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X-ray report shows bilateral upper lung fibrosis, thoracic spine dextroscoliosis. Expalin

The x-ray result of my daughter states "Chest PA shows fibrotic infiltrates in both upper lungs. Heart is not enlarged. Diaphragm and costophrenic sulci are intact. Thoracic spine is convex to the right. Surgical clips are seen in the mediastinal area. Impression: Bilateral Upper Lung Fibrosis. Thoracic Spine Dextroscoliosis."
What do these findings mean?
Asked On : Sun, 28 Apr 2013
Answers:  1 Views:  120
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

The X-ray report of your daughter reveals:
1. The upper lobes of the lungs are not clear. they show fibrosis or deposition of fibrous bands. Fibrosis can occur as a consequence of healing process. Some kind of disease could have affected the upper lung lobes and as a part of healing fibrosis could have occured.
2. Dextroscoloisis is right sided rotation of the spine. Scoliosis is can be present since birth or acquired after an accident.
3. Mediastinum is the potential space between two lungs. Surgical clips in the mediastinum indicates that a previous surgery has taken place and the clips are lest as apart of the surgical closure. It is a normal finding.

All these findings are to be clinically correlated with past history.
You need to consult your treating doctor.
Thanks and take care.
Dr Shailja P Wahal
Answered: Sun, 28 Apr 2013
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