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.