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What does the X-ray report indicate?

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Posted on Thu, 28 May 2015
Question: Hi, my X-ray notice that
1- bilateral basal increased vascular marking more evident at para-cardiac regions, for follow up - what does it mean exactly?
2- small nodular opacity is noted at left upper lung zone possibly due to old granulomatous changes what does it mean ?

I stooped smoking from about 1 year
36 old
sportive
male
thnx
I forget to till that also the x ray notice
3- cardiac shadow is not enlarged in its transverse diameter
4- costophrenic angles are free
doctor
Answered by Dr. Indu Kumar (30 minutes later)
Brief Answer:
Increased markings may be due to cause like infection/inflammation etc.

Detailed Answer:
Hello

Major finding is increased bronchovascular markings in paracardiac region(area adjoining heart) in both sides.It may be due to many causes like infection/inflammation etc.
This need clinical correlation.

There is also a small nodular opacity in left upper lung zone.It may be due to old granulomatous changes.This is a benign finding and most likely it is healed stage of past infection.Generally it doesn't require any treatment.

Other findings like CP angles,heart size are normal.

In short,findings are not serious.You may need follow up X-rays for increased bronchovascular markings.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indu Kumar (1 hour later)
So I will need some medicament to the issue of bronchovascular or just I shall to do another x ray every months - for example- until it heal completely ? or just do I need a clinical examination?

Do u prefer that I do a PTF, or CT scan to be more precise ?
doctor
Answered by Dr. Indu Kumar (6 hours later)
Brief Answer:
You need proper clinical evaluation.

Detailed Answer:
Hello

You need proper clinical evaluation.It is important to know your symptoms and reason for chest X-ray.
If there are any additional sounds in chest during auscultation like wheeze,ronchi,decreased respiratory sound etc then you may need antibiotics,bronchodilators etc ,otherwise in asymptomatic cases you may just need repeat X-ray after three months.

CT scan and PFT may be needed if symptoms persists.

Routine hemogram should also be done.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Indu Kumar

Radiologist

Practicing since :2004

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What does the X-ray report indicate?

Brief Answer: Increased markings may be due to cause like infection/inflammation etc. Detailed Answer: Hello Major finding is increased bronchovascular markings in paracardiac region(area adjoining heart) in both sides.It may be due to many causes like infection/inflammation etc. This need clinical correlation. There is also a small nodular opacity in left upper lung zone.It may be due to old granulomatous changes.This is a benign finding and most likely it is healed stage of past infection.Generally it doesn't require any treatment. Other findings like CP angles,heart size are normal. In short,findings are not serious.You may need follow up X-rays for increased bronchovascular markings. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX