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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Bilateral Pulmonary Hyper Aeration Mean?

i have a friend, he is 46 years of age, 5'8" tall, at least weighing 70-80 kilos. during his adolescence age, he had undergone 6mos. treatment on tuberculosis,and said it was treated after. yet after several years,as he applied for a job,he was required for a chest x-ray test. he found out that he had this bilateral pulmonary hyper aeration. if I'm not mistaken, he was already in service for more than 15 years, and the same findings shown everytime he had this chest x-ray test yearly. he wanted to know what bilateral pulmonary hyper aeration means? what are the symptoms? How can this be treated?
Tue, 30 May 2017
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Pulmonologist 's  Response
Hello
welcome to HCM.
Pulmonary hyperaereation means the the amount of air in his lungs is more than it should be normally. This leads is due to air trapping in which all air he inhales is not exhaled out since the airways collapse at half of exhalation process. This leads to air trapping and hyperaeration.
This may be a sequelae of old pulmonary TB which caused residual damage to the lungs. So he doesn't not have active tuberculosis but he is suffering from its after effects. There should be no problem to secure a job based on this chest x ray.
Next he should stop smoking if he does smoke. I recommend a pulmonary function test which requires the patient to blow into a machine and helps to estimate the functional capacity of the lungs.
Based on the results of pulmonary function tests, treatment can be started if it is abnormal. At present if he is asymptomatic there is no need of any medixations or treatment.
Wishing you good health.
Regards
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What Does Bilateral Pulmonary Hyper Aeration Mean?

Hello welcome to HCM. Pulmonary hyperaereation means the the amount of air in his lungs is more than it should be normally. This leads is due to air trapping in which all air he inhales is not exhaled out since the airways collapse at half of exhalation process. This leads to air trapping and hyperaeration. This may be a sequelae of old pulmonary TB which caused residual damage to the lungs. So he doesn t not have active tuberculosis but he is suffering from its after effects. There should be no problem to secure a job based on this chest x ray. Next he should stop smoking if he does smoke. I recommend a pulmonary function test which requires the patient to blow into a machine and helps to estimate the functional capacity of the lungs. Based on the results of pulmonary function tests, treatment can be started if it is abnormal. At present if he is asymptomatic there is no need of any medixations or treatment. Wishing you good health. Regards