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

Hello,

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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

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• 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

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• 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,

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

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Welcome back to icliniq.com.

• The reason I suggested the scan was to screen the lung for any small airway inflammatory changes.

• Pulmonary embolism is nearly excluded if D-dimer test is negative.

• 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

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