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What Does Increased Bronchovascular Markings Mean?

Posted on Wed, 11 Jun 2014

Question: Hi, My husband has plain x-ray chest: the result was
- evidence of increased bronchovascular markings and coarse lung reticulations..
What does this mean and what is the treatment..

Answered by Dr. Shashi Dangwal (32 hours later)

Brief Answer:
It may indicate bronchitis and lung fibrosis.

Detailed Answer:
Hello XXXXXX,

Increased bronchovascular markings may be a sign of bronchitis or at times may be a normal finding esp since he is a non smoker.

Coarse lung reticulations may indicate lung fibrosis. Since you have not mentioned any symptoms, I presume he is asymptomatic ie has no problem with his lungs like cough, breathlessness etc,

You may leave it at that as no medication is needed at this stage or if you want to confirm the diagnosis you may get a HRCT Chest and a PFT done to begin with.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Shashi Dangwal (30 hours later)

Thank you Dr XXXXXXX

In fact he has cough and he feel his chest so heave like something above it.

However see the following link
https://drive.google.com/file/d/0BwcB94OcjVUHbUMxR29ZeUNmNGs/edit?usp=sharing

it contain his HRCT..
I wish to see it and inform me about the treatment and the kind of food he should take and avoid.. also what he should be away form..
regards

Answered by Dr. Shashi Dangwal (16 hours later)

Brief Answer:
It does`nt open.

Detailed Answer:
The link does not open, hence unable to see the HRCT.

Thanks.

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

Follow up: Dr. Shashi Dangwal (28 hours later)

Hello,
I upload a new report ..
Please see it .. And provide me with advice for his treatment and lifestyle
Thanks

Answered by Dr. Shashi Dangwal (19 hours later)

Brief Answer:
Yes, his CT shows that he has lung fibrosis.

Detailed Answer:
Thanks for uploading another report.

Yes, as I mentioned, his CT Chest does show Interstitial lung Disease or lung fibrosis.

At present it has been labelled as mild.

If he is symptomatic with cough and breathlessness, he should start taking inhaler medicines like seroflo or foracort and duolin. If symptoms are not controlled with these, he may need oral steroids. You should consult a pulmonologist who can guide you properly regarding medication.

He should avoid dust and smoke. He can have normal home food and consult his treating physician before taking any medicines because there are certain drugs which may cause lung fibrosis.

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