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Respiratory Disorders (Expert Forum)
what is fibrotic stranding
Answered by
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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.
what is fibrotic stranding
by maymay66, Aug 02, 2008 02:52PM
I just got out of the hospital. I had chest pain, and it turned out to be copd. chest x-ray showed discoid atelectasis in the left lung base. there is fibrotic stranding from the right hilum into the right midlung. compared to other x-rays this is the first time this has showed up.there ar tiny subplural nodules right upper lung which are stable.
Doctor's Answer
by National Jewish Health, Aug 08, 2008 11:39AM
, Aug 08, 2008 11:39AM
Discoid atelectasis refers to collapse of a small portion of lung and/or fibrosis of that piece of lung. It is common and almost always of no clinical significance.
The "fibrotic stranding" may represent thickening of the normal septal lines. The septa are normal structures that compartmentalize lung lobes and lobules. The thickening can be caused by fluid or scarring. When these strands, or lines, follow a bronchus, they are thought to represent thickening of the bronchial wall. This thickening is most often associated with chronic bronchitis or asthma.
Many of these strands or lines simply reflect inflammation or scarring but are not at all related to a serious interstitial lung disease, called pulmonary fibrosis.
The strands are a common x-ray finding and not a sign of serious pulmonary disease. The same can be said of stable sub-pleural nodules.
An appropriate approach to these findings would be to repeat a chest x-ray in a year or so. If there is any suggestion of progression or worsening, your doctors might want to order a CT scan of the lungs.
The "fibrotic stranding" may represent thickening of the normal septal lines. The septa are normal structures that compartmentalize lung lobes and lobules. The thickening can be caused by fluid or scarring. When these strands, or lines, follow a bronchus, they are thought to represent thickening of the bronchial wall. This thickening is most often associated with chronic bronchitis or asthma.
Many of these strands or lines simply reflect inflammation or scarring but are not at all related to a serious interstitial lung disease, called pulmonary fibrosis.
The strands are a common x-ray finding and not a sign of serious pulmonary disease. The same can be said of stable sub-pleural nodules.
An appropriate approach to these findings would be to repeat a chest x-ray in a year or so. If there is any suggestion of progression or worsening, your doctors might want to order a CT scan of the lungs.
