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What Does The Chest X Ray Report Indicate?

Posted on Tue, 9 Dec 2014

Question: my chest xray report states that "lung fields do not reveal any significant pulmonary parenchymal lesion".
and it also says
" both costophrenic angles are clear"
"cardiac size is within normal limits"
"soft tissues & bones in view are normal"

i just want to know what does my report says about my lungs as i smoke cigarettes and recently sometimes i started feeling mild pain on my lower right side chest beneath last rib when i breathe in and stops .

Answered by Dr. Anshul Varshney (42 minutes later)

Brief Answer:
Normal report.

Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney.
I understand your concern.
Your Chest Xray is absolutely normal.
Smoking changes takes years to appear in X ray.
I would advise you to quit smoking.
The symptoms you are describing is of Muscular pain or Costrochondritis.
However I would also advise you to get an ECG done to rule out any cardiac issues.
As far as your query is concerned, your Chest Xray is absolutely normal.
If you have any further query please ask me.
Stat Healthy.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (45 hours later)

hello dr XXXXXXX thanks for replying i did not get your meaning of " smoking changes takes years to appear in X-ray" just want to confirm what changes you are talking about or do i have some serious disease? i have also uploaded my xray scan please do check it .. and i sometimes still having pain while breathe in air on right side and i also have muscle pull from right side back neck to middle back

Answered by Dr. Anshul Varshney (27 minutes later)

Brief Answer:
Normal.

Detailed Answer:
Welcome back
My dear friend, I just meant that if you got the Xray done to see for the harm that smoking might have caused then I want to bring it to your knowledge that changes start to occur when you smoke but they become appreciatlble on Xray after many years of smoking.
Your Xray is absolutely normal. You have no illness apparent on Chest Xray.
You might have got Xray chest done due to pain in Chest due to muscular spasm that you might be having.
As far as your Xray is concerned, it is absolutely normal :)
If you have any further query please ask me.
Stay Healthy.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (26 hours later)

okay doctor thank you very much,... i was really very tens but after getting your answer i m feeling very relaxed ,.. but i want to know is there any other any alternative i can go to check my lungs as you said in xray report it takes long years to come up so i want to know is there any other alternative i should go for to see what exact my lungs condition is exactly currently i started smoking in 2008 and quit in 2010 and again then started in 2013 february and quit in 2013 october and this year i started in march 2014 till now few months back i smoke alot like may be upto 14 or 18 cigarettes a day now i smoke around 6 or 7 a day ,... but i m side by side i also trying to quit so i s there any other alternative so that i can check how clean my lungs are ? through some blood test or any other option and i also had cbc in which i got leucocytes 17 whose range was between 20 to -50

Answered by Dr. Anshul Varshney (12 hours later)

Brief Answer:
Attach your report.

Detailed Answer:
Dear Friend.
If you really wish, you can go for CT Chest, Pulmonary Function test. However , there is no indication for that.
Stop Smoking immediately.
You can take help of Smoking cessation gums , or patches. Nicotine gums are available in market.
But strong determination is required to stop smoking. These gums can just help in reducing cravings.
As far as WBC Count is concerned, I need to study your report because the reference range mentioned by you is wrong. Please scan it and attach it.
Stay Healthy.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar