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Histroy of COPD, asthama and emphysema. Chest X-ray shows parenchymal infiltrate. Explain

I have COPD and A1AD, along with asthma and emphysema. I had chest x-rays with this interpretation and a recommendation to follow up the CXR in 10-14 days. "A parenchymal infiltrate is identified in the left subapical lung, not recognized on prior serial chest x-rays. the osseous structures appear unremarkable. no hilar or mediastinal masses are shown". Can you explain it so I can understand it?
Asked On : Thu, 25 Apr 2013
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Pulmonologist 's  Response
Hi Stewartfam2
Thanks for visiting HCM.
On the background of A1AD with COPD, as described by you, let's discuss the x-ray findings.
Left subapical region means the part of lung below the clavicle and above the nipple. Infiltrate means shadows casted by some sort of secretion in the lung, which is usually due to infection. As this was not present in previous serial x-rays this is the new onset infection. Osseous structure means bony cage, which is normal. Hilar region is the region where wind pipe enters the lung and mediastinum is the area corresponding to heart between the two lungs. Both of these is normal in your chest x-ray.
You must have been given some antibiotics, and x-ray done 14 days after this x-ray will be used to see whether lesion has resolved or not....

Hopefully answered your query
Best wishes
Answered: Fri, 26 Apr 2013
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