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What Does The Following Chest X Ray Report Indicate?

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Posted on Mon, 1 Aug 2016
Question: Hello Doctor,

My chest X ray report reads as follows:-
"Mild blunting of right costophrenic angle - ? pleural thickening / pleural effusion
Bilateral broncho-vascular prominence noted"

History:- I am a 47 years old woman and have had a history of breast cancer and have been regularly following-up at XXXXXXX for checkup. A year ago, we detected fibroids in my uterus. So now the doctors are looking forward to operate to remove the fibroids. The X ray test conducted yesterday is a part of the series of pre-operation tests prescribed.

Please guide as to what could be the implications of the observations in the report.
Thanks
doctor
Answered by Dr. Sameer Kumar (25 minutes later)
Brief Answer:
X-ray chest for anaesthesia fitness.

Detailed Answer:
Hello,
Thanks for the query touch,
The X-ray chest shows a possible plural effusion/ pleural thickening right side , which is possible due to old healed lower respiratory tract infection- pleural thickening or an active infection chest -pleural effusion. This can be further ruled out with a chest ultrasound. The chest X-ray before surgery is done for anaesthesia fitness, so it would not have any implication of fibroid removal surgery at all.
but considering that you are already 47 and family has been completed and if you are symptomatic due to fibroids then you should rather go for hysterectomy rather than just fibroid removal. If she is asymptomatic then fibroid surgery is actually not required.
History of breast cancer would increase chances of an ovarian cancer but not endometrial cancer, so isolated fibroid surgery itself is debatable.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (18 minutes later)
Thanks a lot Sir, for demystifying pleural thickening and pleural effusion for me and for advice on hysterectomy.

What I meant to ask was:- Does the chest X-ray have any implication of any active disease (Lung Cancer or so) ?

Also, I would like to know what is the implied by "Bilateral broncho-vascular prominence noted"?
doctor
Answered by Dr. Sameer Kumar (2 minutes later)
Brief Answer:
answered

Detailed Answer:
Hello,
No, there is no active lesion if you concern is lung cancer here. The chest X-ray is clean with increased bronchovascular findings is a common finding at her age due to possible high blood pressure or even secondary to old chest infections.
Regards
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1782 Questions

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What Does The Following Chest X Ray Report Indicate?

Brief Answer: X-ray chest for anaesthesia fitness. Detailed Answer: Hello, Thanks for the query touch, The X-ray chest shows a possible plural effusion/ pleural thickening right side , which is possible due to old healed lower respiratory tract infection- pleural thickening or an active infection chest -pleural effusion. This can be further ruled out with a chest ultrasound. The chest X-ray before surgery is done for anaesthesia fitness, so it would not have any implication of fibroid removal surgery at all. but considering that you are already 47 and family has been completed and if you are symptomatic due to fibroids then you should rather go for hysterectomy rather than just fibroid removal. If she is asymptomatic then fibroid surgery is actually not required. History of breast cancer would increase chances of an ovarian cancer but not endometrial cancer, so isolated fibroid surgery itself is debatable. Regards