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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Chest X-ray Indicate?

my son had a chest x-ray 2 weeks ago and they just sent a letter stating that there is diminutive blunting of the lateral costophrenic sulci suggesting either tiny bilateral pleural effusions or minimal pleural parenchymal scarring. His aortic valve leaks and he had open heart surgery 12 years ago. What could be the cause of this and should we be worried?
Thu, 8 Jan 2015
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General & Family Physician 's  Response
Hi, your child had an operation for Aortic valve regurgitation. Now he has bilateral pleural effusion. This condtion is a bit worrying because effusion could be due to the inability of heart to completely pump the blood out. This leads to back pressure and effusion. get an Echocardiography done to get a view of the current status of aortic valve function along with ejection fraction. If you live in a high tubercular endemic zone, get a koch's work up in form of an ESR and a montoux test. Also , consult your cardiologist.
Thanks and regards.
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What Does This Chest X-ray Indicate?

Hi, your child had an operation for Aortic valve regurgitation. Now he has bilateral pleural effusion. This condtion is a bit worrying because effusion could be due to the inability of heart to completely pump the blood out. This leads to back pressure and effusion. get an Echocardiography done to get a view of the current status of aortic valve function along with ejection fraction. If you live in a high tubercular endemic zone, get a koch s work up in form of an ESR and a montoux test. Also , consult your cardiologist. Thanks and regards.