Tuberculosis is one of the common causes of bilateral apical fibrosis. As her x-ray has not shown any major lung damage, there is no need to panic.
As she has a history of pulmonary fibrosis
in the family, she needs tests in this direction. Get her lung volumes and flow rates tested during breathing (by means of Pulmonary Function Tests). What is her oxygen saturation
on her finger? Your doctor could find this and tell you. A high resolution CT
scan of the thorax will also be needed as her mother and her brother both had PF.
Shortness of breath
and coughing may be due to a number of more common causes like allergic bronchitis or bronchial asthma
. A viral infection may present at times with similar symptoms. Her doctor will listen to her lungs for lung signs and also get blood tested.
Hope your friend gets better soon. Thanks a lot for using healthcaremagic.com