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What does my X-ray scan test report indicate?

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Posted on Sat, 5 Dec 2015
Question: On xray traces of fibrosis found in a pt with rheumatoid arthritis . Aged 65 female. What can this mean?
doctor
Answered by Dr. Muhammad Ahmad (20 minutes later)
Brief Answer:
Fibrosis means damage to lung.

Detailed Answer:
Hello,

Welcome to Health Care Magic.

Thanks for writing.

I am Dr.Muhammad Ahmad. I have read your question completely, i understand your concern and will try to help you in best way possible.

Rheumatoid arthritis is a systamic disease it effects joints more but it effects other parts of the body as well...

Fibrosis is actually the scared lung usually..the places where lung is damaged beyond repair gets cavities or fibrosis...this is actually a wasted space in a lung..

This can happen due to arhtritis and this can happen due to drugs given in arthritis like methotrexate.

This is not a dangerous condition untill fibrosis get in a large area of lungs and doesn't allow the patient to breathe normally.

There is no treatment needed for this but close monitoring of the fibrosis lung functions and adjustment in medication is needed. Patient has to be continuously checked up for worsening or fibrosis or lung function.

CT scan is also required to be done if xray finds fibrosis.


I hope this answered your question, a
if you have more please feel free to ask.

Regrads.



Dr.Muhammad Ahmad.

M.B.B.S(Licensed Family Physician)

Resident M.D.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Muhammad Ahmad (18 minutes later)
Can anything control this? And does it affect prognosis?

Also pt does not have any symptoms so does this mean its early stage!
doctor
Answered by Dr. Muhammad Ahmad (1 hour later)
Brief Answer:
Cause needs to be found.

Detailed Answer:
Hello

Thanks for writing back ...it needs the lungs tonget 60%+ fibrosis before the symptoms.set in till then lungs keep compensating so if patienr doesnt have symptoms.it means early stage.

Best thing to do here is to discuss the matter with pulmonologist and rheumatologist they need to find out the cause of fibrosis if its the arthrisits...controlling arthritis will.control fibrosis. If a med is causing it then med has to be changed or the dose adjustment is needed.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Muhammad Ahmad (10 hours later)
Shes
Not on any medication. Only recent they were going to start methotraxate .

They saying its caused by the arthritis.

Does fibrosis carry a poor prognosis?
doctor
Answered by Dr. Muhammad Ahmad (7 hours later)
Brief Answer:
If it is stopped to progress then prognosis isnt that bad.

Detailed Answer:
Hello thanks for writing back,

It doesn't carry a poor prognosis as such if it is not allowd to progress if it keeps progressing then it carries bad prognosis.

Now if it is caused by arthritis then controlling arthritis will control the fibrosis from progressing..

Did the doctor say anything about what future treatment plan they are having? any more tests planned?

Regards.

Dr.Ahmad
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Muhammad Ahmad (3 hours later)
Ok well
They may start methotraxate . Will
Know more in few weeks . So its not like parient can die with fibrosis in few years?
doctor
Answered by Dr. Muhammad Ahmad (1 hour later)
Brief Answer:
If fibrosis is stopped here... no danger to life.

Detailed Answer:
Hello

thanks for writing back,

aif the fibrosis keeps on ingulfing the healthy lung and involves 60..70% of lungs.. then patient's life can be in danger.


if fibrosis is stopped to progress then no danger to life.

Regards
Dr.Muhammad Ahmad
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Muhammad Ahmad (19 minutes later)
Can medication be given to stop it ?
doctor
Answered by Dr. Muhammad Ahmad (1 minute later)
Brief Answer:
yes indeed.

Detailed Answer:
Hello,

yes medicine which will stop arthritis will automomatically stop fibrosis...because arthritis is causing it so stopping arthritis will stop fibrosis.

regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Muhammad Ahmad (20 minutes later)
I see . I was worried as i read that lung fibrosis has about 5/6 yr prognosis?
doctor
Answered by Dr. Muhammad Ahmad (3 minutes later)
Brief Answer:
It depends upon cause and area.

Detailed Answer:
Thanks for writing back,

Yes it has a bad prognosis only if about 70% of total lung are is covered by firbrosis did you read about the area covered it fibrosis in arthritis or you just read lung fobrosis in general?


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Muhammad Ahmad

General & Family Physician

Practicing since :2012

Answered : 1308 Questions

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What does my X-ray scan test report indicate?

Brief Answer: Fibrosis means damage to lung. Detailed Answer: Hello, Welcome to Health Care Magic. Thanks for writing. I am Dr.Muhammad Ahmad. I have read your question completely, i understand your concern and will try to help you in best way possible. Rheumatoid arthritis is a systamic disease it effects joints more but it effects other parts of the body as well... Fibrosis is actually the scared lung usually..the places where lung is damaged beyond repair gets cavities or fibrosis...this is actually a wasted space in a lung.. This can happen due to arhtritis and this can happen due to drugs given in arthritis like methotrexate. This is not a dangerous condition untill fibrosis get in a large area of lungs and doesn't allow the patient to breathe normally. There is no treatment needed for this but close monitoring of the fibrosis lung functions and adjustment in medication is needed. Patient has to be continuously checked up for worsening or fibrosis or lung function. CT scan is also required to be done if xray finds fibrosis. I hope this answered your question, a if you have more please feel free to ask. Regrads. Dr.Muhammad Ahmad. M.B.B.S(Licensed Family Physician) Resident M.D.