Brief Answer: You need to go through HRCT scan thorax first Detailed Answer: Hello Thanks for your query and I admire your concern. From your history it seems to me that you might have been suffering from some fibro-bronchiectatic changes over lung which may be a consequence of repeated episodes of pneumonia. You need to undergo a high-resolution computed tomography scan (HRCT scan) of thorax to delineate your scarring of lung properly and thoroughly. If it is seen to be extensive then probably no cure is there. In that case all we can do is conservative management like chest physiotherapy, infection control through pulmonary vaccination (pneumococcal vaccination and influenza vaccination), bronchodialator therapy, pulmonary rehabilitation and treatment of complications like pneumonia and hemoptysis which may arise in this case frequently. If on HRCT scan thorax the scarring is seen to be localised involveing smaller area of lung then you may go for lobectomy after consultation with a cardiothoracic surgeon to cure your disease. Therefore you first go through a HRCT scan of thorax and spirometry testing and treatment decision will be taken depending on the result of investigations. Also you should have a proper control of blood pressure through modification of your existing medications. Thank you Regards Dr Arnab Maji MBBS, MD Consultant Pulmonologist

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