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What Does My Frontal And Lateral Chest X-ray Reports Indicate?

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Posted on Sat, 28 Feb 2015
Question: Frontal and Lateral Chest x-rays: Heart size and pulmonary vessels are normal. Lungs are clear. No pneumothorax or pleural effusion is evident. Mediastinal contour is normal. No free air is present under the diaphragm. Hyperaeration is visualized suggesting COPD. What does this mean: No free air present under the diaphragm and Hyperaeration is visualized.
doctor
Answered by Dr. Panagiotis Zografakis (16 minutes later)
Brief Answer:
suggests COPD

Detailed Answer:
Hello,

your X-ray findings are all normal besides the "hyperaeration" comment. No free air under the diaphragm means that there is no sign of intestinal or stomach perforation. This is a serious sign that radiologists always seek when assessing an abdominal or chest X-ray film.
Hyperaeration means that your lung contains a larger than usual quantity of air. This suggests chronic obstructive pulmonary disease (COPD). This is not diagnostic though, because it could a normal variant.
COPD causes shortness of breath particularly during physical activity and sometimes productive cough. It is far more common in smokers.

I hope I've helped!
If you'd like further clarifications, please contact me again.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (27 minutes later)
Also, I had Gated SPECT Myocarial Perfusion Imaging with Regadenoson Stress Test. Results: Blood Pressure was normal The patient experienced symptoms of nausea with regadenoson infusion and was giving 25 mg IV Aminophylline for reversal. There were no cardiac arrhythmias. 30 mCi technitium99 tetrofosmin (Myoview) was injected intraveneously at peak stress, and gated SPECT imaging was performed 30-60 minutes later. All imaging was done on a GE Millenium dual head camera.
Findings: Technically adequate images with normal tracer distribution. Diaphragmatic attenuation is seen. There was mild anterior and mild inferior attenuation. There was no motion.
Left ventricular geometry and systolic function. Resting ejection fraction (EF) was calculated at > 65%. Hyperdynamic wall motion. No transient ischemic dilation or increased lung uptake based on visual observatin. Normal wall thickening in all myocardial wall segments.
Right ventricular geometry and systolic function: Normal
Perfusion: Tomographic images in all orientations including polar displays were analyzed. Perfusion images demonstrated a relatively fixed, moderate intensity, inferior defect, with no reversibility. No ischemic changes are seen. These are likely secondary to attenuation from the diaphragm and possibly, the breasts.
Impression:
1. Normal myocardial perfusion with no evidence of ischemia on Lexiscan Myoview stress test. 2. Hyperdynamic left ventricular wall motion. 3. Overall calculated LV ejection fraction of > 65%.

Again, this was done prior to my surgery and what I was told was that my Nuclear Stress Test was normal. But, what does all this mean?
doctor
Answered by Dr. Panagiotis Zografakis (8 minutes later)
Brief Answer:
The report confirms your heart is normal

Detailed Answer:
Hello,

the results are normal. This is my comment on the "impression" section. I cannot comment on the specific findings because some of them are beyond my training and knowledge - not being a cardiologist or a radiologist. I could of course search and find what they mean but I could not evaluate them. That's the reason we've got specialists! Perhaps you should ask a specialist question to a cardiologist for further details on that.
But the overall picture is that your heart did well at the test.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3814 Questions

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What Does My Frontal And Lateral Chest X-ray Reports Indicate?

Brief Answer: suggests COPD Detailed Answer: Hello, your X-ray findings are all normal besides the "hyperaeration" comment. No free air under the diaphragm means that there is no sign of intestinal or stomach perforation. This is a serious sign that radiologists always seek when assessing an abdominal or chest X-ray film. Hyperaeration means that your lung contains a larger than usual quantity of air. This suggests chronic obstructive pulmonary disease (COPD). This is not diagnostic though, because it could a normal variant. COPD causes shortness of breath particularly during physical activity and sometimes productive cough. It is far more common in smokers. I hope I've helped! If you'd like further clarifications, please contact me again. Kind Regards!