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What Does the following HRCT Test Result Mean?
Dr.Please Explain about my condition. I need your help, i just found your mail id occasionally.
My HRCT CHEST
MEDIASTINUM
Trachea is normally placed and appears normal in caliber.
Both major bronchi appears normal.
The pericardium appears within in normal limits.
The mediastinal fat planes appears well demarcated.
There is no evident mediastinal lymphadenopathy.
LUNGS
Multiple cystic lesions of air attenuation distributed throughout the lungs causing architectural distortion, predominantly in the apical segments and in the periphery.
Random diffuse areas of ground glass opacification noted (alveolitis) . Mild diffuse increase in attenuation of lung parenchyma.
Multiple diffuse areas of traction bronchiectasis and bronchial wall thickening noted.
Areas of pleural thickening noted, the major fissures appear thickened , Apical pleural thickening with fibrotic strands are seen.
Multiple subpleural areas of honey combing with interstial thickening predominantly in the basal segments.
Enlarged pulmonary artery (transverse diameter of main branch of ~39mm) Rest of the great vessel appear normal.
IMPRESSION
Chronic Interstitial lung disease ( Bird Fanciers lung )
now i am in Steroid treatment and in 24 hr oxygen supply. My second CT scan shows only i have cysts in my lungs and no other abnormal seen in that.MY lung biopsy also does not reveal fibrosis it states only heavy infiltration .My pulmonary artery comes to normal,My health condition improves well to the therapy ,i didnt felt shortness of breath at rest and my Spo2 level without O2 is 91 but while on excretion it drops to 65 and slowly comes to 85 then to 88 and after 5 minutes it comes above 90.And my question is IS REALLY MY CONDITION IMPROVE WELL ON LATER DAYS AND IS THER ANY CHANCE THAT THESE CYSTS SHRINK ON LATER DAYS,How long i am in o2 therapy,i am afraid if it takes as life long therapy and How long it takes to come above 90 % as standard while at excretion and also in rest .Is i am going to die soon? my age 25 and i m a non smoker.
My HRCT CHEST
MEDIASTINUM
Trachea is normally placed and appears normal in caliber.
Both major bronchi appears normal.
The pericardium appears within in normal limits.
The mediastinal fat planes appears well demarcated.
There is no evident mediastinal lymphadenopathy.
LUNGS
Multiple cystic lesions of air attenuation distributed throughout the lungs causing architectural distortion, predominantly in the apical segments and in the periphery.
Random diffuse areas of ground glass opacification noted (alveolitis) . Mild diffuse increase in attenuation of lung parenchyma.
Multiple diffuse areas of traction bronchiectasis and bronchial wall thickening noted.
Areas of pleural thickening noted, the major fissures appear thickened , Apical pleural thickening with fibrotic strands are seen.
Multiple subpleural areas of honey combing with interstial thickening predominantly in the basal segments.
Enlarged pulmonary artery (transverse diameter of main branch of ~39mm) Rest of the great vessel appear normal.
IMPRESSION
Chronic Interstitial lung disease ( Bird Fanciers lung )
now i am in Steroid treatment and in 24 hr oxygen supply. My second CT scan shows only i have cysts in my lungs and no other abnormal seen in that.MY lung biopsy also does not reveal fibrosis it states only heavy infiltration .My pulmonary artery comes to normal,My health condition improves well to the therapy ,i didnt felt shortness of breath at rest and my Spo2 level without O2 is 91 but while on excretion it drops to 65 and slowly comes to 85 then to 88 and after 5 minutes it comes above 90.And my question is IS REALLY MY CONDITION IMPROVE WELL ON LATER DAYS AND IS THER ANY CHANCE THAT THESE CYSTS SHRINK ON LATER DAYS,How long i am in o2 therapy,i am afraid if it takes as life long therapy and How long it takes to come above 90 % as standard while at excretion and also in rest .Is i am going to die soon? my age 25 and i m a non smoker.
Mon, 15 Sep 2014
Welcome to health care magic.
1.I can see its good improvement after medication you had made.
2.You will be symptomatic until the infiltrates are there in the lung alveolus.
3.A course of antibiotics or a different antibiotic might help in resolving the above condition.
4.The cysts also plays major role, which needs followup.
5.Sterroids on day to day basis ( even not very recommended ) but necessary in this case.
6.Once this infiltrates go off the SPO2 levels might get in to normal. Good luck.
Hope i have answered your query.
Any thing to ask do not hesitate. Thank you.
1.I can see its good improvement after medication you had made.
2.You will be symptomatic until the infiltrates are there in the lung alveolus.
3.A course of antibiotics or a different antibiotic might help in resolving the above condition.
4.The cysts also plays major role, which needs followup.
5.Sterroids on day to day basis ( even not very recommended ) but necessary in this case.
6.Once this infiltrates go off the SPO2 levels might get in to normal. Good luck.
Hope i have answered your query.
Any thing to ask do not hesitate. Thank you.
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