Dear friend, welcome to Healthcaremagic! I am Dr. Prasad Akole (Critical Care Expert- http://bit.ly/Dr-Prasad-Akole) and am glad to address to your query here. The Xray of your wife shows the presence of shadows in the right upper lobe of the lung suggestive of pulmonary tuberculosis (which commonly affects the upper lobes). TB can be confirmed only on microscopic examination of the sputum. There may be other granulomatous infections like sarcoidosis in the differentials. There is evidence of affection of areas of the lung near the heart borders representing areas on pneumonia. Heart and skeletal structures are normal. She needs evaluation for the cause of pneumonia. Please be guided by a pulmonologist. I hope to have answered your query satisfactorily. I would be glad to answer any further queries. Take care and please keep me informed of your progress at http://bit.ly/Dr-Prasad-Akole Good Luck! It helps us to improve continuously if you could please write a rating review before you ‘accept’ and ‘close’ the query. Thank you!!