 Respiratory Disorders Related Forums
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Welcome to the Respiratory Disorders Forum! This forum is for questions and support regarding lung and respiratory issues such as: Allergies, Asthma, Bronchitis, Colds - Flu, Chronic Cough, COPD, Cystic Fibrosis, Emphysema, Fibrosis, Lung Abscess, Nasal Polyps, Pleurisy, Pneumonia, Sarcoidosis, Sinusitis, Tuberculosis
Questions posted in the Respiratory Disorders Forum are being answered by doctors from National Jewish Medical & Research Center.
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| mikeholder 7/14/2004 | . | I am a 41 yr old male (smoker.. recently quit)I have been sent to a see a specialist about my recent test (appt in 6 weeks). My PA thinks it might be Pulimory Fibrosis. These are the results from the tests. Should I be worried about this being Fibrosis or could it be something less severe. I had small regions of atelectasis or scarring in previous xray. I dont have a dry cough or any breathing problems and have not lost weight (Chest Xray) Linear densities in both lung bases have progressed slightly since the prior study. These have the appearance of bibasilar atelectasis or bibasilar parenchymal scarring. There are no pneumothoraces or pleural effusions. Low lung volumes were obtained but the heart may be minimally enlarged. The hilar structures and pulmonary vascularity appear normal. There are no bony abnormalities. IMPRESSION: Slight interval worsening in the bibasilar densities since the prior study. These densities most likely reflect atelectasis. (Plumoinory Function test) The patient exhibits good effort performing the forced ventilatory maneuvers. Spirometry values demonstrate mild reduction in FVC, FEV1, but normal FEV1%. The FEF25/75 is mildly reduced. Lung volumes as determined by body plethysmograph analysis demonstrate borderline reduction in TLC with normal RV and RV/TLC ratio. Diffusing capacity is in the low normal range. IMPRESSION: Borderline restrictive ventilatory impairment. I note the clinical diagnosis is bibasilar atelectasis which could account for these changes. Clinical correlation is recommended. |
| NJC-R.N.-DC 7/16/2004 | mikeholder | Your borderline pulmonary function tests (PFTs) are probably normal for you. This can be confirmed by comparing these results with any PFTs that you have had done in the past. Your chest x-ray changes are not typical with pulmonary fibrosis. You have noted that you are not having any breathing problems as a result of the atelectasis or scarring, but you should see this as a warning to never smoke again. At this time quitting smoking is the most important thing that you can do for yourself! Congratulations, you have made a wise decision to stop smoking! You may want to look at our Quit Smoking Topic Center at http://www.nationaljewish.org/topic/smoking_cessation.html for ways to help you stick with your wise decision to smoke no more. Also check with your doctor for other quit smoking resources in your area. |
| mikeholder 7/14/2004 C2 | . | This was the first chest xray 9 months ago Frontal view of the chest shows fine fibrotic atelectasis or scar in the right lung base. Heart and mediastinum are not enlarged. There are some calcified granulomas in the left hilum. The pulmonary vessels are not distended. | [Thread closed to new comments] |
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