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Diagnostic chest PA results. Pleural efusion, fibrohazy desities. Is there any abnormality ?

my result in chest PA . PTB BOTH UPPER LUNG FIELDS-ACTIVITY UNDETERMINED
MINIMAL RIGHT PLEURAL EEFUSION AND/OR THICKENING, DOC CAN YOU READ MY RESULT THAT DO I HAVE A LUNGS PROBLEMS, THIS IS THE FINDING , FIBROHAZY DENSITIES ARE SEEN IN BOTH UPPER LUNGFIELDS. THE HEART IS NOT ENLARGED .THE TRACHEA IS MIDLINE. THE RIGHT COSTOPHRENIC ANGLE IS BLUNTED , THE HEMIDIAPHRAGMS AND LEFT COSTOPHRENIC ANGLE ARE DISTINCT. THE REST OF THE OSSEOUS AND SOFT TISSUE STRUCTURES ARE UNREMARKABLE.

THANKS
Asked On : Thu, 4 Apr 2013
Answers:  1 Views:  38
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Pulmonologist 's  Response
Hi camenventic,
Thanks for visiting HCM.
Fibrohazy densities in the apical part can possibly be due to tuberculosis. The effusion as represented by right costophrenic angle blunting also suggests the same disease. Rest all descriptions are normal finding.
I advise you to go for sputum examination for tubercular bacilli. go for ultrasonography of chest and guided aspiration of fluid. Send the fluid for routine microscopy, ADA, total protein, LDH.

The findings of lymphocytosis in the pleural fluid more than 80%, ADA >40, Total protein more than 5 is strongly suggestive of tuberculosis.

Best wishes
Answered: Fri, 26 Apr 2013
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