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Xray results showed perihilarbronchial wall thickening w/ perihliar densities w/out evidence of pleural effusion, focal consolidation or pneumothorax?
Depends: The appearance/radiological description of a lung infiltrate can be helpful, but still non specific, unless it is part of the overall evaluation of the patient. In other words, the most accurate diagnoses depends on accurate history taking, physical examination, chest x ray description/appearance, and some bloodwork. Some common bugs may have atypical appearances on x ray, and viceversa... ...Read more
What does Diffuse coarsened interstitial markings throughout both lungs w/bilateral hilar prominence and perihilar infiltrates mean. ?
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
Recent CT report states:scattered reactive lymph nodes within the neck. Biapical pleural parenchymal fibrosis at the lung apices is noted. Please expl?
Nothing worrisome: Reactive lymph nodes are lymph nodes that are prominent but not worrisome, presumably secondary to a recent infection. Fibrosis is scarring. On it's own, not a terrible thing. Slightly unusual for a 37 yr old though. May be from an old infection. However, if you smoke, this would be secondary to damage. ...Read more
Xray findings: commonly seen in tuberculosis (TB). Infiltrates are whiter areas seen in the lungs on chest xray. Although TB is the most common cause of bilateral upper-lobe infiltrates, these can also be seen in diseases such as silicosis, ankylosing spondylitis, or actinomycosis. Other tests for TB should be done, and if positive, proper treatment is very important. ...Read more
Liver biopsy: Section reveals liver parenchyma, shows 12 portal tracts. Scattered portal tracts areas are infiltrated by lymphocytic inflammatory?
?what does Ur Doctor: The doctor who advised you to have a liver biopsy is expected to tell you about this report. What did he/she say about the lymphocytes in the portal tracts? To my mind, it implies some degree of hepatitis going on. But I do not have the results of your Liver function tests(LFT's). That would help us in the interpretation ...Read more
Please interpret pericardium tissue
mononuclear infiltrates with rare polymorphnuclear leukocytes & eosinophiles. Hemosiderin-laden macrophages.
Not tumor: This is the site of an old bleed and probably infection or physical injury. The key is that there's not tumor found. Any interpretation beyond this without a history would be meaningless. ...Read more
Is this alarming
No acute focal lung infiltrate
Stable appearing tiny ovoid hyperdensity which may relate to calcified granuloma?
Stable is good. : Technically it would be good for me to know when the last xray was (the one to which they're comparing the current one). Bad things will pretty universally grow over time, so if this hypersensitive has not grown in months, or years, then it's very likely benign. ...Read more
Generally no worries: These are likely "healed" TB or fungal infection that the body has "walled off" and calcified. Usually called calcified granulomas. Very common, especially in certain parts of the world where specific fungi are endemic in the environment - in those areas, nearly every one has them and they do no harm. ...Read moreSee 2 more doctor answers
Colonscopy&then pathlogy report: mild oedema and lymphocytic infiltration focally forming dense aggregates&focal surface ulceration is it tumor tissu?
Fna, 2 nodules left lobe. Abundant benign appearing epithelial cells, hemosiderin-laden macrophages& colloid present. Scattered microfollicles noted. Path says can't entirely rule out fillocular lesio?
Attenuation of hep parenchyma. Diffuse capsular enhancement and focal capsular retraction on liver ct. No focal lesions. Could sle serositis cause ?
Patchy subpleural parenchymal scars in both apies on right lung middle segmental lobe and inferior lingular ligament?
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