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Right rib opacity - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   my 50 yr old daughter has a 9x4m opacity projectedoverthe right rib posteriorly and a ct scan of the thorax has been recommended.She has a severe intellectual disability and is very resistant to any medical procedure.Her GP has suggested we have another xray in 5 weeks and then go from there.Would a chest specialist be able to give us any more insight into her condition without the ct scan and any other suggestions
Doctor :   Hi
User :   hi what do i do now
Doctor :   I am general practitioner and will help you within my expertise.
Doctor :   CTscans and MRI are better diagnosing tools when compared to Xrays.
Doctor :   They give a more clear picture in diagnosing the condition.
Doctor :   Though a good clinician can clinically predict the diagnosis, scan's will be necessary in taking further steps towards diagnosing the condition.
User :   i understand this but my daughter would need to have anathesia so wondring if some more info be gleaned prior to taking this procedure
Doctor :   She may need additional evaluation which may include histopathological examination may be needed.
Doctor :   I may have to say, that these tests will be necessary in diagnosing and treatment, however good a clinician may be.
Doctor :   Have you followed what I have suggested?
User :   would you agree that having another xray in 5 weeks would be a reasonable respone before going down that path .Could the opacity be something minor and go without treatment
Doctor :   9 x 4 cm opacity is a bigger to be called as an artifact. Unless the xray was faulty, it too large to be considered as an artefact.
Doctor :   Hence you may as well go ahead in getting a scan done.
Doctor :   You can consider consulting a pulmonologist for clincial evaluation before considering the scan.
Doctor :   Have you followed what I have suggested?
User :   ok..thank for your help
Doctor :   Do you have any other query?
User :   no thanks
Doctor :   Thanks for consulting me. Bye for now.
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