"PA and lateral chest images. Heart size and contour are normal. Lungs are clear with normal pulmonary vascularity. No pleural effusion, hilar or
mediastinal prominence is evident"
Bone scan report (09/04/2018)
“Mild asymmetric increased uptake in the left posterior hemithorax. Tracer is distribution is otherwise un remarkable”
CT Scan report (09/18/2018)
"As per regular modules identified within the superior segment left lower lobe measuring together an area of 2.4×2.2 cm.Possibly post infectious. Trace loculated left pleural effusion."
ANA TEST and other Lab tests (09/12/2018)
1.ANA SCR, IFA, W/REFL TITER/PATTERN/SJOGREN'S PANEL 1
–SJOGREN'S ANTIBODY (SS-A) –NAGATIVE
— RHEUMATOID FACTOR –NAGATIVE
–SJOGREN'S ANTIBODY (SS-B) –NAGATIVE
–ANA SCREEN, IFA, W/REFL TITER AND PATTERN — POSITIVE
2.ANA SCR,IFA W/REFL TITER/PATTERN/SYSTEMIC SCLEROSIS PANEL 1
— ANA SCREEN, IFA –POSITIVE
— SCL-70 ANTIBODY–NAGATIVE
–CENTROMERE B ANTIBODY–NAGATIVE
–RNA POLYMERASE III AB–NAGATIVE
3.D-DIMER, QUANTITATIVE — 1.35 (should be less than 0.5)
4.ANA SCR,IFA W/REFL TITER/ PATTERN/LUPUS PNL 1
–ANA SCREEN, IFA– POSITIVE
5.ANTINUCLEAR ANTIBODIES TITER AND PATTERN
–ANA PATTERN –Nucleolar
–ANA TITER=1.40 ( should be