Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

124 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for productive cough

Answered by
Dr.
Dr. Shashi Dangwal

Pulmonologist

Practicing since :1979

Answered : 1126 Questions

default
Posted on Fri, 22 Aug 2014 in Lung and Chest disorders
Question: I was just told by my doctors office that my chest x ray showed a cloudy area. They are scheduling a CT. They told me it could be fluid since I've had a productive cough for 5 weeks or inflammation or a nodule. They said they all look about the same on a chest x ray. That is all I am being told for now. I have no idea the size or anything. Is this true? Will a CT give me more answers than the xray? The cough I have is productive but when I cough sometimes its so bad it makes me vomit.
doctor
Answered by Dr. Shashi Dangwal 1 hour later
Brief Answer:
Get CT done as it will be more informative.

Detailed Answer:
Hello Crewstephanie,

Thanks for posting your query on HCM.

A cloudy area in a chest xray may be anything but mostly fluid in the pleural cavity shows as cloudy area. You could be having a pneumonic patch which has resulted in accumulation of fluid in the pleural cavity called synpneumonic effusion.

Next course of action is to get a CT chest done as correctly advised by your doctor.

Yes CT chest gives more information than a x ray chest and may show up things not seen on x ray. So go ahead and get a CT done . Further course of action will be decided on CT report.

If you have any more queries, do post them and I`ll be glad to answer.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Medical Topics

Recent questions on  Pleural cavity

doctor1 MD

Hello
My mom has lung cancer and she is 46 years old.
Here's her medical history:
Left breast cancer (03.11.09); T1c(1-2cm) N0 (0/4nodes) Grade II IDC ER+/PR=HER2 (2+on IHC). She completed 6 cycles of adjuvant FAC chemotherapy followed by 60Gy/30fr adjuvant RT completed 05.0810. She was also started on Tamoxifen.
She developed rectal bleeding in February 2010. Colonoscopy in July 2010 showed a stenosing tumour extending from 10-18cm from the anal verge. Biopsy revealed a moderately differentiated adenocarcinoma and pelvic MRI suggested this to be a T3N2 lesion. She was started on Oxaliplatin, capecitabine , bevacizumab. She was admitted in the hospital due to complains of weakness, hypotension and bloody diarrhoea. After it was treated she underwent surgery and palliative colostomy without resection of the colonic primary because it was very adherent to the intra abdominal structures and the surgeon did not want to risk major exploration and dissection in the presence of peritonitis secondary to a colonic perforation. After post operative recovery she had been suffering from peripheral neuropathy and still is. However, she has found relief with TENS.
PET/CT scan showed bilateral pleural based metastatic lesions and a possible left lower lung parenchymal deposit also. the primary lesion did not show increased FDG uptake, possibly secondary to having its blood supply cut off by the surgeon. She was also diagnosed with multiple filling defects in the right lung on CTPA and received therapeutic low molecular weight heparin. She has a clot in her lung vessel for which she gets clexane injections everyday. She had pleural effusions aspirated three times since the start of May 2011, from the right and left side. She got a Groshong central venous catheter and started her chemotherapy (Ondansetron, dexamethasone, atropine, irinotecan). She completed 1 cycle of her chemotherapy. The chemotherapy was discontinued because of a severe infection due to the Groshong line. She was started on antibiotics but the catheter was ultimately removed. After the infection settled and she recovered a little of her strength, she was misdiagnosed with passive pneumonia and was given Tazocin. It was just recently diagnosed as loculated pleural effusion. She also has a collapsed lower right lobe. She had the effusions aspirated 3 times, one time every day.The lobe has shown improvement. She is now complaining of chest pain, pressure on the chest and extreme shortness of breath. She has been on oxygen for about a week now and finds it difficult and tiring to breath without the oxygen mask. The lung saturation however is within acceptable parameters so i dont understand why she finds it difficult to breath without the oxygen. It has gotten so bad that she's unable to talk properly and can hardly complete a sentence without taking breaks. Yesterday night her chest pain got so bad they had to give her morphine which took quite a lot of time to wear off and she felt extremely lethargic. She is complaining of palpitations and says her heart skips beats(for which she was given Metoprolol Tartrate) but no significant improvement is noted. But the doctor says her heart is doing fine, so im really confused. She also feels a tingling sensation around her lips, head and limbs quite frequently and keeps getting these tiny jolts every now and then. What do you suggest we do about that? Overall, she feels extremely weak and is drowsy and lethargic most of the times and im getting really worried because she is showing no signs of improvement. Should she start getting her chemotherapy even though she's really weak? and can you please tell me what to do about her breathing and lethargy?

doctor1 MD

hi , m suffering from pleural effusion since last six months. i took rcinex , combutol and pyrazinamide for 2 months and rcinex and combutol till date. Still there is 300 ml fluid in my left lung. is this the best treatment or should i change the medication. please advice

doctor1 MD

My Dad had quadruple bypass surgery with an aortic valve replacement 14 months ago. He is now dealing with pleural effusions in his left lung. First time the Dr. drained 1500cc's of fluid approximately two months ago. Today the Dr. tried to drain fluid again but the fluid has become a jell-like consistency and Dr. was only able to drain 50cc's. What are possible causes and treatment for this condition.

doctor1 MD

My doctors report says, "Also noted is a rind-like nodular soft tissue pleural density of the medial right hemithorax with Hounsfield units ranging from 50 to 65. Maximal thickness measures 1 cm. Subtle pleural nodularity along the minor fissure is additionally noted. Is this usually cancer?

doctor1 MD

I fell on my left side, on my left breast. I'm male age 60 good health. It knock the breath out for about 30 seconds. I'm having trouble laying on that side to sleep. I have hard time doing any lifting with my left side. Soreness when I sneeze. No...

doctor1 MD

I have had shortness of breath and on Friday Dec 2 my lung doctor did a thoracentesis and drained out about 2500 cc of fluid from my pleural cavity . The color looked like urine. Over the weekend I think my body refilled the pleural cavity because...

doctor1 MD

My 18 year old son recently had an ultrasound due to upper right quadrant pain. His results say: Liver: Diffusely hyperechoic with course echotexture and difficult to penetrate consistent with hepatic steatosis . Cannot exclude developing...