Q. Please explain the odd in my chest x-ray and liver scan report.

Answered by
Dr. Vivek Chail
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 18, 2015 and last reviewed on: Oct 09, 2018

Hi doctor,

I am done with my chest x-ray. But, I am worried and I do not want to wait a week for my doctor's opinion. So, I have attached it. Please convey your opinion. Thanks.

#

Hi,

Welcome to icliniq.com.

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

  • The lung fields are clear. There is no abnormal fluid collection in the chest cavity.
  • The heart and rib cage are also normal.
  • In conclusion, your chest x-ray is normal as visualized.
  • However, you might have to take lung function tests to know if there is any change in inspiratory and expiratory lung volumes which is causing your symptoms.
  • Please avoid smoking if you are in the habit of doing it regularly.

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

Hi doctor,

Thank you so much for your prompt reply. Please, can you read my ultrasound report of liver?

#

Hi,

Welcome back to icliniq.com. I have seen the pictures of your ultrasound scan (attachment removed to protect patient identity). Please find my observations below.

  • There is increase in fat content of the liver and it is enlarged. This requires you to do liver function tests and lipid profile blood test.
  • There are two stones in the gall bladder. They measure 12 mm and 7 mm in diameter. Common bile duct is normal.
  • There is a possible cystic area in the pelvis of right kidney which measures 28 x 13 mm. This might be a parapelvic cyst. However, this is not a concern.
  • The pancreas and the spleen are normal to the extent visualized.
  • The left kidney is normal.

The Probable causes:

1. Enlarged and fatty liver, suggested lifestyle changes.
2. Two stones in gall bladder.
3. Possible small cyst in right kidney.

Investigations to be done:

1. Liver function test.
2. Lipid profile blood test.

Treatment plan:

1. Gall bladder surgery might be suggested to remove the stones and gall bladder. Since there are two stones, there is a possibility of more stone formation which might be a concern at a later time.
2. After the above investigation, if required then cholesterol lowering medicines have to be taken regularly. A cardiovascular health check is also suggested.

Preventive measures:

1. Avoid foods high in fat content. Have small meals over short duration about every 3 to 4 hours.
2. Lifestyle and fitness changes might help.

Regarding follow up:

Revert back with the investigation report to a radiologist online.---> https://www.icliniq.com/ask-a-doctor-online/radiologist

Hi doctor,

My blood test showed high cholesterol levels. What is the core problem? What should I expect from the liver function test and lipid profile test? For the gallstones, will I able to ultimately avoid surgery? Please explain.

#

Hi,

Welcome back to icliniq.com.

  • The lipid profile test is another name for cholesterol level.
  • Having high level of cholesterol puts you at risk to develop heart disease at a young age. This is the reason why I suggested a heart health check. It is to know your total risk to heart disease.
  • At 31 years, if you include changes in your diet and lifestyle then you will be able to stay healthy for a long time.
  • Most people have obesity in their genes and with a BMI of 38.65 you are in obese group. If your obesity is because of genetic factors then the best way to control it will be by medicines and lifestyle changes which you might start following from now.
  • For gall bladder stones, a single stone less than 10 mm can be allowed to dissolve with medicines. You are having two stones measuring 12 and 7 mm and therefore have a small risk of developing obstructive jaundice and complications from the gall stones.
  • However, you might take a short duration risk and try to dissolve the stones by medicines and strictly follow the diet for next six months.
  • If the stones show no reduction in size or number after six months then medicines might not work for you. Please discuss this matter with your surgeon.

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


Was this answer helpful?

 | 


Related Questions:
Please give me necessary medical advice after seeing my annual blood reports.

The interpretations are as follows: You might want to check your fasting and postprandial glucose levels, as your HbA1C is somewhat out of range ...   Read full

I have high cholesterol and a fatty liver. Please suggest a diet chart.

Hello doctor, I am a 38 year old male, who has high cholesterol and a fatty liver ...   Read full

From my blood reports, please tell me if I am anemic.

You are having high cholesterol, so start control your cholesterol level by diet modification as well as physical activity ... If it is...   Read full

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

7 Days COVID Care
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read


Frequently Asked Questions About COVID-19 Vaccines
COVID-19 vaccines can be a real lifesaver. Read this to know the answers to the common questions and doubts on COVID-19 ...  Read more»
Female Sexual Arousal Disorder: Break the Shackles and Seek Help!!
This article throws light on Female Sexual Interest/Arousal Disorder, a common but least discussed sexual health topic a...  Read more»
Covaxin Vs Covishield
The coronavirus vaccines, Covaxin and Covishield, have received a green signal for restricted emergency use in India. In...  Read more»

Ask your health query to a doctor online?

Ask a Radiologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.