Hi,
Thanks for writing in to us.
1. Fibrotic and reticular infiltrates seen on both upper lobes:
This indicates areas in both lung upper lobes (below collar bones) showing linear shadows which mean the lung has undergone some fibrous changes due to infection.
2. Suspicious densities are noted at the right paracardiac area:
This means some whitish areas are seen next to the right heart border. Not fully confirmatory though.
3. Heart is not enlarged, aortic knob is calcified:
This shows that heart is normal with
aorta calcification which is seen in elderly patients.
4. Atheromatous aorta:
Age related changes in aorta.
5. PTB upper lobes:
Any fibrotic changes in upper lobes of lungs suggests
pulmonary tuberculosis PTB. This should be done by clinical tests.
6. Right lateral X ray:
The doctor wants to do X ray from side to confirm the doubtful whitish shadow along right heart border.
My suggestion:
Discuss findings with pumonologist (TB specialist) and get necessary tests done.
Pneumonia or TB must be thought of. If required
CT scan chest can be done to see lungs in complete detail
Hope this helps