Doctor insights on:
Suspicious Density At The Right Apex
Got my xray result. Suspicious densities, right apex. Heart is enlarged. Rest of visualized structures are unremarkable. What does it mean?
An enlarged heart (cardiomegaly) on a chest x-ray can be due to failure to take a deep enough breath during the X-ray (pseudo-cardiomegaly). It can also be due to a number of cardiac diseases, see http://wb. Md/1buYnnB
"Suspicious densities " may be due to infection, malignancy, old scarring and a number of other conditions.
A CT of chest is needed to decide if the finding is significant. ...Read more
My xray result says that suspicious densities are seen in the right lung apex. Is this serious? Am I still fit to work?
How do you feel?: Whether you are fit to work or not depends on what you do for work, and whether or not they have policy or regulations regarding employee health requirements. X-ray findings alone are generally not an issue; that said, if you are short of breath and cannot perform as needed, then fitness may become an issue. Pulmonary function testing may be required. Advise immediate follow-up CT/MRI + contrast. ...Read more
My ALV results states that it shows hazy densities in the right apex; consider Koch's etiology of undetermined activity. What does it mean?
TB: Koch's disease, or tuberculosis, is suspected when a chest X-Ray shows changes in the apex of the lungs. Whether this is old, healed TB or active TB is determined by sputum cultures and special blood testing. A pulmonologist is best qualified to evaluate your situation and advise you. ...Read more
Hello, My X-ray says that there is a homogenous density in the left apex. Impression: Koch's Infection w/ volume loss. Does it mean I have TB? Thanks.
Tuberculosis: MAYBE. A pulmonary infiltrate does not necessarily mean tuberculosis. There are many things which cause pulmonary "densities". However, because TB is such a serious public health risk, it must be considered the leading diagnosis. At this point, you and your doctors must act as if you have TB, to prevent possible spread while further investigation and initial treatment occurs. ...Read more
What is the meaning of apicolordotic view shows coarse reticular and hazy densities in the right lung apex?
Heading toward dx: It means there is something in the uppermost part of the right lung that needs to be further evaluated, unless the diagnosis is already known. The x ray interpretation you provided suggests to me it's most likely to be an infectious problem, but a number of causes need to be considered. ...Read more
Chest x-ray showed asymmetric density on right lung apex. Redid it with lordotic posture. Would like an opinion on the resulting image?
HealthTap consult: You can initiate a consult with me or another radiologist and upload the images for evaluation. ...Read more
May be old infection: The apical densities may be old infections. The hyperaeraeration can be lung disease but your best bet is a to see a lung specialist. This may be nothing. Old infection like tuberculosis could be considered. ...Read more
Infiltrate rt apex: Isolated filtrate in any part of lung is a shadow seen on xrays which normally is not there. Most of the infiltrates are due to infectious process like pnumonia, tuberculosis or other infections. Some times you need more images and cat scan to define the shadow if it does not clear with standard therapy. ...Read more
Not clear: I'm not completely clear whether you might mean you are very constipated, and your bowel movements are very hard? If this is what you mean, you might be able to help it by increasing fluids -- drinking clear water at least 8 glasses per day. Also you can add plenty of fruits and vegetables in meals. Prunes can help constipation also. If this isn't what you meant, please rephrase & ask again. ...Read more
Embryonic fluid dens: Hmm. I don't know if this has been studied. But l would go to the Handbook of Chemicals and look it up. Or we can chat and I can tell you how to do it. ...Read more
Lower blood sugar: High cholesterol is linked to high Insulin levels and hormonal changes as a result of it. I suggest not mixing animal protein with starch but veggies. Also cardio and yoga and fish oil or flax seed oil to raise your good cholesterol (hdl). Also get a particle size to see if your dense LDL is high or the larger size. ...Read more
Suspicious: Suspicious densities would refer to an area or areas seen on the x-ray that are not normally seen in that location and would need further investigation/testing to be done to definitively diagnose what the densities are. Best wishes. ...Read more
Round density in the inferior mile third of the bres. No suspicious microcalcifications. What does that indicate?
It could be Fibroade: A fibroadenoma is a benign tumor of the breast, commonly see in young women. The diagnosis can be made by clinical breast examination complemented with a mammogram. You should be under the care of a physician who is familiar with breast conditions like fibroadenoma. ...Read more
Suspicious densities overlying the right first anterior rib, apicolordotic view is suggested. What is the meaning of it?
AP lordotic view: The x-ray technician will take an additional view of your chest to help see the apex (top) of your lung. This area is difficult to see on a regular chest x-ray because of the ribs and collar bone. Sometimes a tumor in that area can cause pancoast syndrome, but it is rare. ...Read more
What do you mean by Suspicious densities are noted in the right midlung. Suggest spot film of the right midlung with cone down?
Contact your doctor: I am not sure why you would ask us. We did not order the film. Nor do we have it to look at. You have a significant finding in your lung and you MUST discuss this with the physician who ordered the test. ...Read more
My impression in x ray stated: suspicious densities are seen in midle lungfield. Deferred. Coned down view corelation suggested. What does it mean?
Needs clarification: That simply means the radiologist wants better pictures of his area in order to attempt diagnosis. Finding is currently unclear. ...Read more
Genes, hormones: Bone density is determined initially by inherited genes, If a parent has low bone density there is a 50% chance each child may also. In women estrogen deficiency causes bone loss. In men testosterone deficiency causes bone loss. Vitamin D deficiency results in poor absorption of calcium and causes bone loss and/or poorly mineralized bone. Steroids, excess alcohol and cigarettes also. ...Read more
DXA: They employ a dual-energy absorptiometry, or DXA also referred to as DEXA scan using very little radiation. You get a ty score and the lower your score, the weaker your bones are and the risk for fracture is greater. ...Read more
More oxygen at apex: There is more ventilation and less blood flow at the apex of the lung. Since tuberculosis is a strict aerobe it grows better in the better oxygenated upper lobe where less of the oxygen is carried away be the blood. The lower lobes of the lung have more blood flow and less ventilation so there is less oxygen to feed the TB because the blood carries more of the oxygen into the body. ...Read more
Possible pneumonia: Depends on the situation. Most common reason for densities is infection. ...Read more
What could be a reason for a suspicious density on the upper lung superimposed on the adjacent ribs?
Many: There are many conditions including tumor and infection. Please see your physician. ...Read more
Suspicious apical densities usually means some density seen in apex of lung. Could be scarring and old disease or some active disease. I had previous xray exam the two can be compared if not changing probably old disease or scars. Of course infections, tumors, or atelectasis
(volume loss are other possibilities. Ask your doctor for more specifics and whether further testing needed or followup. ...Read more
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