What Does My X-ray Report Indicate?
 
                                    
                                    
                                          
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                                           Mon, 17 Nov 2014
                                           
                                        
                                        
                                        
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                                                Mon, 17 Nov 2014
                                                
                                            
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                                                Wed, 3 Dec 2014
                                                
                                                
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                                            Question : My wife underwent Preventive health check-up and as per the investigations she is infected with Synus and there are deviations in ESR also. I am attaching the reports herewith, please suggest the way forward.
Xray observation: POLYPOIDAL OPACITY IS SEEN IN THE LEFT MAXILLARY SINUS. RIGHT MAKILLARY AND BILATERAL FRONTAL SINUSES ARE CLEAR. THERE IS MINIMAL NASAL SEPTUM DEVIATION TOWARDS RIGHT SIDE. NO OBVIOUS TURBINATE HYPERTROPHY SEEN. NO DESTRUCTIVE BONY LESION OR MASS NOTED. FINDINGS ARE SUGGESTIVE OF - LEFT MAXILLARY POLYP; - MINIMAL DNS TOWARDS RIGHT SIDE.
ESR: H 17 mm/1hr. (LIMIT: 0-12)
                            Xray observation: POLYPOIDAL OPACITY IS SEEN IN THE LEFT MAXILLARY SINUS. RIGHT MAKILLARY AND BILATERAL FRONTAL SINUSES ARE CLEAR. THERE IS MINIMAL NASAL SEPTUM DEVIATION TOWARDS RIGHT SIDE. NO OBVIOUS TURBINATE HYPERTROPHY SEEN. NO DESTRUCTIVE BONY LESION OR MASS NOTED. FINDINGS ARE SUGGESTIVE OF - LEFT MAXILLARY POLYP; - MINIMAL DNS TOWARDS RIGHT SIDE.
ESR: H 17 mm/1hr. (LIMIT: 0-12)
                                    Brief Answer:
I need further details.
Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney.
I understand your concern.
She has Nasal Polyposis leading to Sinusitis.
ESR is a non specific marker of inflammation. Can be raised in numerous conditions. Her ESR is slightly high. Nothing to worry in its regard.
Now I need a few more details to help you better:
1. Does she has any recurrent allergic rhinitis that is sneezing, running nose?
2. Any snoring while sleeping?
3. Any breathing issues?
4. Any Headaches?
5. Any cough ?
6. Any problems in Urine report or Kidney function tests?
Revert with these details for a better help
Stay Healthy.
                                    
                            I need further details.
Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney.
I understand your concern.
She has Nasal Polyposis leading to Sinusitis.
ESR is a non specific marker of inflammation. Can be raised in numerous conditions. Her ESR is slightly high. Nothing to worry in its regard.
Now I need a few more details to help you better:
1. Does she has any recurrent allergic rhinitis that is sneezing, running nose?
2. Any snoring while sleeping?
3. Any breathing issues?
4. Any Headaches?
5. Any cough ?
6. Any problems in Urine report or Kidney function tests?
Revert with these details for a better help
Stay Healthy.
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Dear Dr. XXXXXXX Varshney.
Greetings and Thanks for the quick revert.
Following are the details you have asked for:
1. Does she has any recurrent allergic rhinitis that is sneezing, running nose ?: Right now she doesn't have any such syptom. However, few month ago she use to get viscous (thick) fluid from nose.
2. Any snoring while sleeping?: No.
3. Any breathing issues?: No.
4. Any Headaches?: Yes, she gets headache atleast 3 days a week nad at times it is concentrated on right portion of head. She is an IT professional so she has to sit in front of screen for atleast 8 hours/day. Also, her eyesight is weak with range of 3-4.
5. Any cough ?: No.
6. Any problems in Urine report or Kidney function tests?: Got is tested 3-4 monts ago. It was ALL FINE.
Please suggest the way forward.
Regards
XXXX
                            Greetings and Thanks for the quick revert.
Following are the details you have asked for:
1. Does she has any recurrent allergic rhinitis that is sneezing, running nose ?: Right now she doesn't have any such syptom. However, few month ago she use to get viscous (thick) fluid from nose.
2. Any snoring while sleeping?: No.
3. Any breathing issues?: No.
4. Any Headaches?: Yes, she gets headache atleast 3 days a week nad at times it is concentrated on right portion of head. She is an IT professional so she has to sit in front of screen for atleast 8 hours/day. Also, her eyesight is weak with range of 3-4.
5. Any cough ?: No.
6. Any problems in Urine report or Kidney function tests?: Got is tested 3-4 monts ago. It was ALL FINE.
Please suggest the way forward.
Regards
XXXX
                                    Brief Answer:
Follow as advised.
Detailed Answer:
Welcome back.
Mr XXXXXXX since her polyp is asymptomatic there is no need to any treatment.
I would advise her to do steam inhalation at least 3 times a day and make it a habit and routine activity of her life.
In future if she ever develops rhinitis, snoring , breathing issues, medicines would be indicated accordingly at that time.
Nasal Polyps can be found in lot of people. If they are asymptomatic , no treatment is indicated
Her Headache might be a part of this Sinus problem,she can do steam inhalation which should help her.
I hope my answer helps you.
If you have any further query please ask me.
Stay Healthy.
ै
                                    
                            Follow as advised.
Detailed Answer:
Welcome back.
Mr XXXXXXX since her polyp is asymptomatic there is no need to any treatment.
I would advise her to do steam inhalation at least 3 times a day and make it a habit and routine activity of her life.
In future if she ever develops rhinitis, snoring , breathing issues, medicines would be indicated accordingly at that time.
Nasal Polyps can be found in lot of people. If they are asymptomatic , no treatment is indicated
Her Headache might be a part of this Sinus problem,she can do steam inhalation which should help her.
I hope my answer helps you.
If you have any further query please ask me.
Stay Healthy.
ै
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
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