Brief Answer: Your doctor has prescribed her right medicines. Detailed Answer: Hello XXXX Thanks for writing to HCM You shouldn't worry.She is having signs due to sequel of recent infection. Peribronchial cuffing is a radiological sign due to thickening of bronchial walls.Bronchial wall thickens due to excess fluid or mucus buildup in the small airway passages of the lungs due to infection and it causes localized patches of atelectasis (lung collapse). She has taken enough antibiotics and i don't think she need antibiotics any more. All her reports are also within normal limit except ESR,which increases in any systemic infection. Your doctor has prescribed her right medicines.She should start Seroflo. Seroflo contains Salmeterol and Fluticasone and in present situation it is the right medicines for her. Probably she is also having spasm in her chest(can only be confirmed by stethoscope). Salmeterol is a bronchodilator that operates by relaxing the airways to allow easier respiration. This medication also contains corticosteroid,fluticasone which reduces swelling in the lung walls.With the passage of time,these radiological findings and symptoms will be resolved. About earlier chest X -ray report regarding fibrosis in the left basal zone.Fibrosis is the sequel of past infection and it indicates past infection.There is nothing to worry about. Lungs have huge capacity.Unless fibrosis is severe it doesn't compromise lung functions. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX

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