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Test report shows interstitial thickening may reflect changes of chronic lung disease. What does this mean?

On a report I received: Techique: single portable view of the chest . Findings: The cardiomediastinl silhouette is prominent, but this is likely due to portable technique. Vascular crowding is also noted. Prominent interstitial markings throughout the lungs, may reflect changes of chronic lung disease . No focal consolidation. No large pneumothorax . No acute osseous abnormalities. Impression: Impression: Interstitial thickening may reflect changes of chronic lung disease. What does this mean..........................Tk you
Asked On : Sun, 14 Oct 2012
Answers:  2 Views:  197
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Radiologist 's  Response
If you have Dyspnea and spirometry shows restrictive pattern , get a HRCT chest done. In interstitial lung disease chest radiograph may even appear normal.
Answered: Sat, 20 Oct 2012
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  Anonymous's Response
Interstitial changes on Chest XRay on its own has limitations to a clinical diagnosis unless you have experienced difficulty in breathing (on exertion or on rest [which is highly significant]) and a HRCT scan is the best modality of investigation in this context.
A functional test is the pulmonary function test with DLCO that measures CO transfer (ie., gas exchange) which is critical in understanding the current pathology.
Previously lung biopsies were done that is not the current practice unless there is no other option.
There are several reasons for interstitial changes on lung fields, but it is best you see a Chest Physician who will request the above investigations and take a detailed clinical history (such as if you keep birds etc or have asthma) before a final diagnosis is made.
Answered: Sun, 21 Oct 2012
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