Anyone experience lung side effects?

[Papa1]

My latest CT narrative included the following comment:  “Images obtained on lung windows reveal scattered apical predominant emphysema and numerous persistent airway centered discrete/punctate densities in the lower lobes and to a lesser extent in the lingula, some of which are calcified.”

This is new. I’m on Lupron and Abiraterone since Nov. 2021. No physical manifestations. No shortness of breath. I do 40 minutes of treadmill @3mph with mild hills three times a week. Strength the other three days with no problems. Otherwise pretty active for a 79yo. Live in a three story house so I get plenty of stairs.

Has anyone else seen this and what has the outcome been?

[Tall_Allen]

Have you been a smoker?

[Papa1 in reply to Tall_Allen]

Yes. 30+ pack years, but quit cold turkey 46 years ago.

[Tall_Allen in reply to Papa1]

It sounds like damage from that.

[Papa1 in reply to Tall_Allen]

Thanks for the response. Docs have been saying for years that prostate cancer won’t be the thing to kill me, it will be something else. Now I know what something else is. Pulmonology is now another ology to add to my list. Always thought I’d be at least skipping gynecology, but on ADT, who knows. This will give me a Hopkins double hat trick.

[TWTJr]

You definitely have evidence of COPD. The small airway nodules, some calcified, likely represent evidence of an old or chronic granulomatous infection, such as histoplasmosis, less likely coccidiomycosis. These are fungal infections, and quite common, particularly histoplasmosis. Usually completely asymptomatic. You can Google the names if you are so inclined to know more.

[Papa1 in reply to TWTJr]

Thanks for the information. Strange that this should show up for the first time now. I’ve had chest CTs pretty frequently over the years, and no mention.

Plan is to have the last three CTs reread and see a good pulmonologist.

[Catfish21]

Hello,

I do not how could help. Lupron worked from 2012 to 2019 vey successfully. Then stopped. Now I have a lot of problem with the liver and brain. Honestly, I do not know.

[j-o-h-n]

FYI with my Pca I had a neck melanoma that was treated / removed which showed up (metastasized) in my lungs. Was treated with Keytruda at MSKcc and all ok now.

Good Luck, Good Health and Good Humor.

j-o-h-n Thursday 02/16/2023 6:40 PM EST