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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Streaky Opacities In Perihilar Regions, Bronchovascular Summation Shadow And Overlap, Peribronchial Thickening. Pulmonary Edema?

There is no evidence of pulmonary edema. There are some streaky opacities in the perihilar regions, particularly on the left which are non specific. It is unclear these represent arifact related to bronchovascular summation shadow and overlap, peribronchial thickening, or mild interstitial infiltrates.

What does this mean please ?
Mon, 20 May 2013
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  User's Response
Hi,
Chest radiography gives a 2-dimensional image. For example, if they take a picture of your chest from back to front, shadows of all organs and structures inside the chest overlap onto each other. The radiologists are skilled to separate these shadows from each other and evaluate them.

Sometimes, however, this "separation" is impossible. This can be due to various reasons: poor image quality, poor position of the patient because of his/her health condition, undesirable motions of the patient, settings of the x-ray unit etc. When something like this takes place, fake shadows may show up in the film and these shadows are called artifacts.

The radiologist wants to say that the film shows some opaque streaky shadows around the hila of the lungs (the hila are the regions of the lungs close to the midline) and these shadows are non-specific (i.e. are not typical for any definitive disease or condition). Moreover, hoe is not sure if these shadows are artifact (because of overlapped chest structures), thickening of the lung tissue around the bronchi or areas of fluid leakage into the ling tissue.

Thanks and Regards,
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Streaky Opacities In Perihilar Regions, Bronchovascular Summation Shadow And Overlap, Peribronchial Thickening. Pulmonary Edema?

Hi, Chest radiography gives a 2-dimensional image. For example, if they take a picture of your chest from back to front, shadows of all organs and structures inside the chest overlap onto each other. The radiologists are skilled to separate these shadows from each other and evaluate them. Sometimes, however, this separation is impossible. This can be due to various reasons: poor image quality, poor position of the patient because of his/her health condition, undesirable motions of the patient, settings of the x-ray unit etc. When something like this takes place, fake shadows may show up in the film and these shadows are called artifacts. The radiologist wants to say that the film shows some opaque streaky shadows around the hila of the lungs (the hila are the regions of the lungs close to the midline) and these shadows are non-specific (i.e. are not typical for any definitive disease or condition). Moreover, hoe is not sure if these shadows are artifact (because of overlapped chest structures), thickening of the lung tissue around the bronchi or areas of fluid leakage into the ling tissue. Thanks and Regards,