Doctor insights on:
Bibasilar Subsegmental Atelectasis
Partial Collapse: The lingula is the lower anterior (front) portion of the left upper lobe of the lung that corresponds to the right middle lobe. Atelectasis is collapse of a portion of the lung. So, subsegmental atelectasis means that portions of lung segments of the lingula are incompletely aerated. May indicate bronchial blockage, poor breathing, or even early infection. ...Read more
Xray results showed perihilarbronchial wall thickening w/ perihliar densities w/out evidence of pleural effusion, focal consolidation or pneumothorax?
Ct chest adrenal nodule 1.9 CM right. Lungs demonstrate babisalar dependent atelectasis small subpleural bullae noted right up lobe trace pericardial?
Adrenal eval: Hi. The adrenal nodule needs to be evaluated. What were the Hounsfield units on the non-contrast scan of the nodule? Your endocrinologist will determine: 1) if it's producing any hormones, and 2) if it's growing. If high Hounsfield units, it needs sooner evaluation. Any hirsutism, amenorrhea, diabetes, serious high blood pressure, sweating, headache, palpitations, etc? Good luck! ...Read more
Xray result:Prominent perihilar interstitial markings suggesting bronchitis.No superimposed infiltrate or atelectasis.I thought bronchitis didn't show?
Subtile finding: Normal bronchial walls are hard to see on a chest x ray (arrows in pic). If they are thickened one can see them a little more. Even so, it is a tough call so we say "suggestive of" to say we really are not sure, but we see enough to be more than just a little suspicious. For complete eval of lung tissue we do high resolution CT. "Bronchitis" is a clinical diagnosis, though, so listen to your Dr. ...Read more
Lung base atelectasi: Bibasilar atelectasis typically refers to linear (subsegmental) atelectasis at the lung bases. This is typically seen with inadequate inspiration at the time of radiologic studies. It may be a result of prior infection or surgery. Uncommonly it may be caused by bronchial obstruction from mucus or adjacent lymph nodes or other tissue. It depends on the degree of atelectasis but typically is benign. ...Read more
Poor inspiration: Probably related to a poor inspiratory effort when the radiograph was taken. Often times if people are in pain or are obese they cannot take a big breath (which would expand the lungs and give a better look to the radiologist) so what we see are low lung volumes and small areas of collapsed lung - all told it is usually not a sign of anything. Sometimes atelectasis can cause a fever. ...Read more
What's a 14mm noncalcified left upper lobe parenchymal pulmonary mass adjacent atelectasis.Left upper lobe bronchus/hillar peribronchial cuffing/thick?
Mgt PHI: The imaging may be uploaded to an inbox consultation. From your description I would suggest a follow up imaging study with an evaluation with additional information. Have you smoked? Is there a family history of cancer? Have you been tested for any infections? The mass is probably impinging on the airway and causing areas of collapse, called atelectasis. This area is prone to secondary infection ...Read more
Patchy subpleural parenchymal scars in both apies on right lung middle segmental lobe and inferior lingular ligament?
Ligula: The ligula is the equivalent of the middle lobe of the lung on the left-hand side. There is no true middle lobe but it is an area of the left lung. Atelectasis refers to an area of the lung where there is no good gas exchange due to either obstruction or filling in with fluid. This is often seen with an infection. ...Read moreSee 1 more doctor answer
Chest XRay - Latetal view demonstrates blunting of both costophrenic angles w/either small lung base pleural effusions are chronic pleural thickening.
If you have: previous chest X-rays to compare, that would be helpful in making the determination between mild pleural thickening(scarring) or effusion(fluid). There are numerous potential etiologies for each. Further imaging could include ultrasound, special chest xray views(decubitus views ), or CT scan. ...Read more
Explained below: There is a collection of fluid in an estimated small amount around your lung. On the left there is most likely a focal area of scar connecting the lining of the lung called the pleura with the diaphragm. Did you have an empyema? An infection in the pleural space and/or a chest tube placed? ...Read more
COPD: Chronic obstructive pulmonary disease encompasses emphysema and chronic bronchitis. Basically, this means that smoking or another inhalant has made distortions in the architecture of your lungs that make it harder for them to work. Atelectasis and scarring physical changes that occur secondary to COPD. ...Read more
What does Diffuse coarsened interstitial markings throughout both lungs w/bilateral hilar prominence and perihilar infiltrates mean. ?
Ct angiogram shows non calcified opacity on middle lobe 4mm. Appearance of benign intrapulmonary lymph node on lung with no pleural abnormalites.
Opacity: The question to your doctor should be - is this an incidental pulmonary nodule or something more concerning. If the ct angio was done for something completely unrelated, and it was a true incidental finding, some guidelines say that under a certain size (4mm) for low risk patients (no smoking, etc), then no follow up is needed. Otherwise a biopsy or interval imaging followup is appropriate. ...Read more
Chest CT scan subsegmental atelectasis versus fibrosis in medial margins of r \l upper lobes abutting mediastinum was f/u for 6mm ground glass nodule
The fibrosis and : Atelectasis isnt anything to worry about, just some lung tissue collapsed on itself and scarring. The ground glass nodule is something that may need longer term follow up to make sure it doesnt grow. These can be due to something called atypical adenomatous hyperplasia (aah). ...Read more
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