Conversation: The conversation between human and AI assistant.
[|Human|] I,am R.k.punsiba from Assam.My brother is suffering in chest &lung problem.Her CT scan report is (1)category IV cyst IN LOWER POLE (2)PULMONARY NODULES: METASTATIC (3) TINY RENAL CALCULI WITH NORMAL VISIBLE CONTRAST EXCRETION . So now we want to bettertreatment.would you please tell me what can we do now? Which hospital, which doctor&treatment will best for her.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult oncologist (cancer specialist) and get done1. PET scan2. Blood work up for tumor markers. To search for the primary site of malignancy. He is having metastatic nodules in lung. This suggest that he is having primary somewhere else in the body. Following are the malignancies, commonly metastasize to lung.1. Liver2. Intestine3. Stomach4. Thyroid etc. So, he needs PET scan to identify the primary site. Because PET scan will give hot spot at the site of malignancy due to high uptake of contrast. So it will help in diagnosis of primary. Treatment is based on primary organ only. Mostly he will need chemotherapy and radiotherapy and other supportive Chat Doctor. So better to consult oncologist and discuss all these.