Chronic Obstructive Pulmonary Disease (COPD) Expert Forum
Broncosopy or not ?
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Broncosopy or not ?

Need your expert opinon !

Late Dec Severe chest pain on right lung-Pneomoinia diagnosed from X-ray (100% cloudy) -5 day 750 mg Levaquin-immediate 1 day improvement-7 weeks of moderate coughing - green/brown sputum - blood streak rare. X-ray 4.5 weeks later 50% cloudy.
Late Feb repeat of severe chest pain on right lung-Pneomoinia.X-ray now 60% cloudy. CT ordered - inconclusive "possible middle lobe syndrome". TB, sputum,Blood fungus,urine, all negative. Blood counts normal. Levaquin 10 day 500mg Levaquin.immediate 1 day improvement.
Appetite, energy always good – some sweats.

Should I wait it out or get Broncoscopy or other test ?

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242588_tn?1224275300
The information provided, with incomplete resolution of pneumonia after 2 months, is a strong indication for bronchoscopy at this time.  You and your doctors need to determine the reason(s) for this failure to resolve.  If this proves to be unresolved right middle lobe (RML) infection, the RML of the lung may have to be removed.
-6 Comments
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Male 53.  Previously good health. Original dose of Levaquin in Dec did not yield sputum during 5 day treatment - in subsequently weeks it did. Second dose of levaquin in late Feb, when Pneumonia returned, did yield sputum during 10 day course. Currently still light cough approx 5 times/day with sputum.
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Avatar_f_tn
I felt much better after my bronci scope,he sucked some mucus out that helped me breath
better
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