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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does "residual Fibrosis And Effusion" On Chest X-ray Suggest?

MY MOTHER INLAW WAS X RAYED AND THE IMPRESSION WRITTEN IS ...ADHESION WHERE NOTED ON BOTH APICES LEFT COSTROPHIC SULCUS ISOBLITERATED AORTA IS CALCIFIED .CONCLUSSION ATHERMATOUS AORTA RESIDUAL FIBROSIS. EFFUSION VS. ADHESION LEFT SULCUS.I would like to know what it means in laymans term thank you
Fri, 13 May 2016
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Pulmonologist 's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Your mother law is most having either tuberculosis or pneumonia in the past.
Her current x ray is showing old, healed, fibrotic lesions due to previous lung infection.
Actually, almost all lung infections (tuberculosis or pneumonia) heal after treatment with following mechanism.
1. Fibrosis (most common).
2. Calcification
3. Rarely Complete resolution.
Since tb lesions are common in lung apices (upper lobes), there is fibrosis and adhesions seen in lung apices in current chest x ray.
Better to get done ultrasound examination of thorax for confirmation of pleural effusion because on chest x ray fresh effusion and old healed effusion look similar.
So get done ultrasound examination.
Overall her chest x ray is suggestive of old, fibrotic lesions.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother in law. Thanks.
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What Does "residual Fibrosis And Effusion" On Chest X-ray Suggest?

Thanks for your question on Healthcare Magic. I can understand your concern. Your mother law is most having either tuberculosis or pneumonia in the past. Her current x ray is showing old, healed, fibrotic lesions due to previous lung infection. Actually, almost all lung infections (tuberculosis or pneumonia) heal after treatment with following mechanism. 1. Fibrosis (most common). 2. Calcification 3. Rarely Complete resolution. Since tb lesions are common in lung apices (upper lobes), there is fibrosis and adhesions seen in lung apices in current chest x ray. Better to get done ultrasound examination of thorax for confirmation of pleural effusion because on chest x ray fresh effusion and old healed effusion look similar. So get done ultrasound examination. Overall her chest x ray is suggestive of old, fibrotic lesions. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother in law. Thanks.