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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The X-ray Report Indicate?

Hi. My 7 year old son had his xray and.the findings was streaky infiltrates in both lung fields. Both hila are dense with evident bilateral hilar nodularities. There are also retrocardiac nodularities seen. Other chest structures are unremarkable. Above findings, wherein primary koch s pulmonale is considered....i am.worried with the retrocardiac nodularities. What does this means? thank you.
Tue, 6 Aug 2019
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General Surgeon,  's  Response
Hi,

Since you son is only 7 years old he needs further evaluation to know the exact diagnosis.
I would advise you the following:
Consult a Pediatrician and take a second opinion of a Pulmonologist.
Tests of blood particularly for tuberculosis as has been indicated and other relevant tests.
CT scan of chest will give more information and help in proper diagnosis.
Tests of expectoration for AFB and gram staining.
Mantoux test.
Correlation with history and clinical findings will help to get a proper diagnosis and thus help proper management.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant,
General Surgeon
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What Does The X-ray Report Indicate?

Hi, Since you son is only 7 years old he needs further evaluation to know the exact diagnosis. I would advise you the following: Consult a Pediatrician and take a second opinion of a Pulmonologist. Tests of blood particularly for tuberculosis as has been indicated and other relevant tests. CT scan of chest will give more information and help in proper diagnosis. Tests of expectoration for AFB and gram staining. Mantoux test. Correlation with history and clinical findings will help to get a proper diagnosis and thus help proper management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General Surgeon