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What Does My X-ray Report Indicate?

Posted on Sun, 15 Oct 2017

Question: Female aged 67 lung xray show enlarged heart and bnp is 118. Is this concerning ?

Answered by Dr. Drkaushal85 (35 minutes later)

Brief Answer:
No need to worry for this BNP level.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Her BNP level is normal,not elevated.
So no need to worry for heart attack.
Please let me know
1. What are her symptoms?
2. Is she having hypertension or diabetes or dyslipidemia?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wishing good health to your patient. Thanks.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Drkaushal85 (1 hour later)

Well history of blood pressure but is on tablets as well as asprin and bisopril.

I have noticed swelling on ankles but gp seems to think its not. Plus a heart murmur was heard pn examination .

Lung xray showed enlarged heart only

Answered by Dr. Drkaushal85 (9 minutes later)

Brief Answer:
Is she having chest pain?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
So we should rule out heart failure in her case.
Pro BNP is more reliable than plain BNP in detecting heart failure.
Edema feet can also seen in heart failure.
Please let me know
1. Is she having breathlessness on lying down? Is she having chest pain?
2. Has she ever undergone 2d echo?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your patient. Thanks.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Drkaushal85 (34 minutes later)

She saying no chest pain . We are waiting for echo to be undertaken . Is enlarged heart seen in heart failure ?

Answered by Dr. Drkaushal85 (33 minutes later)

Brief Answer:
Enlarged heart is seen in heart failure as well as long standing hypertensi

Detailed Answer:
Thanks for your follow up question on Healthcare.
I can understand your concern.
Yes, you should definitely get done 2d echo if not done previously.
What about breathing difficulty on lying down position?
It's good that she is not having chest pain.
Cardiomegaly is seen in heart failure as well as long standing hypertension.
So please let me know since how long she is hypertensive.
I will be happy to help you further.
Wishing good health to your patient. Thanks.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Drkaushal85 (2 hours later)

Many years had bp. For long time it was left untreated but since last 5 years only been on meds.

I have though noticed puffy ankles .

Would fluid show on lung xray?

Answered by Dr. Drkaushal85 (26 minutes later)

Brief Answer:
Yes, excessive fluid can be seen as pleural effusion.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
So, her cardiomegaly is mostly due to long standing hypertension.
Yes, excess fluid can be seen on chest x ray as bilateral pleural effusion or prominent hilar markings or fissures.
Please send me x ray film so that I can guide you whether she is having fluid in the lungs or not.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Drkaushal85 (28 minutes later)

Dont have film. But gp said xray report does not state fluid but enlarged heart .

So what can be done re enlarged heart ?

Answered by Dr. Drkaushal85 (23 minutes later)

Brief Answer:
Strict control of blood pressure is needed.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Treatment is based on 2d echo report.
If 2d echo is normal then nothing should be done extra, just strict control of hypertension is needed.
But if 2d echo is showing reduced heart function then diuretics should be added.
So get done 2d echo first.
What about ecg?
Has she ever undergone ecg?

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Drkaushal85 (29 minutes later)

What would reduced heart function mean?

Answered by Dr. Drkaushal85 (13 minutes later)

Brief Answer:
Reduced heart function means pumping of heart is reduced.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Reduced heart function means pumping of heart is reduced.
It is calculated in 2d echo.
Poor pumping can cause poor circulation of fluids and cause edema feet.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Drkaushal85 (15 minutes later)

But would she not have any symptoms for that then?

Is reducead heart function serious

Answered by Dr. Drkaushal85 (4 hours later)

Brief Answer:
Yes, reduced heart function is serious.

Detailed Answer:
Thanks for your follow-up question,
I can understand your concern.

Yes, reduced heart function is serious.
This is the reason why I insist on doing the 2D echocardiography.

Since she is not having chest pain, breathlessness and having normal BNP, the 2D echo will show the further details regarding.

Hope I have solved your query. I'll be happy to help you further.

Best regards
Thanks

Above answer was peer-reviewed by : Dr. Arnab Banerjee