The findings on your chest X-ray must be interpreted in the clinical context specific to your case, and this can only be obtained through detailed history and a thorough physical exam. As such, only your treating physician can really decide the significance of your chest X-ray result; it could range from no significance, to a residual finding from an old bronchitis. Your chest tightness needs to be further investigated if it is causing you so much distress. Please refer to your doctor.
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It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.