re speckled chest xray breathlessness

[crystaly]

Hi I have had some neuro problems for the past few yrs so dx as yet other than neuro disorder gait disorder
More recently had some breathing problems mainly breathlessness and have been coughing large amounts of sputum varying colour from brown to white . It also containing blood  on a sporadic basis. I also get chest pain on occassions. As a result I had the following tests and results.
Blood tests ok apart from raised albumin and protein
Lung function tests within normal range for age apart from the way oxygen is transferred in body abnormal
Bronchoscopy appeared to be ok apart from couldnt access nasal passages because tubes too narrow
chest xray speckled
The dr has referred me for a chest ct and further lung function tests whilst sitting and whilst standing . Could you please tell me why I need a chest ct if the bronchoscopy was ok and what sitting and standing has too do with abnormal oxygen transferenc? Thank you

[National Jewish]

Many chest diseases occur in conjunction with a normal or only slightly abnormal chest x-ray and with a normal bronchoscopy.  Lung disease can also occur with normal PFTs, especially in the early stages.  The cough, discolored sputum and shortness of breath suggest some type of chronic lung disorder and the CT scan, being more sensitive than a chest x-ray, may allow your doctors to make a diagnosis, and should be done.  The 'speckled chest x-ray' suggests a type of lung disease called interstitial lung disease and this is often associated with abnormal oxygen transfer and low oxygen levels.

Ultimately, you may need to have a biopsy of your lungs to make a diagnosis so that specific treatment can then be given.

[crystaly]

Thank you for your comments they were helpful .

[crystaly]

I forgot to add I am female nearly 50 yrs old and am a smoker.