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what does- means parenchymal fibrosis
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what does- means parenchymal fibrosis

parenchymal fibrosis -X ray reports reads as under--
Lung volumes are decreased.The cardiac size is enlarged with CT of 0.61.
An area of likely parenchymal fibrosis is identified overlying the expected region of the right middle lobe. no evidence of pleural effusion.
Subpleural nodule within the anterior aspect of right upper lobe 4 mm identified in CT which is not visible on plain radiograph.
Please help- what does it mean-
a)parenchymal fibrosis is identified overlying
b)Cardiac size increased with CT 0.61.
Do I need further investigations?
Adult growth hormones are at critical low range.
242587_tn?1355427710
Fibrosis refers to a thickening and scarring of normal connective tissue.  It can occur because of inflammation or injury.  The fibrous tissue replaces normal tissue.  The important issue is whether it is localized (usually not a problem) or widespread in one’s lungs indicating a disease state.

Cardiac size increased with CT (cardio-thoracic)  is the ratio of the horizontal width of the heart, on a plain chest X-ray to the width of the chest.  The average ratio is 0.5.  Values higher than this suggest enlargement of the heart and that is often a sign of heart failure.  However, it is a crude measurement with a wide range of normal values.  An increased ratio may be abnormal or normal in highly conditioned athletes.  If there is anything else that suggests to you or your doctor that size may be abnormal the next two tests would be an EKG and/or an Echocardiogram.

You should discuss the “low range” growth hormone with your doctor.  Depending on your height, compared to average height at your age (strongly influenced by the height of your parents), and your age, there might be an indication for growth hormone replacement.

Good luck
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