What does this chest x-ray report indicate?

default
Posted on Fri, 27 Mar 2015 in Lung and Chest disorders
Question: Hello Doctor ,
hv got diagnosed my mother , attaching report of chest x-ray PA view& CBC /RBS/HBA1c
X-ray report is given below:X-RAY CHEST PA VIEW
Soft tissues and bony cage under view are normal.
Lung fields show non-homogenous opacity in right lower zone.
An ill-defined opacity is also seen in right upper zone.
Two nodular lesions are seen in left middle zone.
Hila and mediastinum are normal.
Both CP angles are blunted.
Cardiac size is increased.
CT ratio is 14.1 : 26.6.

IMPRESSION : Pneumonitis, cardiomegaly and bilateral pleurisy with
nodular lesions left mid zone.
Advised : CECT Chest and comparison with previous films if any.
doctor
Answered by Dr. Kaushal Bhavsar 15 minutes later
Brief Answer:
Get done CECT thorax and 2d echo.

Detailed Answer:
Hello dear, thanks for your question on HCM.
I can understand your mother's situation and problem.
The x ray report is more suggestive of pneumonia (lung infection).
But possibility of congestive cardiac failure ( CCF ) is also there, because of
1. Age (69 years)
2. Cardiomegaly on chest x ray.
3. Bilateral pleural effusion.
So we need to rule out pneumonia and CCF.
CECT thorax is needed to rule out lung infection.
2d echo is needed to rule out CCF.
Nodular opacities in lung at her age can be seen in malignancy. CECT thorax will also rule out malignancy.
So get done both CECT thorax and 2d echo.
Hope I have solved your query.
I will be happy to help you further.
Wishing good health to your mother.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Kaushal Bhavsar 4 minutes later
Hello Doctor ,

Is there any reason of worry , if unfortunately all mentioned follow-up testes are positive , are they curable by medicine /surgey , sorry for being negative .

also uploaded my mother CBC /RBS reports ,pls hv a look

Thanks
doctor
Answered by Dr. Kaushal Bhavsar 25 minutes later
Brief Answer:
Yes, they are curable.

Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
If this turns out to be pneumonia or CCF then 100% curable.
Antibiotics are needed for pneumonia.
Diuretics and other cardiac supportive drugs are needed to for CCF.
So get done CECT thorax and 2d echo and start appropriate treatment.
And I have not received any blood reports with the question. So ask health care magic team for this problem.
I will be happy to help you further.
Wishing good health to your mother.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Kaushal Bhavsar 9 minutes later
Dear Sir,
Thanks for response , Pls see uploaded report section , pdf file is attached by me

Rgds,
doctor
Answered by Dr. Kaushal Bhavsar 7 minutes later
Brief Answer:
Your attached reports are password protected.

Detailed Answer:
Hello dear, now I get your reports as attachment.
But I am not able to open them as they are password protected.
So either send me password or send me unprotected reports.
Hope you can understand my situation.
I will be happy to help you further.
Wishing good health to your mother.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Kaushal Bhavsar 25 hours later
Hi Doctor the report is free from password and you can view it now. Please suggest
doctor
Answered by Dr. Kaushal Bhavsar 12 minutes later
Brief Answer:
Possibility of pneumonia and CCF are high.

Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
I have gone through the report, you have attached.
She is having uncontrolled diabetes.
So possibility of pneumonia and CCF is high in her case.
Diabetics are always at great risk for lung infection. So pneumonia is one possibility.
Same way, diabetics are also at great risk of CCF. So get done CECT thorax and 2d echo to rule out above mentioned conditions.
Better to admit her in hospital as she may need insulin injections to control diabetes.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly / askdrkaushalbhavsar.
Wishing good health to your mother.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14621 Questions

premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,  

Recent questions on  Uncontrolled diabetes

doctor1 MD

My lips are cracked and peeling. Very uncomfortable. I have been using latisse for 3 months, could it be that? I haven't had any problems until...

doctor1 MD

I am having cloudy urine with a strong odor

doctor1 MD

Good night. My dad is diabetic, and have as well high blood pressure and high cholesterol profile, with past history of smoking that caused an mild...

doctor1 MD

I have a mild electric current sensation in my penis, no other symptoms. A few weeks ago I saw a urologist who performed an ultrasound , tested my...

doctor1 MD

my mother is heart Patient is a known case of uncontrolled diabetes and diabetic nephropathy hence her urea and creatinine levels are above the...

doctor1 MD

what are the rationale whyProblems with the baby's genes or chromosomes are typically the result of errors that occur by chance.
A mother's health...

Get personalised answers from verified doctor in minutes across 80+ specialties

131 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2