Conversation: The conversation between human and AI assistant.
[|Human|] Yes, I vehad a n respitory infection inially diagnosed as pnuenomoia. Had a chest xray first, results opacity 2cm at upper left lobe with no evidence of pnuemonia. My PCP then ordered 5 day course of zithromax follow up 2nd xray. Results were same. Both xray reports suggested CT scN TO R/O OTHER PROBLEMS, ETC. pCp ordered two weeks of levofloxcin after 2nd xray as she was not convinced that I did not have a bacterial infection. The entire time I was coughing, sneezing and had sever nasal congestion. I had a low grade temperature for the first thre days of the respitatory infection, then normal all the while the coughing etc. continued. A CT scan was then ordered and it revealed that the left lobe opacity was still present, mild reticular densities present at the lung apices and mild reticular opacification at the posteromedial left upper lobe suggestive of chronic fibrosis. There is also a 6mm nodule at theright middle lobe and mild bilateral dependent atelectatic changes. There are reticular and/or fibrotic changes at the lung bases. Finally could you define sclerotic densities at the soft tissues ajacent to the bilateral proximal humeri. I had a follow up PET/CT scan with some radio active substance today which is to r/o malignancy. thank you for any advice, etc. you can give me. Joan Z. Riverhead,NY
[|AI|]  Thanks for asking your query completely understand your problem you have non resolving pneumonia as a diagnosis along with a nodule in rt middle lobe ? Cause.regarding bilateral parenchymal lesions in lungs sputum can be tested for AFB, myogenic culture and sensitivity, fungal elements, malignant cells. Or that 6 mm nodule along with these parenchymal lesions you should consult a pulmonologist personally and if he wants a bronchoscopy to be done to rule out malignancy and other causes by taking a biopsy if anything is visible on copy.don't panic go to a pulmonologist, he'll guide u the best thanks for more queries feel free to ask may god bless you with good health