Please help? Once a year I have a chest xray because I smoked for about 25 years (10 pack year history), it has always been clear. My primary Dr. is not concerned, only took two minutes on the phone to tell me not too worry, that I don't even need an xray next year. This time I asked for the report and based on what it says I think I should see a specialist. Degenerative changes of spine, heart size normal, atelectasis or scarring in left lower lobe which is mild, elevation/eventration of right hemidiaghram, no focal consolidations, effusions, or pneumothoraces identified, aorta is tortuous, small bone island is noted in 3rd left posterior rib as well as an osseous density adjacent to the left first anterior rib, low density areas in the clavicles, scapula, and humeri are felt to be benign. Atelectasis or scarring in left lower lobe similar to prior exam, no acute inflammatory changes in chest.
My primary doesn't seem concerned at all but I am very worried, especially about the osseous density and bone island as neither of these things have ever been mentioned before. I really am scared. Any advice?
I agree with your doctor that these findings warrant no further investigation. The scarring is common and, by this report, seems to be minimal. The bone island and osseous density are likewise are common benign conditions. That these were not mentioned in the past may just be a reflection of the current report being more detailed. It would be reasonable to request that the current X-ray be compared with previous X-rays and then seek your doctor’s opinion on what is found with the comparison.
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