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What Does The Following Chest X-ray Result Indicate?

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Posted on Wed, 22 Jun 2016
Question: Hi Dr,

My chest x-ray(PA0 shows below findings:

1.Mild bilateral apical pleural thickening seen.
2. Bilateral increased lung vessels are seen.
3. No obvious active lung lesion visualized.
4. Costophrenic angles are clear.
5. Cardiac silhouette is clear.
6. Small right bony cervical rib is seen.
7. Soft tissues are normal.

Kindly let me know what does the results mean and what shall i do now?
doctor
Answered by Dr. Vivek Chail (59 minutes later)
Brief Answer:
There might be mild inflammation of airways and please discuss with pulmonologist

Detailed Answer:
Hi,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. Your xray chest is completely normal except for few points.

2. The apical pleural thickness refers to the increased pleural cap in the upper part of lungs. This is acceptable in many people nd not a problem.

3. There is increased vessel markings in both lungs and that can be from mild inflammation or allergy. This is not a serious problem.

4. The cervical rib is an extra rib on right side in lower neck and is from birth. This can compress vessels and nerves due
when you lift your right hand over the head.

5.In conclusion you might be having mild inflammation of airways. This is not serious problem. Please discuss with pulmonologist and get lung function test if required.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (3 minutes later)
Thanks Doctor.

Does it at all means i have any form of Tuberculosis?
doctor
Answered by Dr. Vivek Chail (4 minutes later)
Brief Answer:
You do not have any features of tuberculosis in chest xray

Detailed Answer:
Hi,
Thanks for writing back with an update.

1. You do not have any features of tuberculosis in chest xray.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (1 hour later)
I just saw a pulmonologist and after looking at Chest x-ray(PA) said to go for another one called apicolordatic view before he can write a report whether i have TB or not. What is he trying to find out?
doctor
Answered by Dr. Vivek Chail (1 hour later)
Brief Answer:
It will clear doubts about apical pleural thickening

Detailed Answer:
Hi,
Thanks for writing back with an update.

1. Apicolordotic view is a chest xray which shows the apical regions of lungs in detail.

2. It is likely that your doctor might have some doubt about the apical pleural thickening and wants to be double sure about it. Therefore he is calling for a apicolordotic chest xray.

3. If doubt persists even after doing apicolordotic chest xray thrn it is recommended to do a CT scan chest and this will be a conclusive investigation.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (1 hour later)
Thanks Doctor.

Actually i need to get a report from pulmonologist saying that i do not have TB as i need to submit it to immigration NZ.

After seeing the apicolordotic chest x-ray report, would he be able to write a report that i do not have TB. Please advise
doctor
Answered by Dr. Vivek Chail (46 minutes later)
Brief Answer:
Conclusion to be made after apicolordotic chest xray and clinical tests

Detailed Answer:
Hi,
Thanks for writing back with an update.

1. After doing the chest xray apicolordotic view and some clinical tests, the pulmonologist will be able to make a conclusion regarding absence of TB features in you.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Vivek Chail (2 minutes later)
What are these clinical tests?
doctor
Answered by Dr. Vivek Chail (8 minutes later)
Brief Answer:
There are recommended clinical tests to screen for TB infection

Detailed Answer:
Hi,
Thanks for writing back with an update.

1. Clinical test for evaluation of TB infection includes Interferon Gamma Release Assay (IGRA) test, Tuberculin Skin Test and if there is symptoms of respitatory infection then TB sputum test.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6874 Questions

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What Does The Following Chest X-ray Result Indicate?

Brief Answer: There might be mild inflammation of airways and please discuss with pulmonologist Detailed Answer: Hi, Thanks for writing in to us. I have read through your query in detail. Please find my observations below. 1. Your xray chest is completely normal except for few points. 2. The apical pleural thickness refers to the increased pleural cap in the upper part of lungs. This is acceptable in many people nd not a problem. 3. There is increased vessel markings in both lungs and that can be from mild inflammation or allergy. This is not a serious problem. 4. The cervical rib is an extra rib on right side in lower neck and is from birth. This can compress vessels and nerves due when you lift your right hand over the head. 5.In conclusion you might be having mild inflammation of airways. This is not serious problem. Please discuss with pulmonologist and get lung function test if required. Hope your query is answered. Please do write back if you have any doubts. Regards,