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Is An Infiltrative Lesions In The Right Upper Zone Of Chest Serious?

Posted on Fri, 19 Aug 2016

Question: Dear sir, I want your opinion. pt has infiltrative leasions in the right upper zone and mid zone. This is accidental finding on chest x ray. no history as such. please explain what it the effect of it on ventilation? is there any ventilation-perfusion mismatch because of it.?

Answered by Dr. Drkaushal85 (44 minutes later)

Brief Answer:
Can you upload the x ray image?

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Infiltration on chest x ray is mostly due to pneumonia (lung infection). And this can cause ventilation perfusion mismatch.
It will be of great help if you can send me picture (image) of the chest x ray.
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (20 hours later)

No x ray film is available. And thank you. For your answer.. how many days it will take to resolve.?

Answered by Dr. Drkaushal85 (18 minutes later)

Brief Answer:
Improvement depends on etiology.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
See, improvement depends on type of infection.
Means type of bacteria causing pneumonia.
If it is simple bacteria then, recovery time is 7-10 days but if it is resistant bacteria then duration might prolong, 2-3 weeks.
May I ask you few more questions to guide you further?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (11 hours later)

Yes sor

Thank you sir .
Actually there is no any significant respiratory related problems. And saturation is also 98% on room air

Answered by Dr. Drkaushal85 (13 minutes later)

Brief Answer:
Are you the patient we are talking about?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Please let me know
1. Are you the patient we are talking about or patient is someone else?
2. Since how long patient is having symptoms?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (14 hours later)

No, i am not patient. as i described in my first question. "pt has..." and there is no symptomes at all. only chest x ray showing this type of finding.

Answered by Dr. Drkaushal85 (10 minutes later)

Brief Answer:
Does patient have previous history of tuberculosis or pneumonia?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
With this kind of x ray, if this is active infection them patient has to have symptoms like cough, fever, expectoration etc.
Since patient is asymptomatic then these lesions must be from old infection.
So please let me know
1. Was patient having any pneumonia or lung disease in past?
2. Was patient having tuberculosis in the past?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar