What Do These Following X-ray Findings Indicate?
The chest x ray of April nearly normal
Detailed Answer:
Hello and welcome again in HCM
Its doctor Jolanda
I am glad to hear you again and i hope you are doing well
I have evaluate carefully the three of chest x rays you have attached.
Even though the images are not the best i can explain them to you as follows:
1. The chest x ray of November is the first when you have started the treatment and we can see bilateral hilar adenopathy
2.The second of February persist the adenopathy but it is moderate (which means reduced)
3.The third of April i can say that its hard to see adenopathy,i can say nearly normal
However the best choice to detect adenopathy is chest CT.
In my opinion you do not need to do further but it is your treating doctor that knows better your clinical picture of the diseases.
Hope to have been helpful for you
Regards
Dr.Jolanda
Brief Answer:
You should stop them
Detailed Answer:
Hi
You have already completed the 6 month regimen of treatment with tb drugs.
Usually this is the normal dose .
If you do not have signs and symptoms any more (cough,night sweat,fatigue,anorexia) and the adenopathy is completely regressed than you should stop the treatment.
In my opinion you should stop them
Be careful to do a healthy lifestyle,no smoking no alchohol good sleep and a healthy diet.
Wishes
Dr.Jolanda
Artefacts
Detailed Answer:
Hi
You can take them with your desire but i do not recommend them to you.
Please think about it.
Those patches we called artefacts (which means the from the light that has crossed the chest x ray in the moment of photo)
This is the reason i told you above that the images are not the best.
Hope to have been helpful
Dr.Jolanda
No more than one month
Detailed Answer:
Hi
The last chest x ray is nearly normal
I say nearly because because of the artefacts that are seen in them.
Ok take them no more than one month
Be careful
Dr.Jolanda
Madam for curiosity you told there is difference between Feb x ray and April but if we compare both looks alike almost but how can we conclude that the medicines between Feb to April worked
A positive sign
Detailed Answer:
Hi again
Yes there is a little difference (a positive one) between the second and the last chest x ray,which means that the last one is normal now.
This is the most important sign that shows to us (doctors) that the treatment has worked and you are completely cured now.
Regards
Dr.Jolanda
Brief Answer:
Continue this diet
Detailed Answer:
Hi
You are ok with this diet
Try to do some physical activity too.
It helps the lungs a lot
Wishes
Dr.Jolanda
heavy drugs
Detailed Answer:
Hi there
I don't think so but the risk remains
These are heavy drugs in general for the organism
Regards
Is any further CT scan required madam for me for evaluation yesterday went to my physician he told there no further evaluation needed for you know everything is over just take medicine for this month and finish
No more tests
Detailed Answer:
Hi again
Absolutely nothing more to do
No other examinations to do further
Just take medicine for this month and nothing else
Regards
Dr.Jolanda