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Doctor insights on: Shadow On The Lung X Ray

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My c x ray shows the nodule shadow image on upper left side near lung?

My c x ray shows the nodule shadow image on upper left side near lung?

Mgt: The image may be uploaded to an inbox consult for guidance. Depending on your history and the appearance of the nodule, you may need a chest CT and further studies. ...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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Would a radiologist identify multiple 3.4 cm size lung lesions on the outer part of the lung on a chest xray??

Would a radiologist identify multiple 3.4 cm size lung lesions on the outer part of the lung on a chest xray??

Lung nodules/lesions: normally abnormalities larger than 1 cm and sometimes even smaller than 1 cm will be noted by a radiologist interpreting a chest x-ray. Normal structures are not typically mentioned. It's also possible to have lesions visible on a CT scan that won't be visible on a plain chest x-ray either due to size or location possibly hidden by other structures such as the heart, diaphragm, or ribs. ...Read more

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What is better CT scan or mir to further diagnose right superior mediastinum widening in the chest x ray?

What is better CT scan or mir to further diagnose right superior mediastinum widening in the chest x ray?

CT scan: Mediastinum is best seen with a contrast enhanced ct scan. Mri is improving and could be used instead but i prefer ct scan. Right mediastinal widening could be due to a congenital anomaly such as right sided aortic arch. Have you reviewed this finding with your doctor? ...Read more

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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?

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

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Questionable small density at the left upper lung field and linear atelectasis is superimposed on the left hilum.What? Cancer? Remainder lungs clear.

Questionable small density at the left upper lung field and linear atelectasis is superimposed on the left hilum.What? Cancer? Remainder lungs clear.

Possible: The possibility of cancer is almost always there. The risk depends on the smoking history, family history of cancer, the size of the mass, etc.. Smokers are at higher risk. Certain cancers are familial. Larger spots and those with ragged edges are more likely to be cancerous. Consultation with oncologist or lung specialist may be considered.. ...Read more

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What is bronchovascular markings in chest x ray?

What is bronchovascular markings in chest x ray?

Central markings: Central markings consisting of combination of blood vessels and bronchial walls. These extend out from mediastinum and heart. ...Read more

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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?

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?

NO!: Lung cancer has been eliminated as a realistic diagnosis. Move on, be glad. There are rather more mundane causes for shoulder pain. See an orthopedic surgeon and find out what's going on with that shoulder. ...Read more

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What is the meaning of Suspicious densities both apices & bibasal hyperaeration on xray?

What is the meaning of Suspicious densities both apices & bibasal hyperaeration on xray?

May be old infection: The apical densities may be old infections. The hyperaeraeration can be lung disease but your best bet is a to see a lung specialist. this may be nothing. old infection like tuberculosis could be considered. ...Read more

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Can chest x rays miss a lung infection?

Can chest x rays miss a lung infection?

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 more

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What is the meaning of increased interstitial markings when found on a chest x ray?

What is the meaning of increased interstitial markings when found on a chest x ray?

Several things: Interstitial markings in lungs are characterized by lines and dots with disease processes affecting the intersititium.Interstitium, lace-like network of tissue that extends throughout both lungs, provides support to the lungs alveoli. Tiny blood vessels travel through interstitium, allowing gas exchange between blood and air. Fibrosis or scarring, infection, changes from smoking.Asbestosis, etc. ...Read more

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Can multiple lung lesion 2.5cm in size be detected on routine chest x rays?

Can multiple lung lesion 2.5cm in size be detected on routine chest x rays?

Yes: The resolution of the cxr is such that it should be able to show lesions this big. The advent of the digital xr even makes it easier to see them. It still does not give us the diagnosis, it only makes us see them so we can work them up. ...Read more

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Does chest xray of pa lateral take a picture of the lungs?

Does chest xray of pa lateral  take a picture of the lungs?

Yes: Chest x-ray pa and lateral means your doctor wants to see lung in anterior posterior position and to see heart and behind it in lateral it shows the lungs, heart , and upper part of body , neck to abdomen. It shows if there is pathology in lungs, heart or mediastinum. ...Read more

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Doctor found "density on left rib #6" in an x Ray and ordered a CT what could it be?

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

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Iwould multiple lung lesions 2.5 CM eeavh in size located on the outer part of the right lung be detected on a chest x ray? My diagnosis is stage4 non

Iwould multiple lung lesions 2.5 CM eeavh in size located on the outer part of the right lung be detected on a chest x ray? My diagnosis is stage4 non

Usually: The smallest lesion on chest radiograph that can be detected is about 5 to 8 mm. A lot depends on its location, peripheral or central. 2.5 cm lesions are easily visualized. ...Read more

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Would you see an enlarged right heart on a chest CT scan without contrast and CT scan x ray?

Would you see an enlarged right heart on a chest CT scan without contrast and CT scan x ray?

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