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[|Human|] hi doc could you please interpret this result of chest xray of mu aunt who has ESRD secondary to hypertensive nephropathy undergoing dialysis. Impressions: consider pleural thickening or effusion, left, cardiomegaly with mild pulmonary congestive changes
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Your aunt is having end stage Renal disease (ESD). So her kidney is noted functioning properly. Hence, she is not excreting urine out of the body. So there is positive fluid balance in her body. Hence, excessive fluid is accumulating in her body. Now excess fluid in the body tend to accumulate in body cavities like peritoneal cavity, pleural cavity etc. Fluid in the pleural cavity is known as pleural effusion. On chest x-ray, pleural effusion and pleural thickening look similar. So for confirmation, ultrasound examination of chest is needed. She is also having cardiomegaly and pulmonary congestion. These favor pleural effusion more. So get done ultrasound examination of chest. Hope I have solved your query. I will be happy to help you further. Wishing good health to your aunt. Thanks.