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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does "heterogeneous Opacities And Consolidation" On Chest X-ray Mean?

I am 27 yrs.old male and got my x-ray result have been diagnose of PTB and got my result on sputum exam (Reading: 1+ and Lab. Diagnosis:Positive for AFB) on my 2nd specimen out of 3 specimen I submitted in laboratory two months ago. After a month, I visit my doctor for my follow-up check-up and for any experience of nausea and vomiting, yellowish color of the eyes, blurring of vision, hematomas, joint pain, and generalized rashes. I do not experience this, so my doctor ordered me to continue intake of the medicine and visit him for follow-up check-up after 3 weeks with sputum result. A few days ago, I visit my doctor with my sputum result (all 3 specimens are negative for AFB). He requested for an X-ray for further analysis. The findings in my X-ray (2nd x-ray) were: Heterogeneous opacities at the right upper and left parahilar region, No effusion, heart is not enlarged, Trachea is midline, diaphragm and sulci are intact and bony thorax and soft tissues are normal. Impressions: Consolidation, right upper and left parahilar region, r/o PTB.

Q: What do you mean by heterogeneous opacities? at the right and left parahilar region?
Trachea is midline? Is it normal?
The Impression: Consolidation, right upper and left parahilar region, r/o PTB...what does it mean? what is the meaning of r/o?
Thank you very much.
Fri, 17 Jun 2016
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
First of all, you should get done liver function test to rule out drug induced jaundice because anti tubercular drugs are known to cause hepatitis and your symptoms likelike nausea, vomiting and yellowish discoloration of eyes are suggestive of jaundice.
About your x ray report, Heterogeneous opacity means, irregular lesions and this is commonly seen with lung infection. Upper lobe lesions are common with tuberculosis. So radiologist advised to see for tuberculosis.
Since you are already diagnosed case of tuberculosis, this lesions on chest x ray are mostly due to healing from tuberculosis.
Trachea midline is normal. Nothing to worry about this.
R/O means Rule out. Radiologist wants your primary doctor to rule out (R/O) tuberculosis in your case. So he writes r/o PTB (pulmonary tuberculosis).
No need to worry as your follow up sputum is negative for tuberculosis.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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What Does "heterogeneous Opacities And Consolidation" On Chest X-ray Mean?

Thanks for your question on Healthcare Magic. I can understand your concern. First of all, you should get done liver function test to rule out drug induced jaundice because anti tubercular drugs are known to cause hepatitis and your symptoms likelike nausea, vomiting and yellowish discoloration of eyes are suggestive of jaundice. About your x ray report, Heterogeneous opacity means, irregular lesions and this is commonly seen with lung infection. Upper lobe lesions are common with tuberculosis. So radiologist advised to see for tuberculosis. Since you are already diagnosed case of tuberculosis, this lesions on chest x ray are mostly due to healing from tuberculosis. Trachea midline is normal. Nothing to worry about this. R/O means Rule out. Radiologist wants your primary doctor to rule out (R/O) tuberculosis in your case. So he writes r/o PTB (pulmonary tuberculosis). No need to worry as your follow up sputum is negative for tuberculosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.