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Mediastinal Lymphadenopathy
To diagnose the symptoms such as weight loss, daily fever in the evening and joint pains, I underwent CECT of chest. CECT has diagnosed me with mediastinal lymphadenopathy with discrete conglomerate enlarged lymph nodes in prevascular, right paratracheal, subcarinal, aortopulmonary window, and bilateral hilar region. Presently I am being treated empirically for Tuberculosis since 07.08.2018 but I have not got relief from that. Fever comes daily around 5pm and ranges between 100°F to 101°F. Weight loss has stopped at a point (55 kg) but no further weight gain beyond that (I am still at 55 Kg ever since the beginning of ATT. My normal weight was 62 kg before felling ill). I have read somewhere that enlarged lymph nodes may also be due to some malignancy. Has the time come (6 weeks after the start of ATT) to explore other possibilities other than the Tuberculosis? Or should I give more time to the ongoing course of treatment
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Hi. I understand your concern s. It is better that the mediastinal lymph nodes are biopsied for a better diagnosis by undergoing a procedure called EBUS. Consult a pulmonologist for the same at the earliest
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Hi you did not mention ppd here. I want to know about your Monteux test report if done. If not than seek for ppd and bronchoscope.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.