Hi there, This is Dr Basu, Experienced Specialist. I am here to address your concerns and provide great service.
That means you had a surgery on the right upper lobe in the past.
The abnormal contour means the pulmonary artery is likely dilated or tortuous at the hilar area.
There is no clinical significance if you do not have any pre existing heart condition.
Do you have any symptoms currently?
I had a right upper lobectomy for a small cancer in 2011. I do now have shortness of breath and feel tired. the doctor has prescribed prednisolone of two weeks as my chest is clear
ok this is a recent onset.
THis can be still viral infection related bronchitis.
However, an echocardiogram of the heart should be considered to check for any valve problem.
Yes, but I also have asthma which is managed very well. Could the Pulmonary artery be causing this recent fatigue and shortness of breathe?
as this was present before also.
this is likely an incidental finding.
OK so can I ask you another question ?
At this recent time of chest xray I also had all my bloods taken. I asked for a copy of them. The gamma GT was high 80. I am not a drinker and never have been. Also my monocytes I think were low, but I am not sure,
Why would I have such high gamma GT
that is a sign of liver disease.
It can be high without alcohol as wel.
Medicatinos can cause this commonly.
Also recent infection can affect liver.
However the level is mildly elevated --any serious problem unlikely.
So what do I need to do to get it checked out . Do I need an utrasound of the liver
a repeat blood test after 2 months
yes and an ultrasound of liver
OK that has been reassuring and helpful. I will sign off now,