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Smoker, chest x-ray showed haziness, suspicious density in upper lung, calcification in aortic knob, atherosclerotic aorta. Conclusion?

Hello, my father is a 59 year old male (on/off smoker) with the following chest x-ray findings: - Haziness in the left lung base - Suspicious faint density in the right upper lung - Rest of lung fields - clear - Calcification in the aortic knob - Heart not unusual and hemidiaphragm & costophrenic sulci are intact - Atherosclerotic aorta And an ALV of the right upper lung was recommended. What is an ALV? We are scheduled to see our doctor tomorrow but I would like to have an idea what these x-ray results indicate. Thank you.
Asked On : Wed, 10 Oct 2012
Answers:  1 Views:  1068
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM
ALV stands for apicolordotic view.
This is a X-ray done from a particular direction to have a better view of the abnormality or an opacity seen on PA view (the X-ray which your father has already had). Radiologists order ALR when some abnormality is seen on routine X-rays (density in upper lung in your case).
This density could be due to dust or it may be an artifact or even a scar due to previous tuberculosis or pneumonia. To find out what exactly it is, ALV is ordered. It does not imply that your father is definitely having some disease.
Besides this there is atherosclerotic plaque in aorta. This means that there is deposition of fat in the vessel wall. Deposition of calcium over the fat has caused it to be visible on X-ray film.

Thanks and take care
Dr Shailja P Wahal
Answered: Wed, 10 Oct 2012
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