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What Does This Chest X-ray Report Indicate?
Question: Hi...My brother in law (Age -37years) wants to donate one of his kidney to my wife (Age - 40 years). We got a number of tests done as per Nephrologist's advice. All the tests are normal but Chest X-ray says Bronchovascular markings are prominant and Echo says Trivial MR, Trivial TR. Rest all the reports are in normal range. He does not have any respiratory problem. Is it really worrysome. Can he donate kidney and lead a normal life? or he himself needs treatment? Really worried now
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
Regarding your concern, I would like to explain that those chest X-ray and cardiac ultrasound (ECHO) do not signify any serious disorders.
An increased bronchovascular markings may denote a past bronchopulmonary inflammation/infection without any actual clinical significance.
IF an arterial blood gas analysis and a pulmonary function test (PFT) result normal, then nothing to worry about. No other tests are necessary.
Regarding his ECHO findings, I would explain that trivial MR and TR (insignificant mitral and tricuspid regurgitation) are commonly found in normal healthy individuals and are not considered pathological.
So, nothing to worry about!
In such clinical conditions, there is no medical restriction or contraindications for kidney donation.
There is actually no medical reasons to predict any dangerous risks from the programmed procedure (kidney donation).
Hope to have been helpful to you!
In case of any further uncertainties, feel free to ask me again or upload available medical tests for a direct review and a second professional opinion.
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
Regarding your concern, I would like to explain that those chest X-ray and cardiac ultrasound (ECHO) do not signify any serious disorders.
An increased bronchovascular markings may denote a past bronchopulmonary inflammation/infection without any actual clinical significance.
IF an arterial blood gas analysis and a pulmonary function test (PFT) result normal, then nothing to worry about. No other tests are necessary.
Regarding his ECHO findings, I would explain that trivial MR and TR (insignificant mitral and tricuspid regurgitation) are commonly found in normal healthy individuals and are not considered pathological.
So, nothing to worry about!
In such clinical conditions, there is no medical restriction or contraindications for kidney donation.
There is actually no medical reasons to predict any dangerous risks from the programmed procedure (kidney donation).
Hope to have been helpful to you!
In case of any further uncertainties, feel free to ask me again or upload available medical tests for a direct review and a second professional opinion.
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Doc....we got PFT and his report says. FVC- 69%, FEV1 - 73%, PEFR -70%, PEFR 25-75 - 100%, FEF25%- 79%, FEF 50% - 110%, FEF75% -115%, FEV1/FVC-112%, SVC -69%, MVVt -15.38 Sec.
He is a smoker but has promised to quit smoking or reduced smoking. Please tell us what does this report means. And will there be any problem after kidney donation due to these values?
Thank you
He is a smoker but has promised to quit smoking or reduced smoking. Please tell us what does this report means. And will there be any problem after kidney donation due to these values?
Thank you
Brief Answer:
Opinion as follows:
Detailed Answer:
Hello again,
I carefully reviewed your provided details of PFT and would explain that there are only mild parameters changes (slightly decreased FVC and increased FEV1/FVC) showing a slight restrictive lung physiology.
Nevertheless, you should know that when correctly judging on PFT results it is necessary to adjust the values for some individual variables such as age, height, body weight, smoking status, etc.
But, this is not important, all the other parameters are within normal range.
Coming to this point, I would like to assure you that the above PFT profile is considered acceptable and not a problem when considering a kidney donation.
The individual undergoing this donation procedure is quite capable of maintaining a normal healthy status thereafter.
But, it is important to quit immediately smoking.
Wishing all the best!
Regards,
Dr. Iliri
Opinion as follows:
Detailed Answer:
Hello again,
I carefully reviewed your provided details of PFT and would explain that there are only mild parameters changes (slightly decreased FVC and increased FEV1/FVC) showing a slight restrictive lung physiology.
Nevertheless, you should know that when correctly judging on PFT results it is necessary to adjust the values for some individual variables such as age, height, body weight, smoking status, etc.
But, this is not important, all the other parameters are within normal range.
Coming to this point, I would like to assure you that the above PFT profile is considered acceptable and not a problem when considering a kidney donation.
The individual undergoing this donation procedure is quite capable of maintaining a normal healthy status thereafter.
But, it is important to quit immediately smoking.
Wishing all the best!
Regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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