I am a 42-year old male, non-smoker, with no history of respiratory
problems. I was recently diagnosed with bronchitis/COPD/asthma which
has been causing shortness of breath and bronchospasms (asthma
attacks) over the past month. Started as a cold/congestion, evolved to
cough, then breathing problems (inflammation). Currently being treated
with antibiotics and advair & xopenex, and recovering (symptoms mostly
gone, mild tightness of chest, mild chest pain remains).
As part of diagnosis (to rule out pneumonia), doctor ordered chest
X-Ray last week. I have detailed the findings below. Basically, it is
abnormal with a 1.5-cm mass. What exactly is a "ductus aneurysm"? What
are the chances that this "mass" is simply due to the
infection/congestion because of bronchitis? Is that what "adenopathy"
is? Could it just be inflammation of the AP window lymph node?
A chest X-Ray taken in April (as part of routine check-up) was normal,
though there is always a chance they missed the "mass". Is that too
big to "miss"? Can it grow 1.5-cm in a month (if it is a tumor)?
I want to wait at least a month for my bronchitis to fully clear
before taking another X-Ray, and possibly CT scans etc. I am
self-insured with a high-deductible insurance plan, so I will be
paying out of pocket. Hence, the hesitation in proceeding with the
recommended CT scans. Thanks for any suggestions on the odds of this
"mass" just going away with the resolution of the bronchitis.
=== Chest X-Ray report ====
Two views of the chest were obtained and demonstrate a 1.5-cm mass
protruding from the left AP window. A ductus aneurysm would be a
consideration but confirmation would require a CT chest with contrast
with attention to the aortic arch and AP window. A mass or adenopathy
cannot be excluded. Pulmonary arteries are slightly prominent. Lungs
are midly hyperinflated and hyperlucent. Correlate with any history of
COPD or asthma. No focal infiltrates or effusions noted. Broad based
minor mid dorsal dextroscoliosis curve is noted. Heart size is small.
There is a left AP window 1.5-cm mass possibly a ductus aneurysm. This
could be further confirmed by contrast enhanced CT chest study. Other
alternative would be to compare this with old films to assess for
stability. Adenopathy or mass of other etiology cannot be excluded.