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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 Report For Chronic Cough Indicate?

Hi , good day. My daughter is coughing hard and it went for about 3 - 4 days now , so we decided to consult to a doctor. Then they said its better to have her a xray , so we did. Then this is the findings of the xray. FINDINGS: Perihilar and Paracardiac streaky opacities are seen. Heart is not enlarged. Diaphragm and sulci are intact. IMPRESSION: IINTERSTITAL PNEUMONIA RULE OUT PRIMARY KOCH s INFECTION.
Fri, 18 Mar 2016
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Ayurveda Specialist 's  Response
**
Thanks for raising your concern on this platform and following is the interpretation of X-ray findings:

1. Interstitial [supporting framework of lung], & pneumonia [lung abnormality] i.e. Interstitial Pneumonia is a form of lung disease where alveoli and pleura become inflamed with progressive scarring of both lungs

2. Heart/Diaphragm are Normal

3. Since the lung is the most affected organ due to Primary Tuberculosis thus they have asked to exclude the same because 'tuberculous bronchopneumonia' is one feature of progressive primary tuberculosis. [Primary Koch's] thus it is wise to seek an opinion of Chest Specialist [Pulmonologist] who will conduct a physical examination, and might ask for sputum examination, blood test, skin [tuberculin] test, broncholavage.

PS. Since duration is 3-4 days thus interstitial pneumonia is less likelihood since there is more of breathlessness [dyspnea] which progress to respiratory failure in the disease.

4. Do not hesitate to go for the medications [ATT preferably] since it is totally a recoverable disease [if started promptly] and will avoid future complications but if he thinks that Primary Koch's is not there then he will give you suitable antibiotics to resolve the pneumonia.
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What Does This Chest X-ray Report For Chronic Cough Indicate?

** Thanks for raising your concern on this platform and following is the interpretation of X-ray findings: 1. Interstitial [supporting framework of lung], & pneumonia [lung abnormality] i.e. Interstitial Pneumonia is a form of lung disease where alveoli and pleura become inflamed with progressive scarring of both lungs 2. Heart/Diaphragm are Normal 3. Since the lung is the most affected organ due to Primary Tuberculosis thus they have asked to exclude the same because tuberculous bronchopneumonia is one feature of progressive primary tuberculosis. [Primary Koch s] thus it is wise to seek an opinion of Chest Specialist [Pulmonologist] who will conduct a physical examination, and might ask for sputum examination, blood test, skin [tuberculin] test, broncholavage. PS. Since duration is 3-4 days thus interstitial pneumonia is less likelihood since there is more of breathlessness [dyspnea] which progress to respiratory failure in the disease. 4. Do not hesitate to go for the medications [ATT preferably] since it is totally a recoverable disease [if started promptly] and will avoid future complications but if he thinks that Primary Koch s is not there then he will give you suitable antibiotics to resolve the pneumonia.