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What Does ""Inhomogeneous Opacity In The Basilar Aspect Of The Right Lung.." Mean?

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Posted on Fri, 7 Mar 2014
Question: My husband has PE and multiple PT of his right lung with pneumonia. He has had two courses of antibiotics and is on Coumadin his last INR was 3.6 He had a follow up Chest Xray today which says "Inhomogeneous opacity in the basilar aspect of the right lung associated with a small to moderate sized pleural effusion unchanged from the previous exam" He is not really feeling better and it is the weekend. Should he go in again tonight and see the ER for more antibiotics or should he just let this run its course?
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Answered by Dr. Indu Kumar (1 hour later)
Brief Answer: You should definitely take him to your doctor. Detailed Answer: Hello XXXX Thanks for writing to HCM He should have shown signs of improvement by this much time.He has already completed two courses of antibiotics. You should definitely take him to your doctor.His pleural fluid should be aspirated under USG guidance and routine examination of pleural fluid including culture should be done. There are many causes of non resolving pneumonia like resistant bacteria,pneumonia due to other causes like tuberculosis etc. Pleural fluid examination can guide the treatment.Tuberculosis should be excluded in his case. If necessary he can be prescribed injectable antibiotics. INR is in the upper range. Proper treatment depend upon present clinical findings and investigation reports. Get well soon. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Indu Kumar

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Practicing since :2004

Answered : 6729 Questions

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What Does ""Inhomogeneous Opacity In The Basilar Aspect Of The Right Lung.." Mean?

Brief Answer: You should definitely take him to your doctor. Detailed Answer: Hello XXXX Thanks for writing to HCM He should have shown signs of improvement by this much time.He has already completed two courses of antibiotics. You should definitely take him to your doctor.His pleural fluid should be aspirated under USG guidance and routine examination of pleural fluid including culture should be done. There are many causes of non resolving pneumonia like resistant bacteria,pneumonia due to other causes like tuberculosis etc. Pleural fluid examination can guide the treatment.Tuberculosis should be excluded in his case. If necessary he can be prescribed injectable antibiotics. INR is in the upper range. Proper treatment depend upon present clinical findings and investigation reports. Get well soon. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX