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Ask Dr. Phil, MD Your Own Question

Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 52501
Experience:  GP in the United States
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A person with copd , is breathlessness a later stage sign

Customer Question

A person with copd , is breathlessness a later stage sign ?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Phil, MD replied 2 years ago.
Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
Not necessarily
Breathlessness can occur even with mild COPD
The real key is to have pulmonary function tests
This will tell you how advanced it is
Customer: replied 2 years ago.
If it's mild then that's not serious right ?
Expert:  Dr. Phil, MD replied 2 years ago.
No generally not.
but some people have bad symptoms with mild COPD
Customer: replied 2 years ago.
New low attenuation 16 mm exophytic lesion in seg 6 does not show FDG uptake . This is compared to the background liver uptake with SUV Max up
To 3.4.

There is however a 16 mm focus of intense tracer uptake peripherally in seg 6 with Max SUV of 5.2. A co registered ct lesion is not seen .

Appearances are suspicious for a peripheral seg 6 liver metastasis. The exophytic seg 6 lesion seen on previous ct is not particularly fdg Avid.however as this is a new finding this should therefore be regarded as suspicious for a further mestases .

Uptake in the mediastinal nodes is more indeterminate . This could
Be metastasis or represent a sarcoid like reaction .

I need the above explaining I'm
Confussed how
There are 2 lesions as the ct 2 weeks ago only showed 1 plus what does it mean that lesion not seen on co registered ct?

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