Q. Does my chest x-ray show any nodules of concern?

Answered by Dr. Vivek Chail and medically reviewed by iCliniq medical review team.

 

New
Do you have a question on Chest X- Ray or Dust Allergy? We have medical experts to help you right away. Ask a Doctor Now »
 

Hello doctor,

I am looking for a second opinion regarding my chest x-ray. The chest x-ray showed no masses, nodules or pneumonia. I just have a very mild inflammation and an old rib injury. The doctor told me that I had heart deformities, but I already knew about those.


Related Questions:
I always have a stuffy nose causing brief dizzy spells. How can I stop it?
Why is the pulmonary embolism patient having burning sensation in legs?
Is there any permanent solution for wheezing and dust allergy?
 

Dr. Vivek Chail
MBBS., DMRD., DNB (RADIODIAGNOSIS
Radiodiagnosis, Radiology

Hello,

Welcome to icliniq.com.

I have seen your x-ray reports (attachment removed to protect patient identity).

  • There appears to be a mild prominence of the bronchovascular markings in both the lungs, more so in the lower lobes. This is not a serious problem and sometimes can occur without any accompanying symptoms. In most people, this happens when they get the flu or a dust allergy.
  • Why did you get the chest x-ray done? The old fracture is probably the one in the left fourth rib posteriorly.

Revert with more information to a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist

 

Hello doctor,

Thanks for replying. I got the x-ray done because I have been having pain on breathing. Two years ago, I had a mole removed that was borderline for melanoma, but I was assured by two pathologists that it was still benign. So, I am paranoid in that regard. Do you see anything with regards to nodules or masses? The report said 'no suspicious nodules,' which made me wonder if he saw benign ones or if that is just the language radiologists use. They suspected a pulmonary embolism and did a D-dimer test, which I am waiting on.

 

Dr. Vivek Chail
MBBS., DMRD., DNB (RADIODIAGNOSIS
Radiodiagnosis, Radiology

Hello,

Welcome back to icliniq.com.

  • There are no nodules or masses on the chest x-ray.
  • However, the chest CT scan is a detailed investigation, and if anything comes up in the D-dimer or your lung function tests, then a thorough investigation is required. Please note that a CT scan is not recommended unless your doctor feels the necessity right now.

For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist

 

Hello doctor,

Thank you for replying. The D-dimer test was negative. So, they recommended nothing further and chalked it up to pleurisy. Can you compare my most recent chest x-ray with the one I had three years prior? I am just curious if there are any changes. I have no idea how to read an x-ray, but the most recent one looks more congested to me. I am also wondering if weight difference alters the appearance of x-rays.

 

Dr. Vivek Chail
MBBS., DMRD., DNB (RADIODIAGNOSIS
Radiodiagnosis, Radiology

Hello,

Welcome back to icliniq.com.

  • I compared the x-ray you sent earlier with those taken three years ago (attachment removed to protect patient identity), and I find that the right hilar and para-cardiac region is slightly denser and that is what you refer to as congested.
  • There can be two reasons for it to appear that way:
  1. The brightness adjustments of both the x-rays are slightly different.
  2. Fine lung inflammatory changes in that area.
  • Get a CT scan of the chest done for screening.

For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist

 

Hello doctor,

Thanks for replying. Could the lung inflammatory changes be from a simple cold? Are you sure the changes are not nodules? Could they be related to pulmonary hypertension? My last heart catheterization showed I had the early stages of that.

 

Dr. Vivek Chail
MBBS., DMRD., DNB (RADIODIAGNOSIS
Radiodiagnosis, Radiology

Hello,

Welcome back to icliniq.com.

  • The inflammatory changes can be due to the following reasons:
  1. Dust allergy.
  2. Flu.
  3. Wheezing, in the case of asthma patients.
  4. Secondary to your heart condition and pulmonary hypertension.
  5. Mild diffuse lung conditions.
  • Therefore, the findings have to be matched with your symptoms. I do not see any nodules, big or small, in your x-ray.

For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist

 

Hello doctor,

Thank you for replying. My doctor recommended nothing further at this time and said I likely have some bronchitis or a cold. I do not know if I feel like I have a cold, but I definitely have a sinus drainage and a sore throat. My biggest concern, whenever I get an x-ray, is cancer, though I am not at risk and only paranoid. But in your opinion, is that a concern? I also recently had a cardiac MRI, which said my heart was functioning fine. So, I am not too worried about pulmonary hypertension. When you recommended a scan, was that to screen for pulmonary embolisms?

 

Dr. Vivek Chail
MBBS., DMRD., DNB (RADIODIAGNOSIS
Radiodiagnosis, Radiology

Hello,

Welcome back to icliniq.com.

  • The reason I suggested the scan was to screen the lung for any small airway inflammatory changes.
  • You can attend an annual cancer screening in your city to avoid the thoughts of cancer.

For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist

 

Thank you doctor,

So, given the x-ray, and the fact that my symptoms are abating, do you agree with my doctor's recommendations to let things be?

 

Dr. Vivek Chail
MBBS., DMRD., DNB (RADIODIAGNOSIS
Radiodiagnosis, Radiology

Hello,

Welcome back to icliniq.com.

  • Yes, as long as you do not have any persisting breathlessness or a cough, you do not require any further investigations.
  • You can get a lung function test done if symptoms reappear. And if the results are suspicious for any small airway condition, then a chest CT can be done.

For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist

 
 
Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.

Related Questions & Answers


Are the opacities in my chest x-ray due to cold?
Query: Hi doctor, I had a chest x-ray for medical examination. The doctor asked me to take the x-ray twice. These days, I am suffering from cold and throat pain. Will it affect my result? Earlier I had some allergy, but nowadays I did not have that problem. Is it a serious problem to consider? Please guid...  Read Full »
Dr. Salah Saad Shoman
Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. There is an opaque small mass that could be just a normal blood vessel or an abscess or a cystic mass. But in order to confirm, you need an MRI scan of your chest. The cold and throat pain are not the cause of these opacities. For further information consult an internal ...  Read Full »
 
Kindly clarify my CT scan reports of lung nodule.
Query: Hi doctor, For lung nodules, in the last three years, I had three scans with different radiologists. I would like to get it checked by one radiologist for any actual growth or changes that would indicate cancer. Does the lung nodule getting bigger? Due to my low platelet count, a lung biopsy is mo...  Read Full »
Dr. Vivek Chail
General Practitioner

Answer: Hi,  Welcome to icliniq.com. Generally, lung nodule (small tissue like growth) is suspected to be a cancer if it doubles in size between 1 and 18 months. As per CT scan done before four years, it measures approximately 2.0 x 1.5 cm (anteroposterior x transverse) with a calcification in it. As per C...  Read Full »
 
What should I do for pulmonary embolism?
Query: Hi doctor,I am a physician doing postgraduation in histopathology. I am a 29 year old female. My history is of 4 years old. I had two episodes of syncope with a period of two months followed by unilateral (right) tinnitus which disappeared on pressing the right carotid, which I totally ignored. A ye...  Read Full »
Dr. Pramod Bhanudas Narkhede
Cardiologist

Answer: Hi, Welcome to icliniq.com. You are getting recurrent unprovoked idiopathic pulmonary embolism (PE). The optimal duration of anticoagulation therapy after pulmonary embolism depends on the risk of recurrent venous thromboembolism after anticoagulation is discontinued. Although the best way to assess...  Read Full »
 
 

Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.
 

Ask a Doctor Online

* guaranteed answer within 4 hours
 

Most Viewed


Ankylosing Spondylitis
This article discusses about the causes, pathology, clinical features, musculoskeletal manifestation, investigation and ...Read more »
Is having severe leg pain during pregnancy normal?
Hello doctor, There is a complaint of severe pain in both the legs in my wife who is 14 weeks pregnant. She is unable t ...Read more »
The pulse rate started to fall after giving Epinephrine in a 4-year-old child. Kindly give your opinion.
Hello doctor, I am reviewing the patient care of a 4-year-old child diagnosed with the flu. He was having trouble breat ...Read more »