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What Do Coarsened Interstitial Markings Indicate?

Posted on Mon, 30 Mar 2015

Question: I recently had an X ray that showed coarsened interstitial markings diffuse bilateral pattern are stable. What does this mean? I had heart surgery to close an asd and had lots of fluid on my lungs, but that is all clear. I walk 3.0 miles in 45 minutes with no shortness of breath. Should I be concerned?

Answered by Dr. Drkaushal85 (3 hours later)

Brief Answer:
No need to worry for this x ray report.

Detailed Answer:
Hello dear, thanks for your question on HCM.
Since you are asymptomatic, no need to worry for this x ray report.
Coarsened interstitial markings bilateral can be seen in
1. In normal person if chest x ray is taken in expiratory phase.
2. Old age
3. Acute pulmonary edema (fluid in the lungs)
4. Interstitial Lung disease (ILD).
Since you are not having shortness of breath, ILD and acute pulmonary edema are unlikely.
So your chest x ray must be taken in expiratory phase.
So no need to worry for this x ray.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (1 hour later)

Thank you! I was asked to repeat the xray this week. So hopefully this will one look more positive as all the other ones since my surgery have. Also waiting for echo results from the cardiologist.

Answered by Dr. Drkaushal85 (4 hours later)

Brief Answer:
Yes, get done repeat chest x ray and 2d echo.

Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
Yes, get done repeat chest x ray and 2d echo.
Just make sure to first inhale deeply and hold your breath and then get done chest x ray.
In Full inspiration you chest x ray may come normal.
So discuss this with your radiologist before x ray.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
Wish you good health.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (11 hours later)

I got the follow up report from 2nd X ray. Here is what it said...heart with normal limits trachea is midline lungs are negative for consolidation or pleural effusion. There is no pneumothorax. There was no mention of the coarsened interstitial markings diffuse bilateral patterns are stable. The report said he compared today's X ray to the one that had reported that finding. Why no mention today?

Answered by Dr. Drkaushal85 (6 minutes later)

Brief Answer:
Didn't get your query.

Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
Sorry but I didn't get your query. Please tell me what you are asking?
"Why no mention today". About what you are asking?
I will be happy to help you further.
Wish you good health.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (9 minutes later)

Why no mention of the coarsened interstitial markings diffuse bilateral pattern are stable

Answered by Dr. Drkaushal85 (47 minutes later)

Brief Answer:
It must be not there in your x ray.

Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
In my opinion your recent x ray might not be showing coarsened interstitial markings. Because he has compared this x ray with the previous one. So coarsened interstitial markings must be absent in present x ray.
Have you took full deep inhalation before recent x ray?
I will be happy to help you further.
Wish you good health.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (16 minutes later)

I talked to the radiologist before and he made sure I took a really full deep breath. Thank you so much for your advice. It was very helpful.

Answered by Dr. Drkaushal85 (6 minutes later)

Brief Answer:
Thanks for the kind words.

Detailed Answer:
Hello dear, thanks for your follow up query on HCM.
Thanks for the kind words.
Its really encouraging for doctors.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly / askdrkaushalbhavsar.
Wish you good health.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar