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What Does This Chest X-ray Report Indicate?
Question: i just need an explanation about my Dad chest x-ray
there are reticulonodular infiltrates noted at both upper lobes predominantly fibrotic, extensive, with moderate tiny opacities exhibiting a millet seed appearance.
-there is left pleurodiaphragmatic adhesions noted and left minimal apicopleural thickening.
-there is a rounded opacity of the right superior mediastinal region approximately measuring 4.0 x 3.7 cm may represent tuberculoma formation, lymphadenopathy, new growth, among others.
-there is an expansile lesion noted at the lateral aspects of the 9th left rib of possible metastasis. Mottling of the scapula is suggestive of possible marrow replacement.
-there is top normal cardiac diameter. The aorta is moderately segmentally calcified. There is an increased transverse diameter of the aortic knob suggestive of possible aneurysmal dilatation.
-the diaphragm and sulci are intact.
-visualize bony structures show generalized ostaeopenia with degenerative spondylotic changes of the thoracic spine and mild dextroscoliosis that may only be positional in nature.
IMPRESSION
consider pulmonary tuberculosis at both upper lobes, predominantly fibrotic, extensive, with possible moderate miliary spread.
-left pleurodiaphragmatic adhesions and left minimal apicopleural thickening.
-a rounded opacity of the right superior mediastinal region may represent tuberculoma formation, lymphadenopathy, new growth, among others. If clinically warranted a follow-up contrast enhanced cranial CT SCAN is recommended for further evaluation.
-an expansile lesion at the lateral aspect of the 9th left rib of possible metastasis. Mottling of the scapula is suggestive of possible marrow replacement. Kindly correlate with clinical findings.
-top normal cardiac diameter with moderate atheromatous aorta. There is an increase transverse diameter of the aortic knob suggestive of possible aneurysmal dilatation.
-generalized osteopenia of the visualized bone structures with degenerative spondylotic changes of the thoracic spine and mild dextroscoliosis that may only be positional in nature
there are reticulonodular infiltrates noted at both upper lobes predominantly fibrotic, extensive, with moderate tiny opacities exhibiting a millet seed appearance.
-there is left pleurodiaphragmatic adhesions noted and left minimal apicopleural thickening.
-there is a rounded opacity of the right superior mediastinal region approximately measuring 4.0 x 3.7 cm may represent tuberculoma formation, lymphadenopathy, new growth, among others.
-there is an expansile lesion noted at the lateral aspects of the 9th left rib of possible metastasis. Mottling of the scapula is suggestive of possible marrow replacement.
-there is top normal cardiac diameter. The aorta is moderately segmentally calcified. There is an increased transverse diameter of the aortic knob suggestive of possible aneurysmal dilatation.
-the diaphragm and sulci are intact.
-visualize bony structures show generalized ostaeopenia with degenerative spondylotic changes of the thoracic spine and mild dextroscoliosis that may only be positional in nature.
IMPRESSION
consider pulmonary tuberculosis at both upper lobes, predominantly fibrotic, extensive, with possible moderate miliary spread.
-left pleurodiaphragmatic adhesions and left minimal apicopleural thickening.
-a rounded opacity of the right superior mediastinal region may represent tuberculoma formation, lymphadenopathy, new growth, among others. If clinically warranted a follow-up contrast enhanced cranial CT SCAN is recommended for further evaluation.
-an expansile lesion at the lateral aspect of the 9th left rib of possible metastasis. Mottling of the scapula is suggestive of possible marrow replacement. Kindly correlate with clinical findings.
-top normal cardiac diameter with moderate atheromatous aorta. There is an increase transverse diameter of the aortic knob suggestive of possible aneurysmal dilatation.
-generalized osteopenia of the visualized bone structures with degenerative spondylotic changes of the thoracic spine and mild dextroscoliosis that may only be positional in nature
Brief Answer:
Tuberculosis/metastatic cancer
Detailed Answer:
Hi,
Thanks for choosing healthcaremagic for posting your query.
I'm Dr. Sudhir Kumar.
I have gone through your question in detail and understand your concern. There are two possibilities one is tuberculosis and another is metastasis lesion(cancer). I think metastasis lesion is a more possibility looking to his age. It will be useful to get high definition computerized tomography (HRCT) of lung and PET scan.
Hope I have answered your query.
If you have any further query, I would be glad to help you.
Wishing you a good health
Tuberculosis/metastatic cancer
Detailed Answer:
Hi,
Thanks for choosing healthcaremagic for posting your query.
I'm Dr. Sudhir Kumar.
I have gone through your question in detail and understand your concern. There are two possibilities one is tuberculosis and another is metastasis lesion(cancer). I think metastasis lesion is a more possibility looking to his age. It will be useful to get high definition computerized tomography (HRCT) of lung and PET scan.
Hope I have answered your query.
If you have any further query, I would be glad to help you.
Wishing you a good health
Above answer was peer-reviewed by :
Dr. Shanthi.E
Dr. XXXXXXX
Thank you so much for your response. My Father is in Philippines and will be going tomorrow to St. Lukes in Manila. The current attending physician in my province recommended a CT scan when he gets there and to see a Pulmonologist. Just want to know if CT scan is the right choice, I'm not sure if they can PET scan as well. This is his medical history that I know of:
My Dad have chronic h/o gout
Dx with pneumonia recently
low in hemoglobin, high in creatinine (currently in hospital)
chronic lower back pain, chest & knee pain recently (nothing palpable but painful on right chest just lower axilla)
noted weight loss
unable to hold urination
He also was taken various gout meds in the past and injection for it. The attending physician administer a blood transfusion last night due to low hemoglobin. I just don't know what to expect or how serious is this.
Hope to hear from you.
Thank you so much for your response. My Father is in Philippines and will be going tomorrow to St. Lukes in Manila. The current attending physician in my province recommended a CT scan when he gets there and to see a Pulmonologist. Just want to know if CT scan is the right choice, I'm not sure if they can PET scan as well. This is his medical history that I know of:
My Dad have chronic h/o gout
Dx with pneumonia recently
low in hemoglobin, high in creatinine (currently in hospital)
chronic lower back pain, chest & knee pain recently (nothing palpable but painful on right chest just lower axilla)
noted weight loss
unable to hold urination
He also was taken various gout meds in the past and injection for it. The attending physician administer a blood transfusion last night due to low hemoglobin. I just don't know what to expect or how serious is this.
Hope to hear from you.
Brief Answer:
CT scan is right choice.
Detailed Answer:
Hi,
Welcome back
CT chest is right choice. I am sorry but He seems to be critically ill. His other symptoms are more likely due to his advanced age. You can still go ahead with CT chest if PET is not available.
Rest has already been discussed.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
https://www.bit.ly/askdrsudhirortho
Wishing your father good health
Take care
CT scan is right choice.
Detailed Answer:
Hi,
Welcome back
CT chest is right choice. I am sorry but He seems to be critically ill. His other symptoms are more likely due to his advanced age. You can still go ahead with CT chest if PET is not available.
Rest has already been discussed.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
https://www.bit.ly/askdrsudhirortho
Wishing your father good health
Take care
Above answer was peer-reviewed by :
Dr. Shanthi.E
Thank you Dr. Kumar! If I have any further question, I will contact you directly. Where do I go for my feed back?
Brief Answer:
For feedback rate the answer and write a review.
Detailed Answer:
Hi,
Welcome back
You are always welcome to healthcaremagic and directly contacting me through link. For feed back you can rate the answer and write a review.
If you have any further query, I would be glad to help you.
If not, you may close the discussion.
Wishing your father good health
Take care
For feedback rate the answer and write a review.
Detailed Answer:
Hi,
Welcome back
You are always welcome to healthcaremagic and directly contacting me through link. For feed back you can rate the answer and write a review.
If you have any further query, I would be glad to help you.
If not, you may close the discussion.
Wishing your father good health
Take care
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Answered by
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