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What Does The Following X-ray Result While Suffering From Back Pain Indicate?

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Posted on Tue, 9 Feb 2016
Question: I had upper back pain and did an X-ray the results says the following.

Spine, thoracic , 4 views.      
Clinical data: Evaluate T6-7 for bony abnormality .      

COMPARISON: None .      

FINDINGS: No fracture, dislocation, subluxation, or paraspinal soft tissue      
swelling is evident . There is minimal dorsal scoliosis of thoracic spine with      
7 degrees of curvature measured from superior endplate of T5 to inferior      
endplate of T11, apex at T7. No osseous abnormality seen in mid thoracic spine.      
No significant degenerative changes. Several rounded dense foci project over      
the superior aspect of left first rib on frontal view which are not seen in      
lateral view. Possibly supraclavicular calcified nodes versus overlying foreign      
body.      



Impression:

IMPRESSION:      
     
1. No acute osseous injury evident .      
2. Mild dextroscoliosis of thoracic spine.      
3. Dense foci projecting superior to left first rib on frontal view may      
represent overlying foreign body versus calcified left supraclavicular nodes, in      
which case evidence of old granulomatous disease.

Is there anything to worry ? I am worried about #2 and #3 and
Several rounded dense foci project over      
the superior aspect of left first rib on frontal view which are not seen in      
lateral view. Possibly supraclavicular calcified nodes versus overlying foreign      
body.
doctor
Answered by Dr. Drkaushal85 (1 hour later)
Brief Answer:
No need to worry for this report.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
No need to worry for this report.
Your report is suggestive of old, healed lesions.. So no need to worry for active, infectious disease.
Your back pain might be due to musculoskeletal cause.
Please let me know
1. Did you have tuberculosis in the past?
2. Do you have any back injury in the past?
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
doctor
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Follow up: Dr. Drkaushal85 (8 hours later)
1. Did you have tuberculosis in the past?
NO
2. Do you have any back injury in the past?
NO

I had pain in the tail bone long time back 2006. But It got cured by itself.

But now I have upper back pain and lower back pain.

two symptoms,

1) I feel my left ring finger and pinky finger numb on my palm.

2) I have lower back pain started two days ago and it is causing my left feet toe numb as well. The pain is around the hip and I feel it constant pain.

3) the upper back pain is like a burning sensation pain not sure if I hurt my muscles .

Also when I had warm and clod compress the pain goes away and if I stretch it goes away, I am not sure if there is something wrong with my spine :( I am worried a lot now.

I sit a lot not sure if it is causing the issue. I am not over weight. I am 5' 11' and 172 lbs .

doctor
Answered by Dr. Drkaushal85 (47 minutes later)
Brief Answer:
Possibility of musculoskeletal pain is more.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
In my opinion, you are mostly having musculoskeletal pain because pain improves on pressure and cold, warm compression.
Please let me know
1. Have you ever undergone serum calcium level?
2. Have you ever undergone vitamin D3 level?
I am asking this because deficiency of these can also cause musculoskeletal pain. So 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
doctor
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Follow up: Dr. Drkaushal85 (43 minutes later)
1. Have you ever undergone serum calcium level?

I will add the test results for last year and this year.

2. Have you ever undergone vitamin D3 level?

Yes my D3 is low.

Attaching the results.

doctor
Answered by Dr. Drkaushal85 (2 hours later)
Brief Answer:
This reports are how much old?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Your vitamin D3 level is very low. Please tell me the date for these reports. Are these reports too old?
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
doctor
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Follow up: Dr. Drkaushal85 (4 minutes later)
Te Vitamin reports are from Nov 2014. I am taking supplements now, I stopped it and didn't take it after the first dosage.

Now I am taking 2000 D3 from yesterday. After my 2015 Doc visit.


Do you think it is causing the pain?
doctor
Answered by Dr. Drkaushal85 (12 minutes later)
Brief Answer:
Yes, this can cause pain.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Your reports are very much back dated (almost 14 months old).
And so this is the likely cause for your pain.
Vitamin D3 deficiency can cause similar symptoms.
According to the deficiency, you need higher dose of supplement.
And better to get done fresh report of vitamin D3.
Please let me know
1. Does doctor not suggested you the loading dose of vitamin D3?
2. Does he not suggested to go for fresh report?
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
doctor
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Follow up: Dr. Drkaushal85 (8 minutes later)
Doc Assked me to start the new Vitamin d3 and asked me to take it for life. so I am doing it now.

Anything else you see as a risk ?
doctor
Answered by Dr. Drkaushal85 (12 minutes later)
Brief Answer:
Vitamin D3 supplementation is needed in your case.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Ideally, you need loading dose of 6 lacs unit intra muscular, single dose.
Followed by once a week 60000 units for 2 months (8 doses) . And then 250 units daily as maintainance therapy for 6-8 months.
This is the standard protocol for supplementation of vitamin D3 in severe deficiency.
No need to worry for other things. Vitamin D3 supplementation is required.
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar. Wish you good health. Thanks.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15003 Questions

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What Does The Following X-ray Result While Suffering From Back Pain Indicate?

Brief Answer: No need to worry for this report. Detailed Answer: Thanks for your question on Health Care Magic. I can understand your concern. No need to worry for this report. Your report is suggestive of old, healed lesions.. So no need to worry for active, infectious disease. Your back pain might be due to musculoskeletal cause. Please let me know 1. Did you have tuberculosis in the past? 2. Do you have any back injury in the past? 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.