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Interstitial thickening of lungs

	Asked by spartacus407 (Female; 55; Breast cancer; Relevant drugs:Hyzaar Lexapro Pamelor ) on Sat 10, Dec 2011 09:29pm Priced at $9.00
	I'm a 55 year old woman with recurrent breast cancer in the small amount if tissue that was left in the removed breast. I am having surgery on Tuesday to remove the 1cm tumor. As part of my pre-op I was given a full body pet/ct scan and bone scan...both came back negative. My EKG came back abnormal and suggested a possibly enlarged left atrial. I am on hyzaar for blood pressure. I was also given a chest X-ray that showed interstitial thickening of the lungs. Does this mean cancer? My md wants to send me for a chest ct. How is a chest ct any different than a full body pet/ct scan? I thought they could just use the full body ct to examine my chest. U have a dry cough and quit smoking this past year. Could it be emphysema? What should I do? I also heard that hyzaar could cause lung problems. What is the best screening tool for the lungs?
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	Answer by bobby s, md on Sun 11, Dec 2011 02:55pm: Hello, When breast cancer spreads to the lungs, it usually presents as discrete lesions in the lung parenchyma that may be single or multiple (doctors sometimes call these "cannon-ball" shadows). Interstitial thickening of the lungs does not mean that the breast cancer has spread to the lung. The interstitial changes in the lung could be caused by smoking, allergy, drugs, or other causes. In your case, it is reasonable to get a dedicated chest CT done, which may perform a more detailed study than was done for the whole body PET-CT. Please discuss with your pulmonologist in detail about likely cause and prognosis of the lung findings. It is excellent that you have quit smoking. Smoking is very injurious to breast cancer survivors. All the very best for your upcoming surgery, and God Bless!
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Interstitial thickening of lungs

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