<s>[INST] in nov my cxr showed marked diffuse interstitial lung dz, in dec i had a chest ct scan that showed severe scarring tgo my upper lobes and lower lobes,lesion to rul. i have on and sob with cough and wheezing, emphysema to lower lobes and mild pul congestion in march this year. s/s cont at this time cxr shows opacities to both lobes and nodular densities th both sides. my dr says its pneumonia. i need another view. 2 yrs ago i had endometrial squamous cell cancer with tahbso done and no further sign of cancer. should i concern myself whether this could be cancer? [/INST] Thanks for your question on HCM.I can understand your situation and problems.In my opinion you should consult pulmonologist and get done bronchoscopy and BAL (Bronchi Alveolar Lavage) analysis with biopsy from the involved area.As possibility of malignant spread (lymphatic) is high. And this can also gives same CT picture. This can also seen in pneumonia.BAL and biopsy will diagnose both.So better to consult pulmonologist and discuss all these. </s>