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Dr. Andrew Rynne

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Exp 50 years

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What is the meaning of laymens terms ?

I just had a biopsy of my lung done at the Mayo Clinic in Arizona, and this was the diagnosis that they gave me. Can someone help me understand what this means in laymens terms?? Thank you very much

 

"No granulomas are seen. Coarse honeycombing is not present. Moderate numbers of fibroblast foci are present. The features do not suggest chronic hypersensitivity pneumonitis.  Some of the preserved alveoli show some interstitial inflammation and widening that may reflect some recent activity of the process. The findings are compatible with idiopathic pulmonary fibrosis"

Tue, 1 Dec 2009
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Hi... The report mentioned are the pathological changes seen in long standing infection/allergic (hypersensitivity) pnemonia/pulmonary fibrosis. Pulmonary fibrosis is a condition where some cells(alveoli) of the frame work(interstitium) are replaced by collagen tissue(fibroblast) and results in widening of the normal alveoli..... Absence of granuloma mean that infection and allergic reavtion have been ruled out.  The reprt also suggest that the root cause for this to happen is unknown(idiopathic)....

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Dr.Please Explain about my condition. I need your help, i just found your mail id occasionally.


My HRCT CHEST

MEDIASTINUM

Trachea is normally placed and appears normal in caliber.

Both major bronchi appears normal.

The pericardium appears within in normal limits.

The mediastinal fat planes appears well demarcated.

There is no evident mediastinal lymphadenopathy.

LUNGS

Multiple cystic lesions of air attenuation distributed throughout the lungs causing architectural distortion, predominantly in the apical segments and in the periphery.

Random diffuse areas of ground glass opacification noted (alveolitis) . Mild diffuse increase in attenuation of lung parenchyma.

Multiple diffuse areas of traction bronchiectasis and bronchial wall thickening noted.

Areas of pleural thickening noted, the major fissures appear thickened , Apical pleural thickening with fibrotic strands are seen.

Multiple subpleural areas of honey combing with interstial thickening predominantly in the basal segments.

Enlarged pulmonary artery (transverse diameter of main branch of ~39mm) Rest of the great vessel appear normal.

IMPRESSION

Chronic Interstitial lung disease ( Bird Fanciers lung )


now i am in Steroid treatment and in 24 hr oxygen supply. My second CT scan shows only i have cysts in my lungs and no other abnormal seen in that.MY lung biopsy also does not reveal fibrosis it states only heavy infiltration .My pulmonary artery comes to normal,My health condition improves well to the therapy ,i didnt felt shortness of breath at rest and my Spo2 level without O2 is 91 but while on excretion it drops to 65 and slowly comes to 85 then to 88 and after 5 minutes it comes above 90.And my question is IS REALLY MY CONDITION IMPROVE WELL ON LATER DAYS AND IS THER ANY CHANCE THAT THESE CYSTS SHRINK ON LATER DAYS,How long i am in o2 therapy,i am afraid if it takes as life long therapy and How long it takes to come above 90 % as standard while at excretion and also in rest .Is i am going to die soon? my age 25 and i m a non smoker.

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