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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Chest X Ray Indicate?

Hello...I went to urgent care yesterday due to acid reflux (due to over indulgence of alcohol during the Christmas holidays). They gave me pepcid cocktail and I feel fine. They also took a chest X-ray and found a spot on the image. The Impression states: " Small consolidation in the left midlung which may represent focal pneumonia, however, recommend followup to resolution to exclude an underlying mass. If the opacity persists of follow up X-ray imaging, a chest CT is recommended." This has gotten me very worried that it may be lung cancer. I'm 39 years old, in excellent health, life-long non-smoker,148lbs, and very physical active. My blood work is perfect. However, my son had pneumonia a few weeks ago, and I developed a a cough, which ended. I have had NO symptoms for at least 2-3 weeks and feel great. The doctor yesterday put me on 250MG of the Z-pack to treat for pneumonia. Should I be afraid of cancer? Thanks for your help.
Tue, 2 Sep 2014
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General & Family Physician 's  Response
Welcome to Health care magic.

1.On your x-ray the reporting doctor has found a patch could be pneumonic or mass lesion could not be differentiated in the x-ray.
2.So if its a pneumonic patch - it will resolve after the antibiotic treatment ou are getting, if not then one will think in terms of some mass lesion.
3.In that case contrast enhanced computer tomography (CECT) will be indicated, where the lesion ( if present ) can be seen well and characterising will be easy.
4.Possibilits according to your report goes towards pneumonia - but suspicion should be ruled out.
5.So suggest a followup after the antibiotic course. Good luck.

Hope it helps you. Wish you a good health.
Anything to ask ? do not hesitate. Thank you.
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What Does This Chest X Ray Indicate?

Welcome to Health care magic. 1.On your x-ray the reporting doctor has found a patch could be pneumonic or mass lesion could not be differentiated in the x-ray. 2.So if its a pneumonic patch - it will resolve after the antibiotic treatment ou are getting, if not then one will think in terms of some mass lesion. 3.In that case contrast enhanced computer tomography (CECT) will be indicated, where the lesion ( if present ) can be seen well and characterising will be easy. 4.Possibilits according to your report goes towards pneumonia - but suspicion should be ruled out. 5.So suggest a followup after the antibiotic course. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? do not hesitate. Thank you.