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What Does The Following X-ray Report Indicate?
Question: please can any one help explain me the x ray as attached. I have completed the six months course of tubular lymphadenitis treatment hence can anyone please explain this x rays as my doctor told I can stop treatment.
Brief Answer:
There is positive response to treatment
Detailed Answer:
Dear Sir,
Thanks for writing in to us.
The chest xrays you sent are done on 11-11-2016, 01-02-2017 and 29-04-2017.
In chest xrays, improvement is seen over 3 to 6 months in case of TB lymphadenitis.
We look for any new areas of disease in the xray.
If there are no new areas and if the old disease areas are decreasing in size and involvement then there is positive response to treatment.
In your case there is no further disease activity visualised in the xray. However to be 100 percent sure I would advise a CT scan chest and that will be a confirming test for absence of disease.
Regards,
There is positive response to treatment
Detailed Answer:
Dear Sir,
Thanks for writing in to us.
The chest xrays you sent are done on 11-11-2016, 01-02-2017 and 29-04-2017.
In chest xrays, improvement is seen over 3 to 6 months in case of TB lymphadenitis.
We look for any new areas of disease in the xray.
If there are no new areas and if the old disease areas are decreasing in size and involvement then there is positive response to treatment.
In your case there is no further disease activity visualised in the xray. However to be 100 percent sure I would advise a CT scan chest and that will be a confirming test for absence of disease.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
sir is really there is need for further CTscan second thing can you explain me difference of the x-ray film between date 1/02/2017 and 29/04/2017
Brief Answer:
There is no increase in disease activity in last 2 chest xrays
Detailed Answer:
Hi Sir,
Thanks for writing back with an update.
There is no significant between the xrays of 01-02-2017 and 29-04-2017. There were some abnormalities in chest xray of 11-11-2016 which resolved in xray of 01-02-2017 and there is no new abnormality in xray of 29-04-2017.
In radiology, if there is no new changes or disease activity in xrays done after 6 months then there is no active disease.
Regarding CT scan, it is not really required if you do not have any symptoms. However it is latest technology and is available to accurately confirm treatment response and cure of TB. I had recommended it for your peace of mind and to confirm that you are completely cured.
In your case doing CT scan is not compulsory but let your doctor decide because he has been treating you from beginning and depending on your clinical examination.
Regards,
There is no increase in disease activity in last 2 chest xrays
Detailed Answer:
Hi Sir,
Thanks for writing back with an update.
There is no significant between the xrays of 01-02-2017 and 29-04-2017. There were some abnormalities in chest xray of 11-11-2016 which resolved in xray of 01-02-2017 and there is no new abnormality in xray of 29-04-2017.
In radiology, if there is no new changes or disease activity in xrays done after 6 months then there is no active disease.
Regarding CT scan, it is not really required if you do not have any symptoms. However it is latest technology and is available to accurately confirm treatment response and cure of TB. I had recommended it for your peace of mind and to confirm that you are completely cured.
In your case doing CT scan is not compulsory but let your doctor decide because he has been treating you from beginning and depending on your clinical examination.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
sir still some patches are seen in right lung what are they
Brief Answer:
It is from lung markings and is normal
Detailed Answer:
Hi Sir,
Thanks for writing back with an update.
The lung is never completely black.
It contains blood vessels and small airways called bronchi. These vessels and bronchi show branching pattern and the patches you see are due to the lung marking from blood vessels and airways. This gives a false patchy look on xray.
Regards,
It is from lung markings and is normal
Detailed Answer:
Hi Sir,
Thanks for writing back with an update.
The lung is never completely black.
It contains blood vessels and small airways called bronchi. These vessels and bronchi show branching pattern and the patches you see are due to the lung marking from blood vessels and airways. This gives a false patchy look on xray.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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