I'm really an intern

Chapter 427 The Confusing Chest X-ray

"I'll take a look."

Zhang Tianyang looked serious, and took the phone.

"Doctor Zhang, it's like this. Didn't my mother go to the hospital for the incident last time? This chest X-ray was taken at that time. I have some doubts about the explanation given by the doctor at Chongshan Doctor, so I want to let you You can take a look"

The boss of the big pants explained carefully beside him, his eyes were fixed on Zhang Tianyang's face, his hands were unconsciously put together, and he rubbed them subconsciously.

Then he seemed to realize that something was wrong, looked around, and put his hand down quietly.

But soon, he involuntarily pinched the bottom of his big pants and rubbed them.

From the corner of her eyes, Xiao Linlin glanced at the small movements of the boss in the big pants, so her brows were also wrinkled, and she moved closer to Zhang Tianyang.

"Is it a serious problem?"

She gently pulled the corner of Zhang Tianyang's clothes, bit her lip, weighed her toes, and looked at the screen in his hand from behind Zhang Tianyang's shoulder.

The little action of the boss in the big pants exposed his inner tension and fear, which made Xiao Linlin also nervous.

However, the boss of the big pants may be worried about his mother's life and health, while Xiao Linlin is worried about whether something more serious and difficult will happen and Zhang Tianyang will be affected.

So she hesitated for a moment, and gently moved to Zhang Tianyang's ear.

"Do you want to send it to the professor at the hospital? If there is any dispute, don't be so, it is more appropriate to ask the professor to see it?"

"Let me see."

Zhang Tianyang patted Xiao Linlin's fluffy hair with his free hand, telling her to be calm.

Then squinted, turned on the screen, and carefully reviewed the chest X-ray.

At first glance, he didn't see any major problems.

But he could see the attitude of the big underpants boss, maybe it was a disease that was easy to ignore but had a lot to do with it.

Although the other party is not a patient in his hospital, they just gave Xiao Linlin so many sets of clothes, even if they are friends, they have to take a good look at them!

Have to look carefully.

Zhang Tianyang enlarged the film on the screen, and then slid it little by little.

There is an order in seeing chest X-rays.

At first glance, look at the particularly obvious lesion.

For example, if the entire lung turns white, it must be a serious infection.

For example, there is a large white mass in the middle of the lung lobe, which is probably a space-occupying lesion, and lung cancer cannot escape in all likelihood.

For example, if there are small white spots all over the lung field, the possibility of miliary tuberculosis is very high.

Another example is that if half of the lung is black, plus the signs of chest pain, it is definitely a pneumothorax.

But none of these are shown in this film.

So, is it the early stages of some diseases, just beginning to change?

Zhang Tianyang looked at it patiently, and felt that the light beside him dimmed.

"Sorry, sorry."

The boss in the big pants who unconsciously brought his head closer was full of apology.

"It's okay, let's watch it together, and I will tell you while watching."

Zhang Tianyang put the phone between the two of them, zooming in and out with his fingers while speaking.

"Let's look at the bones first."

On the chest radiograph, the bones appear solid white.

Due to the problem of distance, the density of white may not be the same, but if it is a normal situation, the overall appearance should be uniform, or the gradient is uniform.

"Look, these pale white strips are the ribs."

Zhang Tianyang's fingers moved symmetrically across the left and right sides of the chest film, guiding the boss in the underpants to see the lines of the ribs.

"Normal bone quality is uniform. If there is a lesion in the bone, you can see a sudden change in white depth. If it is a fracture, you should be able to see a fracture line like a gap.

Your mother's ribs are pretty good, right here. "

Zhang Tianyang slid his hands to enlarge the picture, showing the position of the central spine.

"This is the position of the thoracic spine, which is slightly fractured."

"what?"

There was a trace of panic on the face of the boss of the big pants, Zhang Tianyang held him down before he could speak.

"This is a problem that the elderly will have. In our hospital, basically 50% of patients over 60.00 will have vertebral compression fractures, and no special treatment is required."

Seeing the confusion in the eyes of the big underpants boss, Zhang Tianyang thought for a while and added another sentence.

"Do you know about osteoporosis? Elderly people are prone to osteoporosis. If they can't bear the pressure they could have resisted, they will fracture. But it won't affect normal life, and it's fine if there are no symptoms."

"Osteoporosis I know! I know this!"

The boss of the big pants said "Oh~" and nodded sharply.

"Well, then let's look at the lung lobes."

Zhang Tianyang gently slid the left and right lung lobes on the film to show the owner of the big pants, "Your mother's lung lobes look normal, and the white flocs in the middle are not infection, but normal lung markings. Very clean."

"Then look at the heart again. The position is left, the shape is normal, there is no flare on the left and right, and the aorta is not protruding."

Zhang Tianyang's tone seemed lighter, "By the way, how old is the old lady this year?"

"Huh?" The expression of the boss of the big pants was also a little relaxed along with Zhang Tianyang's tone, "My mother is more than 50 this year and is almost [-]."

Zhang Tianyang nodded slightly, "Are you usually in good health?"

"That's right, that's right, it's pretty good. I'm usually out of breath when I'm going up the stairs or climbing a mountain. She's just like a normal person!"

The owner of the big pants showed a little proud look on his face, he held his belly and laughed a few times, but his voice gradually became quieter, and a trace of worry gradually appeared.

"I used to think that she was in good health, but this film, Doctor Zhang, you can watch"

"There's nothing wrong with this film."

Zhang Tianyang smiled and handed the phone back, "From the chest X-ray, there should be nothing wrong with the old lady's chest, and the heart doesn't seem to be enlarged, but whether there is hyperlipidemia or something, you may have to look at the specifics." biochemical test data."

"Vertebral fractures are minor problems. Many people will have them when they are older. Don't worry too much."

"Eh, eh"

The boss in the big pants took the phone, lowered his head and stared at the black and white film on the screen, said a few times, and took a breath, as if he wanted to say something, but he stopped talking.

Zhang Tianyang frowned slightly, "What's wrong?"

The film turned out to be pretty good, right?Why are you moaning?

"Hey, Doctor Zhang."

The boss in the big pants rubbed his hands and tried his best to smile, but he still hesitated to speak.

"If you have anything to say, just tell me directly!"

The chubby suit manager next to him couldn't stand it any longer, so he patted the boss in the big pants, and didn't forget to put on a smiling face for Zhang Tianyang.

"Don't chatter, Dr. Zhang is busy, so hurry up and talk."

"Eh!"

The boss in the big pants slapped his thigh violently.

"Then I'll just say it! Well, Doctor Zhang, that's the one"

　Hulululululu

　　

　

(End of this chapter)