Doctor insights on:
Opacity On Chest X Ray
Scar vs. Atelectasis: "bibasilar linear opacity" is a term used by radiologists to describe thin lines seen in the bases of both lungs. The typical cause for this are benign conditions such as atelectasis or scarring after a previous infection (pneumonia). Comparison with previous chest x-rays to determine chronicity and/or cause may be necessary. ...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
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
Implications of circular opacity in the left mid zone, vascular, as reported in the chest X-ray report.?
Chest X-ray showed focal patchy lingular opacity No change from 2012 Likely represents chronic airspace collapse &/or consolidation. Is this serious?
Chest X ray said there is a patchy opacity in the infrahilar region with ill defined pulmonary vasculature, what can this suggest?
Would be my first "guess"
Hope this is helpful
Dr Z ...Read more
Had chest ct scan done due to abnormal chest x-ray the ct scan says small pluralparenchymal opacity in left lung base adjacent several cysts what does it mean?
Mgt: There may be several possible conditions associated with these findings. Infections may cause cysts. I would suggest a TB test and uploading the scan to your virtual EMR. ...Read more
Often subjective, it: ... cd be benign or worrisome finding. Patchy opacity means something "more dense than air" is filling up patches (parts) of the lung. It cd be fluid (from pneumonia, heart failure, other lung diseases) or it cd be that part of the lung is under-inflated (called atelectasis) & so has more tissue than air. Or it's an artifact from d breast overlying it; so, d finding has 2 b correlated with symptom ...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
My 2 yr daughter's chest x ray reveals that LINEAR OPACITIES ARE SEEN IN BILATERAL UPPER LUNGS. PROMINENT MARKINGS...... Pls tell me if there is any p?
Mgt: These markings may represent a number of possible conditions. Among these include infections such as TB. I would advise a virtual consultation so that her history and radiograph may be uploaded for a detailed discussion. ...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
Chest X-ray: small roundish opacities in right hilum. No signs of flogosis. Normal heart. Should I do other exams? No pulmonary simptoms yet
Yes: Any lung nodule (s) require work up to determine the nature and etiology, recommend to see a physician ...Read more
Veteran served 2 years in Iraq, VA chest x-ray, and id unknown, a CT scan was done, dx r lung Opacities. Should I have this re-checked each year?
A lung: "opacity" is a very nonspecific descriptive term and could mean almost anything along the spectrum from completely benign to very serious, so there is really no way to answer the question based on limited information. Talk to your doctor about what the results mean in your case. There may be a differential diagnosis and recommendations for follow up in the radiology report. ...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