Doctor insights on:
Lordotic View Chest X Ray
Not necessarily: The effects of esophageal rupture or injury may be noticed on plain films as widening of mediastinum and fluid in pleural space. Usually consideration of symptoms chest pain, chills, fever, general discomfort and shortness of breath. Usually inflammation associated with bacterial infection requiring antibiotic therapy. Supplemental testing includes esophagogram and CT exam. ...Read more
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
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
Can X-ray technician provide over dose of radiation in chest X-ray?
He said that my amount of radiation for 4 views of chest X-ray was 7msv.
That is: Approximately the radiation dose of a chest CT, it is far too much to be the dose from a 4 view chest X-ray, which should probably be. 1/10th of that or less. Perhaps you misheard the technologist? I'm not sure why the tech was providing you that info out of context anyway. ...Read more
Chest X-Ray: early silhouetting of left heart border. While consolidation is not seen on lateral view, may reflect early lingular infiltrate. Meaning?
It would be helpful to upload the chest radiograph to your Healthtap EMR as a consult, but the report indicates that you have a process in the left middle area of your lung, which could represent pneumonia.
If you develop fever, a productive cough, a follow up appointment is advised. ...Read more
Damage: You have some scarring (fibrosis) and, perhaps, hyperinflation (enlargement) of your lungs. These are signs of damage. If you smoke, you surely should quit. If you're exposed to second hand smoke or toxic fumes, try to avoid them if possible. If you're over 50, it may just be...that you're over 50! We have many exposures as the years progress that are unavoidable. ...Read more
Of course, but...: The answer is NO, if a person is healthy and has no special reason to be suspected of having lung cancer. Many things are possible in life. So, as long as a person has lungs, he CAN have lung cancer, but it is not detectable until the tumor gets bigger. Likewise, he can have brain cancer, liver cancer, etc... But, in order to live a happy, normal life, we say NO CANCER when we don't detect cancer. ...Read more
If on PA chest X-ray seen nodular dense On the left lung side, but it didn't seen on the lateral and oblique view, do I usually need future tests?
Yes: A lung nodule should likely be followed up to figure out what exactly it is. A CT is best. ...Read more
IUGR 34 wks old daughter had chest/abdom (babygram) 2 views & another abdom x ray 2 views. Add another chest x ray 2 views at 3 yrs old. Research suggests real increased cancer risk due to age/size at time of tests. Thoughts? Estimate effective dose?
Really -don't worry: A few regular x-rays are not going to increase risk enough to spend time worrying about it. It's not like she had multiple CAT scans, which is like having thousands of x-rays at one time. Radiation from the environment gives us as much exposure as a few xrays. I just would really not worry about this risk, and spend your worry time about preventing things that really are items that cause risk. ...Read more
Chest x-ray PA view shows fibrosis in mid lower zones and bronchitic changes are seen, can it be pulmonary fibrosis?
Need a CT : A chest CT is needed for diagnosis of IPF ...Read more
Not usually: As long as this is not perfomred for a prolonged period. Chest xray is low radiation burden but can accumulate if two xrays a week for months. If seriously ill and measure taken to preserve life or cure illness then benefits out weigh risks. ...Read more
Non specific: Infiltrate is a non-specific term. It just means that something 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 than an infiltrate than a mass. Either way, you should follow up with your doctor. ...Read more
Depends: Borderline can mean anything. It depends on question asked by clinician for examination. Borderline overaerated, borderline peribronhial thickening, increased interstitial markings. Need more information from report or physician ordering exam. You should ask him. ...Read more
Not necessarily: You should not have to wait too long. Usually report delivered to referring physician in matter of minutes in todays electronic world. I would contact physician or office manager to find out reason for delay. You are entitled to results in reasonable amount of time. ...Read more
Changes in spine: Usually on chest radiograph spurs on thoracic spine are detected which are a sign of degenerative changes. ...Read more
The chest xray may be the least specific part of your
seeking medical care at this point. You will need to sit down with the ordering or followup physician and go over your specific symptoms and whether they are acute (less than 2 weeks) or chronic (greater than 6 weeks). This is very important for you to do in the next few days. ...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 in smokers. If advanced can have emphysema (overaeration) or COPD as complication ...Read more
Many: Early on very little or no change will be detected. The longer one smokes, changes related to COPD (like lung hyperinflation) can be seen. When lung destruction starts to occur, chest x-ray can detect the typical changes of emphysema. Finally, pulmonary nodules and masses can be detected — some of which are cancerous. It is easy for me to say because I don't smoke, but please stop smoking asap! ...Read more
Suggestion: If you have emphysema or, worse case scenario, lung cancer, then smoking may be inferred as it is a common cause of these. If radiologists see these issues we may raise the question of a smoking history. However, there is no finding on chest x-ray that is definitive for a smoking history. ...Read more
Preauthorized?: Payers that preauthorize or precertify imaging studies often include an expiration date. Unlike prescriptions for medication, there is not standard expiration date for imaging orders. If there is question about the validity of an order received for imaging services, contact ordering physician. Prescriptions for drugs valid for six months from date on the prescription, controlled substance 28 days ...Read more