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I Am Male 50 Years, 6feet Tall, 100kg. I Feel
Question:
I am male 50 years, 6feet tall, 100kg. I feel breathless on exertion (even simple walking, bending, etc) and fatigued. I also face night-time breathing issues (OSA). I am not able to use CPAP. My SPO2 levels measure with home pulse oximeter is 94-95.
I also suffer from frequent chest pains. Recently I was hospitalised with chest pain (with elevated troponin). Prior to admission I was required to have a screening CT chest to rule out COVID. The CT was normal for COVID, but had a couple of other findings which concern me.
I also had a PFT last year which shows moderate issues.
I attach both these reports. Please study them and let me know what the problems are. Are they serious? Do i need to do any further tests / treatment for these.
Also, my cardiologist found only smaller blocks in my angio, (along with a myocardial bridge) and he feels those should not be the cause of my breathlessness and chest pain. Can these lung issues be the cause of chest pain / breathlessness.
Thank you
I am male 50 years, 6feet tall, 100kg. I feel breathless on exertion (even simple walking, bending, etc) and fatigued. I also face night-time breathing issues (OSA). I am not able to use CPAP. My SPO2 levels measure with home pulse oximeter is 94-95.
I also suffer from frequent chest pains. Recently I was hospitalised with chest pain (with elevated troponin). Prior to admission I was required to have a screening CT chest to rule out COVID. The CT was normal for COVID, but had a couple of other findings which concern me.
I also had a PFT last year which shows moderate issues.
I attach both these reports. Please study them and let me know what the problems are. Are they serious? Do i need to do any further tests / treatment for these.
Also, my cardiologist found only smaller blocks in my angio, (along with a myocardial bridge) and he feels those should not be the cause of my breathlessness and chest pain. Can these lung issues be the cause of chest pain / breathlessness.
Thank you
Brief Answer:
Yes, this lung findings can cause breathing difficulty.
Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
I have gone through the reports you have attached.
Yes, these lung findings can cause breathing difficulty.
And these are mostly due to OSA and not using CPAP.
Actually, poor ventilation in lower lungs due to obesity is the cause for your CT abnormality.
In my opinion, you should definitely continue CPAP.
It will help you more.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Yes, this lung findings can cause breathing difficulty.
Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
I have gone through the reports you have attached.
Yes, these lung findings can cause breathing difficulty.
And these are mostly due to OSA and not using CPAP.
Actually, poor ventilation in lower lungs due to obesity is the cause for your CT abnormality.
In my opinion, you should definitely continue CPAP.
It will help you more.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thank you, Doctor.
1. What is subpleural atelectatic changes in both lungs? Is this temporary or permanent? Is it serious?
2. What are medistinal lymphnodes? Are they cancerous? What are subpleural node in apico-posterior segment of left upper lobe? Cancerous?
3. Can there be any cause other than OSA for the above findings?
4. Do I need to investigate / treat all these any further or is using CPAP the only thing to do?
5. Can this cause chest pain / fatigue?
Thank you
1. What is subpleural atelectatic changes in both lungs? Is this temporary or permanent? Is it serious?
2. What are medistinal lymphnodes? Are they cancerous? What are subpleural node in apico-posterior segment of left upper lobe? Cancerous?
3. Can there be any cause other than OSA for the above findings?
4. Do I need to investigate / treat all these any further or is using CPAP the only thing to do?
5. Can this cause chest pain / fatigue?
Thank you
Brief Answer:
Ideally bronchoscopy should be done.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Ideally bronchoscopy should be done.
Subpleural atelectasis is reversible so no need to worry for this.
Mediastinal Lymphadenopathy is mostly due to infective pathology, less likely due to cancer.
Left Upper lobe node is also infective more likely, less likely due to cancer.
Have you checked with pulmonologist after this report?
Ideally bronchoscopy should be done.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Ideally bronchoscopy should be done.
Subpleural atelectasis is reversible so no need to worry for this.
Mediastinal Lymphadenopathy is mostly due to infective pathology, less likely due to cancer.
Left Upper lobe node is also infective more likely, less likely due to cancer.
Have you checked with pulmonologist after this report?
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thank you, doctor. No, I have not yet seen a pulmonologist after this. This was done as covid screening to get admitted to hospital for chest pain. Acs Nstemi.
Due to covid, is it risky to visit pulmonologist and do bronchoscopy and other tests?
Am I at higher risk for covid due to osa and above conditions?
Please advise me whether it is better to wait for few months till covid position improves or is it better to visit pulmonologist right away. I stay in XXXXXXX
Thank you
Due to covid, is it risky to visit pulmonologist and do bronchoscopy and other tests?
Am I at higher risk for covid due to osa and above conditions?
Please advise me whether it is better to wait for few months till covid position improves or is it better to visit pulmonologist right away. I stay in XXXXXXX
Thank you
Brief Answer:
Yes, you are at higher risk.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Yes, you are at higher risk of Covid infection due to CT report and OSA.
And in my opinion, you should definitely meet Pulmonologist within 2-3 months.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Yes, you are at higher risk.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Yes, you are at higher risk of Covid infection due to CT report and OSA.
And in my opinion, you should definitely meet Pulmonologist within 2-3 months.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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