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Chest X-ray showed fibrocystic change within the right and the left apices with a large bulla. Meaning?

I have just received results back from a recent chest X Ray ! It was a requirement to be able to obtain an offshore medical. I am concerned that the results may affect my chances of getting a medical certificate that deems me fit to work offshore? Please can you explain what these results mean and if you think it will hinder my chances? There is a fibrocystic change present within the right and the left apices with a large bulla within the right lung apex, measuring 49 mm in transverse diameter. The rest of lungs demonstrate increased bronchovascular markings with some peri bronchial thickening. No confluent areas of collapse or consolidation are seen. Cardio mediastinal contours are normal. Do I have a lung disease? I am a smoker and have been for 30 years!!! Thank- you
Asked On : Mon, 29 Apr 2013
Answers:  2 Views:  148
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Internal Medicine Specialist 's  Response
Welcome to HCM,
Your report of X ray chest suggest a lesion in right apex the fibro cystic changes of 45 mm such lesion can have various causes like infection of lungs the common cause could be Tuberculosis, which needs to be ruled out,other possibilities are Fibrosis,any cystic lesion, even malignancy.
The bronchovascular markings are prominent is due to your chronic smoking history.
You have to check with medical doctors who checks for employment requirements '
It is important from health point of view you should check with Chest Physician and investigate the cause and treat it accordingly.
One more thing you must quit smoking as it is very bad for lungs.
If tuberculosis is confirmed by other test it can be treated easily.
Please Take Care
Good Luck
Dr.Akhilesh dubey M.D.

Answered: Tue, 30 Apr 2013
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

YES - you have a lung disease
It will affect your medical fitness / certificate - there is practically no chance of fitness for off shore work...
You have not stated your age, gender, personal habits, family history or co-morbidities
The problem is from smoking
Tuberculosis has also to be investigated
Consult a Pulmonologist...

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Wed, 1 May 2013
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