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cysts found in lungs

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November 20th, 2008
was recently hospitalized because of pain upon exhaling. A CT Angiogram was performed and showed several cysts in my body with a possible blood clot. I was out of town so I went home and visited a cardiologist who redid the CT Angiogram. The results are:
Low-density focus present in the right thyroid 7mm
Lesion seen more inferiorly in left lobe near isthmus 4mm
Two (2) additional findings present in left thyroid, One posteriorly that is slightly-mixed in density & may reflect volume averaging through a small cyst 3.5mm, & a further lesion seen near the isthmus inferiorly in the left lobe measuring 3.5mm
Kidneys demonstrate a low-density lesion of the left kidneys interpolar lower pole cortex
Minimal basilar interstitial disease is slight more prominant on the left, slight elevation of the left hemidiaphragm
Accessory splenule present on the left

Dr. Impression:
Thyroid findings likely reflecting either small cysts or small thyroid nodules probably due to multinodular goiter. Probably left renal cyst.

What exactly does all of this mean? I have yet to get an explanation and I am very worried and do not know where to go from here. Is there a possibility that I have PKD (which runs in my family) and/or cancer?

I do have high Cholesterol, triglycerides and blood pressure and I am currently on medication for all three. I have a family history of heart disease, (father, 2 uncles, p. grfather), PKD (p. grfather, aunt, possibly father), uncle died of TB, Diabetes (mother, uncle)
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MandMs
replied November 20th, 2008
Extremely eHealthy
In your results is stated that you have cysts on your thyroid gland and one in your kidney, but, not, in your lungs.

If one of your parents has PKD, you have 50% chances to develop it eventually.
In most cases of PKD, patients have no symptoms and their physical condition appears normal for many years, so the disease can go unnoticed.
Having hypertension or high blood pressure is one of the symptoms.
Frequent UTI's and, sometimes, pain in the area of kidney location, are another symptoms of PKD.
As your doctor said, having more that one nodule in the thyroid gland, is a presentation of multinodular goiter, linked to low activity of the gland, or hypothyroidism.
Having high levels of cholesterol, and, especially, high levels of triglycerides, can be a sign of hypothyroidism.
If the thyroid gland lesions are cystic formations, but, not solid, that are known as nodules, than these cysts can be benign tumors in which liquid has appeared as a result of degeneration, or, some bleeding, too.

Consult endocrinologist (doctor for hormones) to suggest you some further tests for your thyroid gland.
She/he can start with a simple blood test that measures thyroid hormones levels in your blood.
You can get an MRI to be sure for diagnosis of PKD.
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snownice
replied November 20th, 2008
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Thank you for your response. It does make sense, but my cardiologist who was checking to make sure there wasn't a blood clot in my lung is the one who told me that the cysts were in my lungs. I thought when it mentioned left lobe and isthmus it was referring to the lungs.

As far as PKD, I do feel fine, but I have noticed that in the past month, I do not have pressure during urination that I used to. At the end, it only drips out and I have been having pain on and off again in my right groin area.

I will make an appt. with an endocronologist as you suggest, but shouldn't I go and see a urologist about the kidney? I have already been checked once for PKD, as my Aunt's Dr. suggested I keep checked every few years. It was about 6 years ago I was tested and I checked neg. at that time.
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MandMs
replied November 21st, 2008
Extremely eHealthy
Two lobes connected with isthmus, is anatomical description of thyroid gland, that gives its butterfly's look.
It's good to know that very rarely a lump in thyroid gland may press on the windpipe causing breathing difficulties.
Having breathing difficulties upon exhalation is very characteristic for two conditions, known as chronic obstructive pulmonary disease, emphysema and chronic bronchitis.
Maybe, the doctor named the emphysema's changes as cysts.
Also, people with PKD have cysts in other organs that are less common and lung cysts that are rarely found, too.

Do you cough frequently, bringing up phlegm?
Are you a smoker?
Do you need to strain to start the urination?
What sex you are?
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