What Does This Chest X-ray Report Indicate?
hv got diagnosed my mother , attaching report of chest x-ray PA view& CBC /RBS/HBA1c
X-ray report is given below:X-RAY CHEST PA VIEW
Soft tissues and bony cage under view are normal.
Lung fields show non-homogenous opacity in right lower zone.
An ill-defined opacity is also seen in right upper zone.
Two nodular lesions are seen in left middle zone.
Hila and mediastinum are normal.
Both CP angles are blunted.
Cardiac size is increased.
CT ratio is 14.1 : 26.6.
IMPRESSION : Pneumonitis, cardiomegaly and bilateral pleurisy with
nodular lesions left mid zone.
Advised : CECT Chest and comparison with previous films if any.
Get done CECT thorax and 2d echo.
Detailed Answer:
Hello dear, thanks for your question on HCM.
I can understand your mother's situation and problem.
The x ray report is more suggestive of pneumonia (lung infection).
But possibility of congestive cardiac failure ( CCF ) is also there, because of
1. Age (69 years)
2. Cardiomegaly on chest x ray.
3. Bilateral pleural effusion.
So we need to rule out pneumonia and CCF.
CECT thorax is needed to rule out lung infection.
2d echo is needed to rule out CCF.
Nodular opacities in lung at her age can be seen in malignancy. CECT thorax will also rule out malignancy.
So get done both CECT thorax and 2d echo.
Hope I have solved your query.
I will be happy to help you further.
Wishing good health to your mother.
Thanks.
Is there any reason of worry , if unfortunately all mentioned follow-up testes are positive , are they curable by medicine /surgey , sorry for being negative .
also uploaded my mother CBC /RBS reports ,pls hv a look
Thanks
Yes, they are curable.
Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
If this turns out to be pneumonia or CCF then 100% curable.
Antibiotics are needed for pneumonia.
Diuretics and other cardiac supportive drugs are needed to for CCF.
So get done CECT thorax and 2d echo and start appropriate treatment.
And I have not received any blood reports with the question. So ask health care magic team for this problem.
I will be happy to help you further.
Wishing good health to your mother.
Thanks.
Thanks for response , Pls see uploaded report section , pdf file is attached by me
Rgds,
Your attached reports are password protected.
Detailed Answer:
Hello dear, now I get your reports as attachment.
But I am not able to open them as they are password protected.
So either send me password or send me unprotected reports.
Hope you can understand my situation.
I will be happy to help you further.
Wishing good health to your mother.
Thanks.
Possibility of pneumonia and CCF are high.
Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
I have gone through the report, you have attached.
She is having uncontrolled diabetes.
So possibility of pneumonia and CCF is high in her case.
Diabetics are always at great risk for lung infection. So pneumonia is one possibility.
Same way, diabetics are also at great risk of CCF. So get done CECT thorax and 2d echo to rule out above mentioned conditions.
Better to admit her in hospital as she may need insulin injections to control diabetes.
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.
Wishing good health to your mother.
Thanks.