Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

135 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

How to determine Neoplasm in a chest X-ray showing adhesions?

I just had a CXR in which the radiologist identified 2 possible adhesions, but also stated that they are rounded on the frontal view and therefore cannnot rule out neoplasm. They want a comparison CXR but I don't have one. Any advice? How do you differentiate the 2??
Mon, 25 Apr 2016
Report Abuse
Question is related to
Diseases and Conditions
Lab Tests
Pulmonologist 's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Honestly speaking, one can not diagnose neoplasm (cancer) or adhesion only on the basis of chest x ray.
Chest x ray is giving only Two dimentional (2D) picture of any lesion. It is only screening test for lung lesion.
For confirmation, you need CT scan.
CT will give you three dimentional (3D) picture.
CT will also tell you about exact size, shape and margins of lesion, association with surrounding lung, necrotic center or not, mediastinal lymphnode enlarged or not etc.
All these things are important in deferentiating between neoplasm (cancer) and adhesion (benign lesion).
So better to consult pulmonologist and get done CT scan and discuss all these.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

Hello.. My age is 65 yrs. My recent chest x-ray, urine, blood checkups showed fibrotic streak in right apex. Does it mean i have tb?? Relatively doctor ask me to take sputum test continuous 3 mornings and a reporr from a cardiologist, physical examination findings state of target organs, nyha level and ccs functional of agina. Echocardiography - resting ecg , exercise ecg test, cardiac and neuclear stress test. Does above tests are all for determining TB?? How are they related to TB. Thanks for your help.

doctor1 MD

My chest xray result is suspicious left infraclavicular opacities. Suggest apico lordotic view . I did a seond xray and the result is lordotic view of upper left lobe shows no demonstrable infiltrates. I treated for primary complex for 6months 9 years ago. Bail

doctor1 MD

i was suspected to have ptb back in 2007. ive undergone 2 months medication. after that, my chest xrays showed clear results until last month when we had our annual physical exam in the company. i was told to secure fit to work clearance. the clinic doctor said,possibly a scar due to my old diagnosis. is it possible? how can it be treated?

Recent questions on  Neoplasm

doctor1 MD

yes my daughter had an ultrasound, result showed mass in endometiral lining and lining is non homogoenous i may not be saying this right, I would just like to know if this DEFINITELY will be malignant, says can not definitely define polyp or neoplasm but its 10,4 cm ultra sound 3 months ago was fine

doctor1 MD

I have had upper GI symptoms for 3 months. Primarily I have pressure under the right portion of my rib cage, excessive gas, pain directly blow my sternum. I have had a HIDA scan which showed slow fill of the common bile duct, a normal upper GI series a CT scan that showed a 1cm mass in my duodenum and most recently an EGD. The initial findings on the EGD are as follows:
Hiatus Hernia
Chronic Duodentis - diffuse mild inflammation characterized by granularity was found i n the 2nd part of the duodenum. Piopsy with a cold forceps was performed for histology.
ICD Codes used for billing were:
535.60 duodenitis (without mention of hemorrhage)
239.0 Neoplasm of unspecified nature of digestive system
553.3 diaphragmatic hernia without mention of obstruction or gangrene
I am still waiting on the histology reports, however am concerned that some of the verbiage used indicates this could be serious. Can you give me your thoughts?

doctor1 MD

7 y/o female. Sick for 14 days now. (started with fever/ vomiting ), has included stiff neck/ headaches from time to time. Fevers come back at night. Vomiting has stopped 9 days ago. Still getting fevers (especially if more physical exercise)....

doctor1 MD

I have been having irregular menstrual bleeding for the past year. Gyn found polyp during pap. Ordered Ultrasound. Please translate this ultrasound report into human language because I don't understand any of it. Thx. EXAMINATION: Ultrasound...

doctor1 MD

My sister had vomiting and pain, X-ray in hospital showed a mild large bowel obstruction. What should We do next. Is a CT needed

doctor1 MD

I just had a CXR in which the radiologist identified 2 possible adhesions, but also stated that they are rounded on the frontal view and therefore cannnot rule out neoplasm. They want a comparison CXR but I don't have one. Any advice? How do you differentiate the 2??

doctor1 MD

I had a needle inserted to gather three samples to check an abnormal node in my thyroid and they state it didn t rule out neoplasm. Going to another doctor monday to see if a further biopsy needs to be done. If the node is not normal should I be worried it is cancer. If it is neoplasm can it just be taken out and the cancer will be gone? Just nervous I guess.