Doctor insights on:
Chest X Ray Scarring
Chest x Ray shows subtle scarring in left lung base after pnemounia and pleurisy. Is this bad and can it become a problem?
A chest x-ray is the basic radiographic study for evaluation of the heart and lungs. It usually consists of 2 views: postero-anterior and lateral. The image is now usually acquired digitally with the sensor placed against the front of the chest for the pa view and on the left side of the chest for the lateral view. Pneumonia, heart enlargement, CHF and many other ...Read more
Chest X-ray showed mild interstitial scarring adjacent to the superior margin of the right hillus. Should I be concerned? I am 22 yrs old, not a smoker
My husband had a chest X-ray it showed linear scarring on left base. He is a heavy smoker could this be start of cancer or copd? Should we ignore it?
Should be evaluated: The presence of radiologic abnormalities that are persistent in a heavy smoker should be evaluated completely. Several factors need to be taken into consideration while determining further course of action. Talk to a lung specialist in your area for a more detailed assessment to find out the cause for those xray changes. ...Read more
Would scar tissue left from pleurisy show up on a chest x-ray? Also would scar tissue cause recurring chest pain?
Yes: Pleurisy is caused by inflammation of the linings around the lungs (the pleura), a condition also known as pleuritis. It's possible to have developed scarring. It's also possible that there's a little bit of leftover damage still healing itself. It's widespread inflammation, takes some time to heal, and that could cause chronic chest pain or discomfort. ...Read more
If you mean compared:
To a prior chest xray, it could be due to infections or other lung diseases during the interval between the x-rays, leading to some scarring.
Alternatively, the radiologist that read this xray may have been more impressed with some areas of scarring and mentioned it in the report, but it was there before, and not new. ...Read more
Chest x-ray showed fibronodular opacities in right upper & left mid zone. Had TB 4 yrs back, are these scars from earlier tb? Can this be removed?
This is a Complex Qu: This is a complex issue. Yes, TB can and often does cause fibrosis/nodular changes which typically regress partially or complete once a full course of treatment has been taken. There is of course risk of recurrence of TB. So we have to find out if your lung changes are left over of the older TB or are these new changes (progression). For this you need to go back to the doctor who treated your TB. ...Read more
I have a very small nodule on the apex of my lung found on chest X-ray my doctor saidit may be scar tissue or a blocked bone shadow, it is on the apex and I am 70 years old, is it cancer?
28/male. Chest x-ray showed "interstitum slightly coarse for age." What does this mean? Does it mean scarring? Should I be concerned?
Too vague: Ask your doc why he got CXR in first place and if you are a smoker ask him about smoking cessation programs nearby and get in one today! ...Read more
On my chest x-ray report it states. Right lower lobe linear opacities are related to scarring. No demonstrated pleural abnormality is ok.
Xray: It is probably due to a previous infection and should not cause you any problem. However I would expect that the doctor who ordered the X-ray would explain the report to you ...Read more
If my chest X-ray and CT scans show mild atelectasis and scarring at both bases, what does this mean?
The most common: Cause is not taking a deep breath. ...Read more
Mild scarring left lower lobe diagnosed by chest X-ray how common is this finding? Scared could progress altho dr not concerned should go for CT scan?
Common: Scarring can occur following previous infection, trauma, lung disease or surgery in chest. Scarring is not uncommon in older patient who becomes more exposed to various pulmonary conditions. There is known association of scars and development of lung cancer.Long period of time between baseline scar and cancer. Other risk factors contribute such as smoking, environment, genes. Ct better defines scar. ...Read more
Non specific: Infiltrate is a non-specific term. It just means that something is is within the normally air-filled air spaces of the lung. It can be infectious (most common in symptomatic patient) or inflammatory. Bleeding can appear as an infiltrate. Also, some cancers can appear more as an infiltrate than a mass. Either way, you should follow up with your doctor. ...Read more
Many things: Cardiac enlargement reflecting heart disease. Abnormalities in ventilation of lungs. Increased densities which may mean edema (fluid in lungs), hemorrhage, tumor, infection and trauma. Skeletal abnormalities such as fractures, dysplasia, bone tumors. Enlarged lymph nodes in mediastinum representing tumor or infection. Congenital abnormalities are often noted of skeleton, lungs, or heart. ...Read more
Dirty lungs?: Usually smoking appears on chest radiograph as prominent central markings which can also be seen in viral infection, reactive airway disease, and inhaling polutants. Interstitial markings or small lines in lungs more prominent. ...Read more
Sometimes: If thymoma is not causing symptoms, sometimes identified incidentally, found on chest X-ray or CT scan that is performed for another reason. If symptomatic chest X-rays, CT scans or MRI scans or the combination of PET and CT scans, are performed. While mass in the anterior mediastinum suggestive, definitive diagnosis can only be established when the mass is either removed or biopsied with pathology. ...Read more
Overaeration lungs: Hyperaeration means lungs contain larger amount of air than normally expected. Has many causes. In children can be seen with diseases causing air trapping such as bronchiolitis, asthma, cystic fibrosis, congenital heart disease, early aspiration, and metabolic acidosis. In adults airtrapping usually associated with asthma or COPD (emphysema) and other diffuse lung diseases.. ...Read more
Many reasons: Retractors are often used for chest surgery and change configuration of ribs. Sutures or vascular clips are often radiopaque and visualized. Cardiac surgery usually has sternal wire sutures when chest entered centrally. Replacement heart valves are visible. Anatomy changes when have lung resection. ...Read more
Many things: Pneumonia, volume loss or atelectasis, overaeration, fluid in lungs-interstitial edema, pulmonary hemorrhage, extraalveolar air in pleural space, pericardium, mediastinum and subcutaneous tissues, enlarged heart, nodules in lungs, metastases or infection, lung and mediastinal tumors, fractures in ribs and spine, etc ...Read more
Why are you asking?: It may or may not. More likely it will not. It is very important to obtain a detailed and long history and physical to evaluate, by an experienced MD. An isolated CXR is almost meaningless in context! Some experts have recently talked about yearly total body MRI. But unprovent AND DOES NOT REPLACE AN EXAM by an experienced doc, as opposed to a hospital employed money sucker. ...Read more
Yes: Early phase pneumonia with fever and chills may have normal chest xray and consolidate 24-48 hours later, Consolidation can lag behind clinical symptom. And clinical improvement before xray improves. Immune compromised patients on chemotherapy with neutropenia or few white blood cells, exam can look negative. It is necessary to have white blood cells to form consolidation. Bacteria are not radio de ...Read more
Quite rapid tody: In these modern times the results from digital exams are usually faxed to referring doctor in rapid fashion, once study is dictated. My physicians receive reports in less than a minute after my dictation. The physician has to look at reports. My advice is to call office manager of physician who requested study. I have found this results in more satisfactory response than speaking to receptionist. ...Read more
CXR: Without knowing the exact wording of the "Impression" I really cannot say. ...Read more
NAD on chest xray: NAD - No acute (active) disease is a terminology used to indicate that there are no acute ie infections, tumors or any sort of disease process appearing on the chest x-ray. There may be chronic changes - usually reported separately. NAD is a good thing ...Read more
Infection/tumor: Nodules can be related to granulomatous infection such as tuberculosis or coccidiodomycosis or brucellosis if live in endemic areas. Other nodules can some times be caused by staph and can cavitate. Nodules can be seen in metastases and primary lung tumors.. ...Read more
Mgt: Most likely, this represents an area of scar tissue from the infection. If any symptoms of infection recur, please see your PCP. ...Read more
The chest x-ray is performed to determine if your symptoms may be due to pneumonia, heart failure, of fluid accumulating in the space around the lung (pleural space).
A patient with common cold will usually have a normal chest x-ray.
A cough can be a symptom associated with the above mentioned problems. ...Read more
Unlikely: Unless the equipment is ancient (like the 1950's) before advances made the radiation exposures for these studies a fraction of the old ways, there is little to be concerned about. ...Read more
Sometimes: If have symptoms compatible with pneumonia, chest xray can demonstrate consolidation consistent with pneumonia. Some pneumonias are bacterial, fungal, and viral. Often have different radiographic patterns. Clinical exam by physician and certain blood tests are other ways of confirming pneumonia. ...Read more