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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Painful Abdomen, Ribs Pain, Shoulder Pain, Mild Peribronchial Thickening Noted. Done Hepatitis Test, Liver Enzyme Test. What Is Going On?

hello, i've been having a pain in my upper right abdomen between my ribs for about 3 weeks, along with a new pain traveling up to my right shoulder which feels to be a nerve. This has happened about 4-5 times over the past 4 days. Ive had a HIDA scan which came back fine and hepatitis test and liver enzyme test which all came back fine. I did however get an abnormal chest xray back. maybe you could decifer some of the terminologly. It states there is a mild peribronchial thickening noted in the right hilar/suprahilar region. On the later view there are densities projected over the spine. The possibility of an interstitial infiltrate cannot be excluded.
Tue, 23 Apr 2013
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General Surgeon 's  Response
Hi and welcome to HCM.
Peribronchial thickening is nonspecific sign,usually means nothing, but can suggest bronchitis or atelectasis especially in smokers. I would be more concerned about this spine issue? it must be evaluated by Ct scan. it can be degenerative changes but something muxh serious should be ruled out. You should also do liver and gallbladder ultrasounds to check gallbladder stones,this can cause such pain too. Wish you good health.
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Painful Abdomen, Ribs Pain, Shoulder Pain, Mild Peribronchial Thickening Noted. Done Hepatitis Test, Liver Enzyme Test. What Is Going On?

Hi and welcome to HCM. Peribronchial thickening is nonspecific sign,usually means nothing, but can suggest bronchitis or atelectasis especially in smokers. I would be more concerned about this spine issue? it must be evaluated by Ct scan. it can be degenerative changes but something muxh serious should be ruled out. You should also do liver and gallbladder ultrasounds to check gallbladder stones,this can cause such pain too. Wish you good health.