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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Para Mediastinal Radiations In The Below Chest CT Scan Report Suggest?

Please explain the follwing (had CT scan of chest):There are para mediastinal radiation changes extending into the right lower lobe. Centrilobular emphysema. No discrete nodules identified. Normal pleural spaces. Enlargement of the main pulmonary artery measuring 39 mm, which can be seen in the setting of pulmonary hypertension. Aortic calcifications and severe coronary artery calcifications. Carotid atherosclerotic disease. Tiny left renal cyst, otherwise unremarkable limited views of the upper abdomen. No suspicious osseous lesions.
Mon, 18 Apr 2016
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Physical Therapist or Physiotherapist 's  Response
Hi,

Thank you for providing the brief detail about the reports you received.

To mention here, all CT, MRI, blood , etc reports have to be compared with the clinical signs and symptoms. Reports are taken to come closer to the diagnosis.

As you asked about the reports with out the symptoms mentioned it will really a medical terminologies to describe which may not needed to do so. But still will mention you some, as most CT, MRI, Blood etc laboratory reports come in some or the other forms. Without having any clinical symptoms the reports can not be taken into actual diagnosis.

As the CT was performed, what the internal status of the soft tissue is present is mentioned.

Like - pulmonary hypertension - the pulmonary artery is enlarged and you may have a sign of high blood pressure which can be taken by a BP apparatus on a clinical setting and compared

Normal pleural spaces - pleural space is the space in between the lung tissue and pleural cavity which is normal so you do not have any abnormality.

Para mediastinal radiation changes extending into the right lower lobe - this indicates the Computed tomography radiation are showing variation in the signals of detecting the tissues for which without any clinical symptoms difficult to answer. Also, lung is divided into 2. Right lung and left lung. Right lung is divided into 3 parts and Left lung is divided into 2 parts. So the from the medial of the sternum to the right lobe there is change in radiation which is unknown.

Calcification in the aorta and the coronary artery is seen - which has to be related to clinical symptoms. without any clinical symptoms they are harmless.

Carotid artery - it also has changes but without symptoms it is normal.

Left Renal cyst - there is a cyst in the left side of renal so without symptoms no comments will be mentioned

For the above report you mentioned a detailed assessment of your symptoms need to be done and post which the medical treatment will be implemented.

All, diagnostic reports without any clinical correlation will not be taken into consideration as medical treatment is guided on the symptomatic issues.

Regards
Jay Indravadan Patel
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What Does Para Mediastinal Radiations In The Below Chest CT Scan Report Suggest?

Hi, Thank you for providing the brief detail about the reports you received. To mention here, all CT, MRI, blood , etc reports have to be compared with the clinical signs and symptoms. Reports are taken to come closer to the diagnosis. As you asked about the reports with out the symptoms mentioned it will really a medical terminologies to describe which may not needed to do so. But still will mention you some, as most CT, MRI, Blood etc laboratory reports come in some or the other forms. Without having any clinical symptoms the reports can not be taken into actual diagnosis. As the CT was performed, what the internal status of the soft tissue is present is mentioned. Like - pulmonary hypertension - the pulmonary artery is enlarged and you may have a sign of high blood pressure which can be taken by a BP apparatus on a clinical setting and compared Normal pleural spaces - pleural space is the space in between the lung tissue and pleural cavity which is normal so you do not have any abnormality. Para mediastinal radiation changes extending into the right lower lobe - this indicates the Computed tomography radiation are showing variation in the signals of detecting the tissues for which without any clinical symptoms difficult to answer. Also, lung is divided into 2. Right lung and left lung. Right lung is divided into 3 parts and Left lung is divided into 2 parts. So the from the medial of the sternum to the right lobe there is change in radiation which is unknown. Calcification in the aorta and the coronary artery is seen - which has to be related to clinical symptoms. without any clinical symptoms they are harmless. Carotid artery - it also has changes but without symptoms it is normal. Left Renal cyst - there is a cyst in the left side of renal so without symptoms no comments will be mentioned For the above report you mentioned a detailed assessment of your symptoms need to be done and post which the medical treatment will be implemented. All, diagnostic reports without any clinical correlation will not be taken into consideration as medical treatment is guided on the symptomatic issues. Regards Jay Indravadan Patel