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What Does The Following Lung CT Scan Result Indicate?

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Posted on Tue, 6 Dec 2016
Question: Dear Dr. Sharka,

Here are my ct scans of my lungs, with and without contrast. I need your opinion.
Does any interstitial scarring show up? Could you please tell me what are the white dots that appear? I really appreciate your opinion...thank you, XXXX
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello dear XXXX!

I carefully reviewed your chest X ray study ( antero-posteriol and latero-lateral view) and would explain that in these images there are is no sign of interstitial scarring. The heart shadow and the aorta seems to be quite normal.

You should know that those white dots are arteries, which look like this because of the position they have towards the radiation plan (they are perpendicular to the radiation plan and look like dots, while those that are parallel to the radiation plan look like lines).

The most concerning thing in this X ray is a deformation of your cervico-thoracic vertebral column which seems to be a kifo-skoliosis (a deformation in two plans).

This deformation of the vertebral column could be related to the age, posture, trauma or osteoporosis. It can also lead to a low pulmonary function, resulting in low oxygen levels.

For this reason, I would recommend performing respiratory function tests, in order to detect these possible changes in your pulmonary function.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (4 minutes later)
Dear Dr. Sharka,

I noticed a "tear drop" shape on the upper left lung...good sized, could you please tell me what this is? I've looked at other images of lungs and it's not commonly on those images. If you are looking at the image it would be in the upper right of the lung. Thank you, XXXXX

Thank you so much, once again, Dr. Sharka. You give me peace of mind and direction..I agree with you. I see my lung specialist tomorrow and will get back with you tomorrow, thank you much, XXXXXXX
doctor
Answered by Dr. Ilir Sharka (16 hours later)
Brief Answer:
My answer as follows:

Detailed Answer:
Dear XXXXXXX

Regarding your concern, I would explain that those images resembling a tear drop are nothing else that just normal tissues superimposed.

There is nothing abnormal with your pulmonary fields. So relax and don't worry about it.

A chest CT scan with contrast would give much more information on your lungs compared to a chest X ray.

From the other hand, the pulmonary function tests are more than necessary to examine your pulmonary function, as I explained above.

You should discuss with your doctor on the above issues.

Let me know about everything!

Greetings!

Dr. Iliri
Note: For further follow up on related General & Family Physician Click here.

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

Cardiologist

Practicing since :2001

Answered : 9533 Questions

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What Does The Following Lung CT Scan Result Indicate?

Brief Answer: I would explain as follows: Detailed Answer: Hello dear XXXX! I carefully reviewed your chest X ray study ( antero-posteriol and latero-lateral view) and would explain that in these images there are is no sign of interstitial scarring. The heart shadow and the aorta seems to be quite normal. You should know that those white dots are arteries, which look like this because of the position they have towards the radiation plan (they are perpendicular to the radiation plan and look like dots, while those that are parallel to the radiation plan look like lines). The most concerning thing in this X ray is a deformation of your cervico-thoracic vertebral column which seems to be a kifo-skoliosis (a deformation in two plans). This deformation of the vertebral column could be related to the age, posture, trauma or osteoporosis. It can also lead to a low pulmonary function, resulting in low oxygen levels. For this reason, I would recommend performing respiratory function tests, in order to detect these possible changes in your pulmonary function. Hope you will find this answer helpful! Kind regards, Dr. Iliri