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Dr. Andrew Rynne
Dr. Andrew Rynne

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Exp 50 years

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What does this chest x-ray report indicate?

Answered by
Dr. Ilir Sharka


Practicing since :2001

Answered : 7016 Questions

Posted on Tue, 6 Sep 2016 in Lung and Chest disorders
Question: details of radiology impression: old granulomatous disease and COPD changes. There is some scarring in the lung apices expecially on right side. No focal lung infiltrate is visualized. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is maintained. Pt is 72, male, non smoker.
Answered by Dr. Ilir Sharka 27 minutes later
Brief Answer:
I would explain as follows:

Detailed Answer:

Welcome and thank you for asking on HCM!

I carefully passed through your question and would explain that the findings in your chest X ray are indicative or several degenerative changes in your lungs, related to chronic pulmonary disease, probably asthma.

From the other hand old granulomatous disease may be related to several lung disorders like Tuberculosis, sarcoidosis, etc.

The heart seems to be in a normal shape.

Coming to this point, I agree with your doctor on performing a chest CT scan in order to examine better your lungs.

Some other tests would also be helpful:

- respiratory function tests for possible copd
- PCR and sedimentation rate for inflammation
- Manthoux test for Tuberculosis
- gama INF plasma levels for Tuberculosis.

You should discuss with your doctor on the above tests.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

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