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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Explain Chest X Ray Showing Masslike Right Basilar Opacity, Right Pleural Thickening, Small Pleural Effusion

I am scheduled for a ct on a follow up chest x ray where the impression says, masslike right basilar opacity as described above and right pleural thickening verses small pleural effusion. Left hilar prominence and possible left perihilar subsegmental atelectasis, CT exam suggested. what does all this mean?
Tue, 25 Feb 2014
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General Surgeon 's  Response
Hi.
Very natural to be concerned about even though you are scheduled for a CT scan, which is going to explain these things may be to a level of diagnosis.
Answer to Your Query: There is a shadow suggestive of a mass- tumor at the base of right lung. Pleura is a double covering over the lung allowing it to move effortlessly every time you breath. This is possible without us knowing because of the fluid in this cavity- which is never seen in the normal X-ray. I your case there is more than normal fluid which is detectable and seen in the x-ray along with the thickening ( obviously due to disease) of this pleura.
ON the left side there is prominence of the hilar that is near midline , may be due to lymph nodes. Atelectasis mean shrinkage of that particular part of the lung..
Now the more important thing is - X-ray shows only the suggestive information, many times just gives an idea. Hence Ct scan, which is better to delineate the cause is advised.
So wait , relax till the CT scan and further reports are done.
This may be anything you are thinking of.
Awaiting for your feedback.
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Explain Chest X Ray Showing Masslike Right Basilar Opacity, Right Pleural Thickening, Small Pleural Effusion

Hi. Very natural to be concerned about even though you are scheduled for a CT scan, which is going to explain these things may be to a level of diagnosis. Answer to Your Query: There is a shadow suggestive of a mass- tumor at the base of right lung. Pleura is a double covering over the lung allowing it to move effortlessly every time you breath. This is possible without us knowing because of the fluid in this cavity- which is never seen in the normal X-ray. I your case there is more than normal fluid which is detectable and seen in the x-ray along with the thickening ( obviously due to disease) of this pleura. ON the left side there is prominence of the hilar that is near midline , may be due to lymph nodes. Atelectasis mean shrinkage of that particular part of the lung.. Now the more important thing is - X-ray shows only the suggestive information, many times just gives an idea. Hence Ct scan, which is better to delineate the cause is advised. So wait , relax till the CT scan and further reports are done. This may be anything you are thinking of. Awaiting for your feedback.