What Does My X-ray Report Indicate?

Posted on Fri, 2 Jun 2017

Question: chest xray shows 'bronchovescular markings are prominent ' plus mildly enlarged cardiac shadow. suffering from dry cough for quite some time no medicine seems to be effective. kindly tell what to do.

Answered by Dr. Bhanu Partap (18 minutes later)

Brief Answer:
Kindly consult a chest physician

Detailed Answer:
Hello

After reading your details I would like to tell you that prominent bronchovesicular markings can be due to Following reasons
1. Respiratory tract infection
2. Allergy/Bronchial asthma
3. Smoking
4. Cardiac pathologies in which pulmonary pressure increases

So I would like to suggest you to look for any triggering cause of your cough like if you are getting exposed to dust or any other particular occupational material due to which cough is not going away, if you have allergy to some particular food stuff, if you smoke then you need to stop it. If you are not able to find any suggestive cause then it's advisable to personally consult a chest physician and get yourself properly evaluated before the problem becomes chronic.

Also get one sputum for AFB done to rule out pulmonary TB.

For your enlarged cardiac shadow on x ray I would like to suggest you to get one echocardiography done.

I hope this information will guide you in aright direction. Feel free to ask if you have any more doubts.

Kind Regards
Dr Bhanu Partap

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhanu Partap (18 hours later)

what could be the effect of respiratory track infection and pulmonery pressure increase

Answered by Dr. Bhanu Partap (21 minutes later)

Brief Answer:
Hello Again

Detailed Answer:
Respiratory infection causes irritation of epithelial lining of the respiratory tract stimulating the nerve endings causing cough.

In case of increased pulmonary pressure which can be due to lung pathology or cardiac abnormalities there will be breathing difficulties or shortness of breath and cough.

Hope this information will answer your query.

Kind Regards
Dr Bhanu partap

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Bhanu Partap (4 hours later)

patient is known case of HTN,DM,LVEF is25%, echo has already been done and angiography is suggested . looking to patient condition not prepared for any invasive procedure. kindly advise if we could continue on medication only. shall be obliged to have your valued personal opinion in the matter. many thanks for your valued advice. last querry; morning bp is 55/90 which causes considerable ghabrahat and condition remains miserable for almost 2 hours. cough is continuous problem. what is way out of this situation. anxiously waiting your advice in the matter.

Answered by Dr. Bhanu Partap (16 minutes later)

Brief Answer:
I would like to know the age of the patient

Detailed Answer:
Hello again

Taking into consideration the medical details provided by you I would like to tell you that LVEF of the patient is quite low due to which long term survival prognosis is also not very good.

I would like to know the age of the patient to give a appropriate advice in this particular case.

Kind regards
Dr Bhanu partap

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Above answer was peer-reviewed by : Dr. Prasad