Is someone able to translate my DD's doctor's letter...

[NannaNoodleman]

DD has had a cough for over 18 months, she's also CMPA.

Paediatric letter has just arrived - she's being referred to cardiology due to a persistent heart murmur.

It says chest x-ray shows a prominent cardiac size and peribronchial thickening.

BP 87/62

Normal sinus rhythm

Heart sounds were 1+2 plus a 2-3/6 ejection systolic murmur bears loudest at the upper left arsenal edge radiating through to the back.

Can anyone help?

I've googled and it seems her diastolic BP is a little low & her systolic is a little high (?).

There's a shed load of things that can cause an enlarged heart and bronchial thickening.

I have no idea what the info about her heart murmur means.

Can't be much help, but I think murmurs are graded out of 6 depending on how loud they are. Someone once told me 6/6 you could hear without a stethoscope...
My daughter's is 3/6 too, but I think heard in a different place to your dc.
I really came on to say that I hate letters like this, it causes undue worry for parents (who naturally turn to Google etc. To make sense of the information). They really need to put it in plain English.
Try not to worry, and when you see cardiology ask them to explain it to you properly, including potential causes and implications.

Oh that's very reassuring. Thank you.

I guess a 2-3 is mild then.

... and I didn't mean arsenal edge!!

STERNAL , not arsenal!

Sounds like they are just being thorough, sending her to an expert due to the heart murmur. As you say there are many causes of prebronchial thickening etc so the cardiologist should be able to investigate further and reassure you.

Do you have a follow up? Try not to google- its very easy to get ir wrong. Results and abbreviations can mean something totally different under different specialties and then again are interpreted differently for children. Plus something that may be worrying on its own is often ok as part of the bigger picture etc.....its a minefield! If you don't have any follow ups planned, your GP should have a copy of the letter so perhaps contact them and ask to discuss it?

We're waiting for the cardiology appointment and Paeds will follow up after.

I know I shouldn't google and should wait to talk to the professionals but that takes an iron will when you get a letter!

They will go through it with you properly but I really wouldn't worry. It sounds like you've been copied in on the referral letter which tends to be full of the medical jargon - the letters they send summarising appointments are often a bit clearer and easier to follow! I know the temptation is strong but honestly google can just be so confusing and misleading if you don't know what you are looking for. Hopefully the cardiology appointmrnt won't be too long but I'm sure someone at your surgery will talk it over with you if you're worried.