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What Does My X-ray Test Report Indicate?

Posted on Thu, 9 Jun 2016

Question: can you please explain this chest xray report... coarse peribronchial markings are seen at the left base which could be inflammatory in nature. The lungs are hyperexpanded. Correlate clinically with inflammatory markers, therapy as indicated and follow up study recommended4-6 weeks after completion

HOW LONG MUST I WAIT FOR ANSWER?

Answered by Dr. Drkaushal85 (1 hour later)

Brief Answer:
Possibility of left lower lobe pneumonia with the background of emphysema.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
This x ray report is suggestive of
1. Emphysema (lung fields are expanded)
2. Possible left lower lobe infection (coarse peri bronchial markings in left lower lobe).
So you need PFT (pulmonary function test) for the confirmation of emphysema.
Blood reports for lung infection.
Please let me know
1. Do you have breathlessness and fever?
2. Do you smoke?
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 (6 hours later)

answer I have no breathless XXXXXXX no fever current smoker of 7 per day trying to stop. what treatment should I be having? thankyou

Answered by Dr. Drkaushal85 (5 minutes later)

Brief Answer:
Do you have cough? Do you have expectoration?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
First of all, you need to quit smoking. This is the most important step.
So quit smoking as soon as possible.
You will need broad spectrum antibiotic like levofloxacin.
Please let me know
1. Do you have cough?
2. Do you have expectoration?
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 (16 minutes later)

thank you I have cough no expectorant. had cough for 12 weeks wich is why I went to see dr in fist place was given cephalexin then omeprazole for 2 months

Answered by Dr. Drkaushal85 (6 minutes later)

Brief Answer:
Is this chest x ray recent one or before 12 weeks ?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
You are having chronic cough.
I am a bit confused. You are having symptoms since 12 weeks. Right?
Then what is the date of x ray? I mean is it recent one or 12 weeks before?
Do you see any improvement after cephalexin?
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 (4 minutes later)

recent x ray 4th april yes they wouldn't do xray till after tried antibiotics omeprazole etc yes coughing for 12 weeks some improvement but still there

Answered by Dr. Drkaushal85 (4 minutes later)

Brief Answer:
We should rule out chronic infection in your case.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
So this chest x ray is of recent time (4rth April).
We need to rule out chronic infection and lung cancer (less likely) in your case.
Cough for 12 weeks in smoker should be evaluated in depth.
So please let me know
1. Do you have weight loss?
2. Do you have anorexia and decreased appetite?
3. Have you ever had lung infection in the past?
4. Have you ever had hemoptysis (blood in sputum)?
5. You have mentioned about blood reports and spirometry. You are about to have all these tests or you already had done these tests?
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