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Can an online doctor help me understand the x-ray report ?

My Dad went to the doctor in the Philippines and here is the finding on his x-ray ,but I cant understand it.Please help me to understand this. CHEST PA: linear and nodulocalcific densities outlining the lateral aspect of the right hemithorax,and blunting the costophrenic angle...the trachea and the heart are shifted to the right .unelarged heart shadow ....elevated right hemidiaphragm which peaks laterally.. there is lateral tilt of the throracic spines to the left.
Asked On : Mon, 26 Nov 2012
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM
The causes of shift of the trachea towards right side are:
1. Right sided pneumothorax
2. Right sided pneumonectomy/ lung removal

The causes of linear and nodulocalcific densities on X-ray are:
1. Solitary nodule
2. Calcified lymph node

The causes of blunting of costo-phrenic shadow and elevated hemi-diaphram are:
1. Pleural effusion
2. Hemothorax- blood in pleural cavity
3. Pyothorax- pus in pleural cavity

However, these two findings- obliteration of costo-phrenic angles on right side and shifting of trachea towards right side are contradictory findings.

Consult your physician for complete examination and interpretation of the X-ray film.

Thank you and take care
Dr Shailja P Wahal
Answered: Mon, 26 Nov 2012
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