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What Does This HRCT Thorax Report Indicate?
Question: My mother had gone through a hrct and she is 43 years old the results were:
Septal thickening and linear fibrotic changes with mild bronchictatic changes in bilateral lower line- likely sequelae of previous infection
Subplueral septal thickening of posterior segment of upper love, lateral segment of right middle lobe and anterior segment of right upper lobe- sequelae of previous infection
Tiny subplueral and avi at nodules in bilateral lower lobe predominantly in basal segment
Sub centimetre sized mediastinal lymphnodes
Please help me to know what is the exact meaning of it and medications
Septal thickening and linear fibrotic changes with mild bronchictatic changes in bilateral lower line- likely sequelae of previous infection
Subplueral septal thickening of posterior segment of upper love, lateral segment of right middle lobe and anterior segment of right upper lobe- sequelae of previous infection
Tiny subplueral and avi at nodules in bilateral lower lobe predominantly in basal segment
Sub centimetre sized mediastinal lymphnodes
Please help me to know what is the exact meaning of it and medications
Brief Answer:
She is having interstitial lung disease (ILD).
Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your mother's situation and problem.
Her HRCT thorax report suggest intestinal lung disease (ILD). And in ILD possibility of early IPF (idiopathic Pulmonary fibrosis) is more.
It is idiopathic (cause is unknown) in nature. It affects interstitium of lung. It causes thickening and fibrosis of interstitial septa. And hence gas exchange is affected. So patient feels shortness of breath after exertion.
Please let me know
1. What are her symptoms?
2. Has she undergone PFT (Pulmonary Function Test)?
3. Are you having any pets at home?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wishing good health to your mother. Thanks.
She is having interstitial lung disease (ILD).
Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your mother's situation and problem.
Her HRCT thorax report suggest intestinal lung disease (ILD). And in ILD possibility of early IPF (idiopathic Pulmonary fibrosis) is more.
It is idiopathic (cause is unknown) in nature. It affects interstitium of lung. It causes thickening and fibrosis of interstitial septa. And hence gas exchange is affected. So patient feels shortness of breath after exertion.
Please let me know
1. What are her symptoms?
2. Has she undergone PFT (Pulmonary Function Test)?
3. Are you having any pets at home?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wishing good health to your mother. Thanks.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Sir thank you for your answer
she has shortness of breath at times..when we visited out doctor last he told us that she is out of danger now and her X-ray report done last month shows she is normal..she has problem with heavy breathing and has lot of gas problem because which she cannot take long breath..doctor told us that her condition has improved..we do not have a pet in our house..I have written down the name of all medicines..is there something to worry..I am really worried..please help us...I hope she doesn't have IPF..
Please help
she has shortness of breath at times..when we visited out doctor last he told us that she is out of danger now and her X-ray report done last month shows she is normal..she has problem with heavy breathing and has lot of gas problem because which she cannot take long breath..doctor told us that her condition has improved..we do not have a pet in our house..I have written down the name of all medicines..is there something to worry..I am really worried..please help us...I hope she doesn't have IPF..
Please help
Brief Answer:
Connective tissue disease have been ruled out or not.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
I have gone through the drug list. She is taking HCQ. It is usually given in connective tissue disease (CTD).
So are the doctors suspecting CTD?
Has she undergone serum ANA or RA factor?
The HRCT report you have written is how many days old?
And I am a bit confused. She is improving with the treatment. And HRCT report is before the treatment or after the treatment.
At present what are her main symptoms?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wishing good health to your mother. Thanks.
Connective tissue disease have been ruled out or not.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
I have gone through the drug list. She is taking HCQ. It is usually given in connective tissue disease (CTD).
So are the doctors suspecting CTD?
Has she undergone serum ANA or RA factor?
The HRCT report you have written is how many days old?
And I am a bit confused. She is improving with the treatment. And HRCT report is before the treatment or after the treatment.
At present what are her main symptoms?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wishing good health to your mother. Thanks.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Yes sir we have got her ANA, RA, and ENA test and all three are negative..so CTD is ruled out..the hrct was done before the threatment and the medicines were given after it..and then in our next visit he just asked us to get X-ray done which was very normal and is uploaded too..sir you can check it..she has difficulty in taking long breath..and has gas problem very often due to which it becomes more difficult..doctor told us in our last visit that she is out of danger and is improving...please help us I am even uploading her prescription..as I am very worried..but doctor has given us positives hopes..thank you
Brief Answer:
Reports and prescription are not seen.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Thanks for the details. Now things are clear for me.
Sorry to say but neither the chest x ray nor prescription is seen in attachments.
I have received all your images and I have gone through them as well.
She is having normal chest x ray and not having symptoms, so no need to worry much.
She might be having NSIP (non specific interstitial pneumonitis) type of ILD.
Pirfinex is having perfinodone. It is only US FDA approved drug for reversal of lung fibrosis. And in your mother's case, this drug has done th same. Steroids are also important in reversal of fibrosis.
So no need to worry for her now. She is having normal chest x ray.
Was she not advised about PFT (Pulmonary Function Test)?
Please reply me answer of above asked question, so that I can guide you better.
I will be happy to help you further.
Wishing good health to your mother. Thanks.
I will be happy to help you further.
Wishing good health to your mother. Thanks.
Reports and prescription are not seen.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Thanks for the details. Now things are clear for me.
Sorry to say but neither the chest x ray nor prescription is seen in attachments.
I have received all your images and I have gone through them as well.
She is having normal chest x ray and not having symptoms, so no need to worry much.
She might be having NSIP (non specific interstitial pneumonitis) type of ILD.
Pirfinex is having perfinodone. It is only US FDA approved drug for reversal of lung fibrosis. And in your mother's case, this drug has done th same. Steroids are also important in reversal of fibrosis.
So no need to worry for her now. She is having normal chest x ray.
Was she not advised about PFT (Pulmonary Function Test)?
Please reply me answer of above asked question, so that I can guide you better.
I will be happy to help you further.
Wishing good health to your mother. Thanks.
I will be happy to help you further.
Wishing good health to your mother. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you sir..shs was not prescribed of PFT..
Our concern is she is unable to take long breath easilly..and she gets gas problem very often..she had her gal bladder operated and taken out before 7 years..and due to the gas problem her difficulty with long breath increases..what is the reason behind it..and should we ask her to do some yoga and braathing exercises so that it helps her in bteathing..please reply..thank you for relieving us..
Our concern is she is unable to take long breath easilly..and she gets gas problem very often..she had her gal bladder operated and taken out before 7 years..and due to the gas problem her difficulty with long breath increases..what is the reason behind it..and should we ask her to do some yoga and braathing exercises so that it helps her in bteathing..please reply..thank you for relieving us..
Brief Answer:
Gas trouble and breathlessness are connected.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
Gas trouble is connected with breathlessness.
Chronic gas trouble is mostly due to GERD (gastroesophageal reflux disease). It causes reflux of acid into the esophagus. So chances of micro aspiration into the lungs is high.
This causes chronic irritation and inflammation in lungs. This may be the reason for her breathlessness.
So she need treatment for GERD.
Please let me know
1. Is she having burning epigastric pain?
2. Is she having burping and belching?
3. What drugs she is taking for gas problem?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wishing good health to your mother. Thanks.
Gas trouble and breathlessness are connected.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
Gas trouble is connected with breathlessness.
Chronic gas trouble is mostly due to GERD (gastroesophageal reflux disease). It causes reflux of acid into the esophagus. So chances of micro aspiration into the lungs is high.
This causes chronic irritation and inflammation in lungs. This may be the reason for her breathlessness.
So she need treatment for GERD.
Please let me know
1. Is she having burning epigastric pain?
2. Is she having burping and belching?
3. What drugs she is taking for gas problem?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wishing good health to your mother. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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