The X-ray that indicated something serious was present

February 25, 2012 · 3 comments

On January 25, I had an appointment with a doctor at Chest, Infectious Diseases, & Critical Care. This particular appointment represented the third doctor I had seen and the fifth or sixth visit to a medical facility in the previous two months.

In addition to ordering nearly a dozen blood tests and a urine analysis, the doctor had me undergo a routine chest X-ray. After giving the blood and providing the urine, I headed down the hall to radiology and I was in and out of the X-ray room in five minutes.

Two days later, while preparing to give a presentation to a small group of church leaders in northeast Iowa, I received a phone call. The fellow on the phone coolly informed me that the X-ray had some "abnormalities" and that to get a more detailed picture, they would need to do a CT scan. If you read the comprehensive first post, you know the rest.

When we got around to meeting with our oncologist, I asked if it was possible to obtain copies of the images from my X-ray and CT scan and was delighted when he requested a CD for me.

Below you'll find the image from the infamous X-ray, but first I'd like to show you what a normal chest X-ray looks like.

This image, courtesy of Wikipedia, shows what a normal, healthy chest looks like when it is X-rayed. The heart is clearly visible, with the majority of its mass on the right side of the image (left side of the body). Its also interesting to see the bronchioles, which are tree-branch-like structures in the lungs.

This is the X-ray that was taken of my chest on January 25. Compared to the first image, it is not difficult to understand why the doctor was concerned. All of the structures and organs from the first image are present, but you can also clearly see the sizable mass above my heart and behind my sternum.

I share this mostly because I think it's fascinating not only to connect an actual image with a memory — on the phone hearing about vague "abnormalities" — but also because I'm still amazed that technology allows me to see an image of the inside of my body. And I'm grateful for the doctor who ordered this test, because it set things swiftly in motion and allowed us to catch the cancer relatively early.

I also have the images from my CT and PET scans. In case you missed it, the CT scan is explained by my cardiothoracic surgeon in this video blog. I'm hesitant to post the images from the PET scan because based on our conversation with the radiation oncologist yesterday, it may look worse than it actually is (he mentioned something about them giving me too much radioactive fluid intravenously). So I'll hold off on posting the PET scan until we understand more about it.

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  • Debbie Cisneros

    Thank you Jake for sharing all of this ~ It does help ~

  • Feagleyjl

    Hi Jake,
    You don’t know me. I think my husband, Adam Starrett (pastor of Bergen Lutheran Church in Roland, IA), knows of you through Erik Ullestead. I was diagnosed with Hodgkin’s stage 3b back in December. I am on cycle 3a of AVBD chemo at Mayo Clinic. Your symptom history is eerily familiar, from the night sweat “googling” to the “I am loosing weight because I am running”. I pray that your heart is strong enough to start treatment. I started feeling better pretty much right away. Going through all of the testing was the worst part of the process so far. Your are being prayed for.
    Jill Starrett

    • http://www.jakebouma.com Jake Bouma

      Jill — Thank you for your comment. Thank you for sharing your story and for your prayers. I will be praying for you as well. I hope your chemo process is going as smoothly as it can.