Doctor insights on:
Opacity On Chest X Ray
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
Yes if greatly enlar: An enlarged heart can be seen on X-ray or CT scan especially if it is greatly enlarged. However, the cause for the enlargement is usually not apparent by those means. An echocardiogram (ultrasound) usually does a better job. sometimes more specialized tests are needed. However, if this is the 1st time that an enlarged heart was detected, it is best to get it confirmed & identify the cause. GL & TY ...Read more
Depends: Depends on your symptoms. If hilar adenopathy is suspected, a CT scan with contrast is indicated. If CHF is suspected, a BNP (blood sample) would be helpful. Regardless, an echocardiogram is indicated to evaluate cardiomegaly (an enlarged heart shadow). Other tests may also be necessary depending on the situation. ...Read more
Yes: Chest xray looks at the lung tissue superimposed on a the chest wall tissue including the ribs and all the muscles and thus can miss subtle findings. In addition, lung infection can be subtle, with presentation as a small focus of infection or a rather very faint infection area that can be very difficult to detect with xray alone. A ct study may be useful if necessary. ...Read moreSee 1 more doctor answer
I have stage 2 emphysema and 4 lung nodules on a ct scan (3mm and smaller) shadow xray and CT scan. Shortness breath, chest pain, night sweats?
Mgt/workup: Your findings are of concern, and an exam documenting any lymphadenopathy is important. I would suggest seeing your PCP. Your symptoms may also be due to TB, cardiac disease, pulmonary embolism. A virtual online appt is available for follow up and to review your HRCT. healthtap.com/DosanjhMD Code: NCYHPZ ...Read more
Yes: A chest x-ray can show different structures in the chest including the trachea and lungs, heart, vessels, bones, and the diaphragm to name a few. They do not see everything and there are other tests to look for and at specific things depending on the clinical issue. ...Read moreSee 2 more doctor answers
Clear CT scan of chest. Worried about lung cancer. Two x rays and one CT clear. But the CT was without contrast & shoulder pain persists. Contrast?
Subtle: Right sided heart failure would have to be fairly severe and sometimes longstanding to show significant changes on a standard CXR. Enlargement of the right ventricle and atrium are much better seen with an echo than a CXR. A skilled radiologist might detect some changes earlier than most but overall a standard chest X-ray is not a great way to look for or prove right sided heart failure. ...Read more
Chest x-ray showed asymmetric density on right lung apex. Redid it with lordotic posture. Would like an opinion on the resulting image?
HealthTap consult: You can initiate a consult with me or another radiologist and upload the images for evaluation. ...Read more
Probably not.......: This is most likely the result of previous infection. Typically this thickening will look the same on the right and left with only some minor difference in thickness. If this is the case it is most likely nothing to worry about and just a follow-up chest xray to give you peace of mind. If there is a marked asymmetry or associated bone destruction this would need further evaluation. ...Read moreSee 1 more doctor answer
Up back ache 1 yr on right side of spine. Deep inside shoulder blade. Ct 11/01/12 chest clear. Mri spine ok. Chest xray recent ok. Missed lung cancer?
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
Started with upper respiratory virus. Then chest x Ray revealed subtle opacification on left lobe. is this collapsed lung? No one seems concerned
Impossible to tell.: Without looking at the pictures / X-ray, it will be next to impossible to tell what it is. Use HealthTap Prime to upload the films - that will help decide. Endless possibilities include an old healed rib fracture, osteochondroma, bone tumor, Paget's disease of bone, bone island, heterotopic ossification, lodged bullet or shrapnel (metalworking?), & countless others. CT scan may be like goin fishin ...Read more
Do chest CT scans w/contrast include evaluation of the clavicle and shoulder? What about chest xrays?
Yes&No: Some of the clavicle can be seen. The shoulder, not too much. CXR does see both, but is a 2Dimensional image and therefore don't see other views of the shoulder. ...Read more