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Quick bio. 34, f, smoker (unfortunately), no symptoms. Ok!
So I ended up in the ER maybe 4 or so months ago because I had a striking chest paim that lasted a couple seconds. I don't put that kind of stuff off so to the ER I went. Long story short. EKG - neg. D-Dimer test - positive. Onto an xray because of the positive d dimer. Xray - positive. It came back showing "vague opacity at the left lung base." The tech assumed pneumonia. MRI - positive. Results:
There is consolidation at the left lung base with dependent atelectatic changes noted the finding may be consistent with pneumonia. There is mild prominence of prevascular lymph nodes and mildly prominent bilateral hilar lymph nodes and subcarinal lymph node this may be reactive given the findings at the left lung base consistent with pneumonia.
Saw a pulmonologist and he felt it was following a pattern of some infection. Bring on the antibiotics!! 1 week ago i went to get another CT scan.Today I went back to my pulmonologist for the results. The more recent CT showed nothing got better but just a smidge worse. The patchy white consolidation got a bit less patchy and the lymph nodes are a "bit more predominent." However, it was said that the machine may not have been as clear as the previous scan. Maybe it never changed? Either way, it didn't get better!
I was given my options to find a diagnosis and i decided to go with the most aggressive procedure. One and done -- let's just get it over with! I'm getting the surgical biopsy sometime soon. I'd rather not waste time especially if this could be something like cancer or even a serious infection. Ah! I am a nervous wreck! I told my dr that I've been going crazy. Googling ANY possible diagnosis. Surprisingly, he says GOOD! That he thinks researching conditions and educating myself is never a bad thing. (Wow! Haha) So hopefully I find something out once I get the biopsy. Hes confused that I have no symptoms. So he questions what really is wrong. I've never had a fever, no shortness of breath, no cough, no fatigue (besides that i have a 3 year old that hates sleeping).. no symptoms! I've looked up stuff and I get more and more confused on what diagnosis I could have when I have no physical problems.
I have a question though. With this biopsy, do any of you know what theyre going to test for? Obviously they're going to check for cancers. But can they find infections too? They're taking lung tissue and a piece of a lymph node. If that comes back negative then they'll take a whole lymph node during the same procedure. I forgot to ask at the appt. but if it comes back negative altogether, do you think that'd be enough to diagnose my condition with sarcoidosis or would I possibly need further testing?
BTW. My case should have been in an episode of House. No symptoms but positive a xray and ct.. I bet even he'd think sarcoidosis. Haha!
(Gotta hae a sense of humor.)
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