tag:blogger.com,1999:blog-12660458.post113147271036402952..comments2023-09-01T10:33:09.297-04:00Comments on Pulmonary Roundtable: COPD and weight loss.Unknownnoreply@blogger.comBlogger3125tag:blogger.com,1999:blog-12660458.post-1131545235612206142005-11-09T09:07:00.000-05:002005-11-09T09:07:00.000-05:00From Carlos: with a positive PET, improved PFTs in...From Carlos: with a positive PET, improved PFTs in a smoker with ongoing weight loss we went ahead with surgical resection. He did very well post-op and the lesion was an inflammatory mass with no clear etiology but some Actyno-like filaments on path (though not on Cxs). He remains on bronchodilators, has gained 13 lbs from his weight nadir and other than thoracotomy site discomfort has no other complaints.Jenningshttps://www.blogger.com/profile/04930453447603683057noreply@blogger.comtag:blogger.com,1999:blog-12660458.post-1131487853242797122005-11-08T17:10:00.000-05:002005-11-08T17:10:00.000-05:00Well, despite the positive PET, I would agree with...Well, despite the positive PET, I would agree with Doug that TB is still quite high on the list. However, I assume you BAL'd the RUL without any AFB? A PPD is tempting, but wuldn't help to evaluate for active TB, and latent TB with a scar shouldn't be PET positive.<BR/>I realize that carcinoma can never realy be ruled out, but the shape looks funky - not mass-like (the air space part could be seconary infection so this can't be used to r/o underlying cancer).<BR/>I might get a split-lung perfusion or something similar and if operable, might bite the bullet and resect.<BR/>(disclaimer: the way the email was set up, I did not look at the answer; parts 1 and 2 are separated by enough space in the email that it was easy not to cheat) :)Jenningshttps://www.blogger.com/profile/04930453447603683057noreply@blogger.comtag:blogger.com,1999:blog-12660458.post-1131481804635405862005-11-08T15:30:00.000-05:002005-11-08T15:30:00.000-05:00Greetings from Brazil.I actually left this case re...Greetings from Brazil.<BR/>I actually left this case ready so I wouldn´t have to type much. I had the same concerns as Doug that this looks like CAP but Lung Ca is always a concern. I didn´t put all the CT cuts but some of the more posterior and lower process (rather than all the scarred up lung) looked a bit like soft tissue density.Baleeirohttps://www.blogger.com/profile/03993066135160692535noreply@blogger.com