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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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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.
Tue, 27 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
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Can An Online Doctor Help Me Understand The X-ray Report ?

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