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Had chest x ray result. Can any online doctor help me to read it?

Dear sir.
PFB the medical report of thw chest xray which I just recieved. please let know thw reason sevrity & the way out.


Note in-adequate inspiration.
The Bony Thorax appears normal.
Trachea is normally oriented.
Cardia & Aorta appear nomal
Accentuated bronchovascular are noted bilaterally.
Both CP angles appear clear.
The Diaphragmatic domes appear normal
Incidentally note elevation of the left diaphragmatic dome due to marked gastric flatulense.
Asked On : Sun, 14 Apr 2013
Answers:  1 Views:  29
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Pulmonologist 's  Response
Hi vaman,
Thanks for visiting HCM.
Let me answer your query one by one.
1) During x-ray lung has to be filled completely with air i.e full inspiration is to be taken to outline the lungs properly. probably you have not inhaled maximally so they have pointed it out.
2)Bony thorax, trachea, heart shadows (cardia and aorta) appear normal in report.
3) Accentuated broncho-vascular markings can be due to inadequte inhalation. If they are present after maximal inhalation, they are usually due to bronchitis.
4) Clear CP angle is normal finding. If blunt, on either side, is usually due to pleural effusion or pleural thickening.
5)Raised left diaphragmatic dome can be due to gastric flatulence as stated, diaphragmatic hernia where abdominal contents pass into thorax via opening in diaphragm, diaphragmatic paralysis etc.

I advise you to go for a repeat x-ray with full inspiration before coming to a conclusion.
Best wishes.
Answered: Mon, 15 Apr 2013
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