Asked for Male | 43 Years
Should I investigate esophageal dysmotility with tree-in-bud nodularity?
Patient's Query
Unchanged background of scattered tree-in-bud nodularity seen most prominently in the bilateral lower lobes. Findings are likely due to sequela of low volume aspiration given mildly patulous appearance of the esophagus, concerning for esophageal dysmotility/chronic reflux. Clinical correlation and further evaluation with fluoroscopic guided esophagram may be considered. If patient's symptoms persist or worsen, consider repeat CT chest in 3 to 6 months to further evaluate. No new suspicious pulmonary nodularity or pathologic intrathoracic lymphadenopathy appreciated.
Answered by Dr. Samrat Jankar
By analyzing the scan results, the doctors found that there are small clusters in the lungs which can be a sign of possible aspiration. This could be because of the problems with the functioning of the esophagus, which may be related to chronic reflux. To be sure, a test called an esophagram could provide more insights. If symptoms continue, another scan in a few months could help track any changes.

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