Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

148 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Have bilateral apical pleural thickening. What does this mean?

Answered by
Dr. Gyanshankar Mishra


Practicing since :2003

Answered : 600 Questions

Posted on Fri, 14 Dec 2012 in Lung and Chest disorders
Question: Hello, can you please explain to me what the significance of biapical pleural thickening means, the significance of it and where it is seen on an x-ray? I have a significant history of multiple spontaneous pneumothoracies, RAD, pleurisy, asthma and upper lobe partial thoracotomies both left and right 20 years ago. I am a 42 yr old female. Thank you for any help you can provide.
Answered by Dr. Gyanshankar Mishra 7 hours later
Thanks for posting the query on XXXXXXX After going htrough the query, I would like to comment the following:

1. You seem to be having bilateral apical pleural thickening on chest xray.

2. you past history is significant for "multiple spontaneous pneumothoracies, RAD, pleurisy, asthma and upper lobe partial thoracotomies both left and right 20 years ago XXXXXXX

3. Apical pleural thickening is there as a result of previous respiratory pathologies like multiple pneumothoraces and upper lobe partial thoracotomies. Pleural thickening or fibrosis is nothing but a sign of wound healing by fibrosis and does not indicate any active lung disease. It will mostly remain for a long time as fibrosis is an irreversible process.

4. You need to manage your remaining lung conditions very well in consultation with a pulmonologist.If there is any decrease in lung capacity as a result of pleural thickening then incentive spirometry should help.

5. Inhaled medicines, and flu and pneumococcal vaccinations will help.

I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.


Dr. Gyanshankar Mishra
Consultant Pulmonologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,  
Medical Procedures
Lab Tests ,  
Medical Topics

Recent questions on  Vaccination

doctor1 MD

Hi, doctor My daughter had her 5 year old vaccination on the 10 of January , after a couple of weeks I noticed a red rash on her legs and then her arms and the stomach, basically it spread all over her body except her face. I then took her to a pharmacist and he gave me a liquid form cortazan, medicine name is pre lone , it then started going away and as soon as she was running around and jumping up and down the jungle gyms did the rash come back really aggresively and now on her face it was very red, we then took her to a doctor and he told me she has a allergic reaction to something, but she has never had this before, I never changed her diet or the washing powder, it has been ever since the vaccination. The rash then started going away since giving her the medicine. But 3days now the rash has come back, it goes away and comes back and sometimes worse then the other times, but not as red, but itchy. Please help

doctor1 MD

Hello, My 2 year old had Hepatitus A & B jab last Thursday and became ill with a chesty cough and flu symptoms in the last 48 hours. She is now showing a temperature of 39.2 and has very watery eyes and is pretty upset / whinging, are these symptoms of the vaccine?

doctor1 MD

My 11 month old daughter, who has had a flu shot, was playing at a friends house Sunday. Today my friend took her child to the dr with a fever and a nasal swab said she had the flu. Can my daughter get the flu? If so, how long does it take for the symptoms and what should I watch for or what should I do? Also, can my daughter be contagious now? Do I need to keep her from other children?

doctor1 MD

Hi, may I answer your health queries right now ? Please type your query son received his meningitis vaccination in left deltoid today, about 4 hours later his left arm and stomach area became very itchy an broke out in rash. I gave him benadryl 25mg and rubbed topical anti itch cream on him. He s fine now, but is that a normal SE?

doctor1 MD

Dear Doctor: My husband pass away last month due to liver cancer with 7 weeks. Its was a horrible nightmare. Please let our family know the best way to detect Hepatisis A, B, and C. so each of us can be safe and sound? Is it advisable to do blood...

doctor1 MD

my son 2yrs,10months old suffering fever .Dr gave him fever treatment on 24 Dec but after blood test on 27 Dec Dr say that my son suffering typhoid then the Dr gave typhoid course.Injection of formic 750mg & rantac 2ml morning & evening, start...

doctor1 MD

Good day doctor, I was gently nibbled and scratched by a stray kitten I decided to adopt in Qatar. I went to the CDC and immediately started my Verorab course and received a tetanus shot. The kitten was taken to a reputable local vet and booked in...