Lung X-Ray Results: When to Seek Further Medical Advice - Pulmonology

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Pulmonary X-ray issues?


I would like to ask the doctor, our school had a chest X-ray last month (to check for pulmonary tuberculosis), and today we received the examination report ------------------------------ Examination Item: Abdominal X-ray (one view) Result: Suspected round opacity in the right upper lung field Reference: Normal ------------------------------ I have read the conclusion and searched online, but I couldn't find relevant explanations.
Should I be concerned about this? Do I need to go to the hospital for further examination? Sometimes, when I have too many worries or problems, I feel pain in my chest, and I'm not sure if it's related to my heart or lungs.
It also causes dizziness.
Should I consult a pulmonologist as well? Thank you, doctor!

xuesheng, 20~29 year old female. Ask Date: 2016/04/25

Dr. Zhou Ziguang reply Pulmonology


Hello: The circular artifact on the X-ray may be a foreign object on clothing, but please consult a pulmonologist for confirmation.

Reply Date: 2016/04/25

More Info


When interpreting lung X-ray results, especially when there are findings that raise concerns, it is crucial to understand the implications and the next steps. In your case, the report indicates a suspected circular shadow in the right upper lung, which is described as a "possible round artifact." This terminology suggests that the finding may not be a true pathological lesion but rather an artifact, which can occur due to various reasons such as positioning during the X-ray, technical factors, or even overlapping anatomical structures.

However, the term "suspected" implies that there is some uncertainty, and it is essential to approach this cautiously. While the report states that the result is "normal," the presence of any abnormality, even if it is suspected to be an artifact, warrants further evaluation. It is advisable to consult with a healthcare provider, particularly a pulmonologist or a chest specialist, to discuss the findings in detail. They may recommend additional imaging studies, such as a follow-up chest X-ray or a CT scan, to clarify the nature of the shadow and rule out any potential issues.

Regarding your symptoms of chest pain and dizziness, it is important to address these concerns as well. Chest pain can arise from various causes, including musculoskeletal issues, anxiety, or cardiac problems. Dizziness can also stem from multiple factors, including anxiety, low blood pressure, or even respiratory issues. Given the overlap of these symptoms, it would be prudent to seek a comprehensive evaluation. A visit to a chest specialist can help address both the X-ray findings and your symptoms. They may perform a physical examination, review your medical history, and possibly conduct further tests to determine the underlying cause of your discomfort.

In summary, while the X-ray report may suggest a benign finding, the presence of any abnormality should not be ignored. It is essential to follow up with a healthcare provider to ensure that any potential issues are addressed promptly. Additionally, your symptoms of chest pain and dizziness warrant further investigation to rule out any serious conditions. Seeking medical advice will provide you with peace of mind and a clearer understanding of your health status. Remember, early detection and intervention are key in managing any potential health concerns effectively.

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