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Doctor insights on: Right Apex Lung

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Is calcification in right apex (lungs) requred treatment or not and how to remove the marks which reflect in x-ray.

Is calcification in right apex (lungs) requred treatment or not and how to remove the marks which reflect in x-ray.

Rule out active TB: Calcification in the apical lungs in a TB endemic region is old healed TB until proven otherwise. However active TB needs to be ruled out if you have any symptoms of shortness of breath, unplanned weight loss, bloody cough, chronic cough etc. It can be done with sputum studies or a ct scan. This " feature" cannot be removed by surgery, drugs, diet.. It is akin to a well healed injury. ...Read more

Lung (Definition)

Deoxygenated blood enters the lungs from the right side of the heart and travels to the lungs. When you inspire, oxygen flows into the lungs, transverses the capilliares and attaches to hemoglobin down a gradient. At the same time, co2 diffuses into the capilaries and is expelled with exhalation. Oxygen rich blood then flows to the left side of the heart and into the ...Read more


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What are mild emphysematous blebs on upper right apex of the lung? Are these dangerous?

What are mild emphysematous blebs on upper right apex of the lung? Are these dangerous?

Emphysema: Is a disease of the lung which is either caused by smoking or a genetic disorder. Emphysema destroys lung tissue and creates holes called blebs that look like Swiss cheese holes. By themselves, they are not dangerous, but they can lead to pneumothorax (collapsed lung). Since they are associated with smoking, they can be the location of future lung cancer. So please STOP SMOKING. ...Read more

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What is the meaning of apicolordotic view shows coarse reticular and hazy densities in the right lung apex?

What is the meaning of apicolordotic view shows coarse reticular and hazy densities in the right lung apex?

Heading toward dx: It means there is something in the uppermost part of the right lung that needs to be further evaluated, unless the diagnosis is already known. The x ray interpretation you provided suggests to me it's most likely to be an infectious problem, but a number of causes need to be considered. ...Read more

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My xray result says that suspicious densities are seen in the right lung apex. Is this serious? Am I still fit to work?

My xray result says that suspicious densities are seen in the right lung apex. Is this serious? Am I still fit to work?

How do you feel?: Whether you are fit to work or not depends on what you do for work, and whether or not they have policy or regulations regarding employee health requirements. X-ray findings alone are generally not an issue; that said, if you are short of breath and cannot perform as needed, then fitness may become an issue. Pulmonary function testing may be required. Advise immediate follow-up CT/MRI + contrast. ...Read more

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My doctor says I have "mild emphysematous blebs on upper right apex of the lung." What does this mean?

My doctor says I have "mild emphysematous blebs on upper right apex of the lung." What does this mean?

It means there: Are small abnormal cystic air-filled spaces in the upper right lung. It is likely an incidental finding that has been there for years, and is of no clinical significance. However, it is possible that it is an early manifestation of a more progressive process, so speak to your doctor about the significance in your particular situation. ...Read more

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I was wondering if I should worry about few small nonspecific linear pleural parenchymal opacities right lung apex found on a shoulder MRI?

I was wondering if I should worry about few small nonspecific linear pleural parenchymal opacities right lung apex found on a shoulder MRI?

Need more informatio: Need more information, More medical and social history. Smoking or not. Any other medical disease at present.
These findings are on MRI of shoulder and not a dedicated MRI of chest
So You need to be seen by a MD or Pulmonary to go over your history, physical exam and more work up if needed ...Read more

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Why does tuberculosus lodge at the apex of the lungs?

Why does tuberculosus lodge at the apex of the lungs?

More oxygen at apex: There is more ventilation and less blood flow at the apex of the lung. Since tuberculosis is a strict aerobe it grows better in the better oxygenated upper lobe where less of the oxygen is carried away be the blood. The lower lobes of the lung have more blood flow and less ventilation so there is less oxygen to feed the TB because the blood carries more of the oxygen into the body. ...Read more

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Adenocarcinoma in apex lung. What does this mean?

Adenocarcinoma in apex lung. What does this mean?

Lung adenoCA at apex: Adenocarcinoma is originated from epithelial tissues which has glandular (with secretory property) and malignant appearance. It is the most common type of lung cancer. When it is located at the 'apex' of the lung, that means at the tip of the upper portion of the lung. ...Read more

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Follow-up study to May 2015 again shows lung hyperaeration. Previously noted ill-defined opacities in the Left apex show interval regression. Mean?

Follow-up study to May 2015 again shows lung hyperaeration. Previously noted ill-defined opacities in the Left apex show interval regression. Mean?

Asthma is: Hyperation. Air comes in but can't get out. An opacity that gets better that is to say regress, is usually a good sign. That can happen with such findings as pneumonia as well as atelectasis. That is a focal collapse of lung. Also you should talk with your doctor to help control the hyperation. ...Read more

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When I lay down on my back, my chest hurts, superiorly approximately on the apex of the left lung, knowing that I smoke, should I check?

When I lay down on my back, my chest hurts, superiorly approximately on the apex of the left lung, knowing that I smoke, should I check?

Probably not: Chest pain that occurs only in certain positions is generally not related to a disorder of the heart or lungs. It is typically a musculoskeletal pain that resolves with time and\or mild painkillers like Tylenol (acetaminophen) or Alleve.
It is imperative that you stop smoking. There is no reason to damage your heart and lungs while increasing your risk of bladder and other cancers. Stop while you can. ...Read more

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My friend was suffering from TB and after he treated from it they told him that he have fibrosis in the apex of his lung. Why does that happenes?

Scar: Fibrosis is another name for scar. Whenever you have a cut on the skin, depending on how deep it is, it either completely heals or it will leave a scar. Same thing happens in the lungs too whenever there is an injury such as tb. ...Read more

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What does a 7 mm right apical bleb. A 3mm subpleural right apical nodule and minimal pleural based nodularity at the left lung apex?

Too small yet: A blel is a bubble, atype of emphysema. Could be from an infection, inhalational injury (fumes, odors or smoking) or genetic. Nodules are too small to categorized but should be follow ...Read more

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How can a pneumothorax occur at the apex of the lung after wedge resection? Chest tube still in place since 1/15/15.

How can a pneumothorax occur at the apex of the lung after wedge resection? Chest tube still in place since 1/15/15.

Not healed: The pneumothorax refers to air within your pulmonary cavity, external to your lung. This occurs during surgery when the pulmonary cavity was opened up to resect a part of your lung. The chest tube under suction is an attempt to drain this air and fluid until everything is healed. It just suggests things are not completely healed yet. At some point, there are other options for intervention. ...Read more

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Ct shows parenchymal scarring of both lung apex. Pleurisy/pericarditis this summer but pain never totally went away. Could this scarring cause pain?

Yes: You have multiple reasons for pain, since pleurisy and pericarditis can leave adhesions which can cause pain. The parenchymal scarring at the apex may be unrelated to your symptoms. ...Read more

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What bloodwork would be used in diagnosing pancoast tumor? I am waiting to have CT scan due to apex lung nodule.

Usually none: A pancoast tumor (name of radiologist who described it), is a tumor involving a specific site in the lung, but it does not give the specific type. Usually they are adenocarcinoma or squamous cell carcinoma, but you need a biopsy to prove this. Do you smoke? You are young for a lung cancer, even though you have thallasemia. Do not worry until a biopsy and ct have been performed. ...Read more

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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?

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?

Hard to say: Although lung cancers can present as lung nodules, most isolated lung nodules are not due to cancer. If you are in doubt, it is better to obtain a second opinion. ...Read more

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Please help docs! Where is the concentration of oxygen highest--in your lungs or blood arriving at your lungs?

Please help docs! Where is the concentration of oxygen highest--in your lungs or blood arriving at your lungs?

In the lungs: Blood arrives in the lungs in a deoxygenated state. The function of the lungs is to exposure red cells to oxygen from the air which the red cells then carry to the rest of the body. So the blood leaving the lungs to the heart is rich in oxygen. ...Read more

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Ablation done 2 years ago and since have had chest pain near apex and abnormal rhythms multiple tests by mds and no answers. What else can it be?

Ablation done 2 years ago and since have had chest pain near apex and abnormal rhythms multiple tests by mds and no answers. What else can it be?

Not easy to know: There are multiple possibilities here, without knowing a lot of details, any answer given would be pure speculation. If you have not seen a general cardiologist (as opposed to an ep) for a second opinion, it might be time to do that. ...Read more

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Hi! I recently had a Chest PA. In the interpretation field it says that there is a suspicious opacity in the right apex. What does it mean? Is it TB?

Hi! I recently had a Chest PA. In the interpretation field it says that there is a suspicious opacity in the right apex. What does it mean? Is it TB?

Evidence of TB: It's quite possible that indeed this is TB - as tuberculosis favors the upper part of the lung, AND you are from the Philippines - which is one of the most highly afflicted countries in the world. Sorry to say. Hopefully your doc can investigate further. Sometimes TB dries up on it's own and there is a residual scar, but if you have coughing, fevers, weight loss etc you REALLY need to follow up. ...Read more

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My result in chest X-ray is PTB Residua, left apex what it is?

My result in chest X-ray is PTB Residua, left apex what it is?

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

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In a recent chest xray report says "Stable small calcified granuloma left apex. What does this mean?

Non active disease: Granuloma is usually related to tuberculosis, histoplasmosis, or coccidiodomycosis. Human body makes granulomatous reaction to organism. If calcified, small, and not changing usually means that it is inactive disease. ...Read more

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I have a chest X-ray with me and radiologist told me that I have a calcified focus in right apex. Is there any way that we can remove that spot?

I have a chest X-ray with me and radiologist told me that I have a calcified focus in right apex. Is there any way that we can remove that spot?

Monitor only: There is a good chance this is an inactive process that needs only occasional monitoring. Removal of such a focus would entail excision of the involved lung segment and the potential for significant complications and scarring. Not a good plan. ...Read more

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Chest X-ray result- Fibronodular shadows seen in the left apex PPD - 20mm Sputum smear 1st&2nd - AFB = 0. Do I have an active or inactive TB?

Chest X-ray result- Fibronodular shadows seen in the left apex PPD - 20mm Sputum smear 1st&2nd - AFB = 0. Do I have an active or inactive TB?

More testing: Neg. sputum smears do not exclude active TB, you need a quanterferon gold blood test and a bronchoscopy to exclude active TB
looking at an old CXR is also worthwhile
more history and symptoms are lacking in your question ...Read more

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21 m.felt pulsation around umblicus. Cant feel apex beat. Beating pulse in the fifth ICS near sternum. No chest pain. Nose running whole yr. Pls advice me.

21 m.felt pulsation around umblicus. Cant feel apex beat. Beating pulse in the fifth ICS near sternum. No chest pain. Nose running whole yr. Pls advice me.

No worry: It is not unusual for young people to be able to feel a pulse in the abdomen, particularly if they are thin. It is completely normal. It is not related to your runny nose. If that persists, see your doctor. Good luck. ...Read more

Apex (Definition)

Apex normally refers to a peak. However in dentistry it actually is defined as the end ...Read more