Hello,

Thanks for posting your query on XXXXXXX

This radiograph is of chest- posterio-anterior view.
The lung fields are showing multiple reticulo-nodular opacities.
The heart shadow and diaphragmatic domes are within normal limits.

The causes for reticulo-nodular opacities are:
1. Interstitial lung diseases (ILD)
2. Miliary tuberculosis
3. Brochioalveolar adenocarcinoma
5. Airways diseases may also produce such picture however, this possibility is less common than ILD

You need to get a HRCT to confirm ILD as next step.
Consult a pulmonologist for further workup.

If you have more queries, I will be glad to answer.
Dr Shailja P Wahal

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Hello and welcome again,

At the young age of 28, this is an advanced disease.
Is there history of exposure to dusts- inorganic or organic?

ILDs are commonly caused by exposure to dusts especially occupational exposure.
Miliary tuberculosis is another possibility.

However, tuberculosis is associated with weakness, loss of appetite, cough which may be blood stained, expectoration, fever, night sweats and other constitutional features.

Thanks
Dr Shailja P Wahal

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Hello and welcome again,
There lies the cause of reticulo-nodular opacities on X-ray chest.
Mixed connective tissue diseases cause interstitial lung disease as an impotant complication.
The treatment of the underlying connective tissue disorder is the treatment of choice.
The treatment of the underlying disease process will halt the interstitial lung disease also.
In addition to a rheumatologist, you will need to consult a pulmonologist also.
Since, the treatment of both conditions is long, medical insurance will help you to bear the expenses.

Thanks
Dr Shailja P Wahal

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