Doctor insights on:
Bilateral Basal Pneumonia
Pneumonia.: Pneumonia is an infection of a lobe of the lung, in this case the right lower lobe. Symptoms include cough, chest discomfort, shortness of breath, chills and sweats. Can develop quickly or can take some time, depending on the bacterium/virus involved. Signs include a measured fever and typical findings on a chest X-ray. ...Read more
Inflammation of lung: Pneumonitis is a term used for inflammation of lungs (mostly due to infections). If it involves the lower zones of the lungs on both left and right lung, then it would be reported as bilateral basal pneumonitis. This is just a description of the extent of lung involvement, and there could be several causes for this pattern. Talk to your doctor regarding your specific situation. ...Read more
Pneumonia: This description means there is an abnormal chest x-ray showing a localized pattern or. ...Read more
Focus of infection: This is a focus of infection in the lung. Pt will likely receive antibiotics. May need follow-up to make sure it goes away - talk with your doc. ...Read more
Antibiotic: You need to mlet your dr decide which antibitic is best for this infection. This is serious--let your dr decide this. ...Read more
Xray is nonspecific:
Typically "pneumonitis" on an x ray can be viral, so often no meds. The appearance is somewhat stringy rather than the usual bacterial, fluffy, infiltrate.
But we as radiologists don't always know exactly what we see and x ray is a blunt instrument anyway.
Your provider knows the score clinically so listen to them. Many infiltrates need follow up chest x ray to make sure they clear. ...Read more
Yes: Most cases on bilateral pneumonia in children are caused by viruses or bacteria. These organisms can spread through droplets coughed out by the infected child into their surroundings & anyone nearby can inhale those droplets & thus acquire the infection if sufficient number of organisms have entered the lungs to start multiplying in the new host & cause infection. ...Read more
My preemie (12 month adjusted) has just been diagnosed with bilateral pneumonia and I don't know what to do?
Mgt: I would suggest a virtual inbox consultation. I would like to better advise. Generally at this adjusted age, depending on the extent of the underlying lung disease, the illness can be self limited and resolves in two weeks eg. Vaccinations including the flu vaccine should be administered as scheduled per your PCP. If there is any fast breathing, grunting, use of rib cage muscles, please see the ED ...Read more
1yr/5mos had 2 pneumonia history. Had 1 shot synflorix & flu. Now another bilateral pneumonia occurs. What's the cause?
Pediatric pneumonia: Take these babies to a doctor and have them evaluated. This cannot be solved over the internet. ...Read more
1yr/5mos had 2 pneumonia history. Now another bilateral pneumonia occurs. What to do to prevent this in the future?
Pediatric pneumonia: You really need to take the children to an experienced pediatrician to have them fully evaluated for risk factors. If you are in Manila, Makati Medical Center, or if you don't have the resources, PGH. Cannot answer your question without being able to see your babies and examine and test them. Good luck and hope this clears up soon. ...Read more
Severe Lung Disease:
Acute interstitial pneumonia also called hamman rich syndrome. It is rare severe lung condition that affects otherwise healthy people. There is no known cause and cure
these patients are treated in ICU in hospital. And often require ventilation support, steroids are used intravenously and since it is not caused by infecton antibiotics are not usually needed. Often the condition is fatal in 60% of time. ...Read more
Probably not...: This condition is typically treated with antibiotcs and drainage of the effusion with a chest tube if it is large enough. Generally it is not fatal; however, if severe enough & not responsive to treatment, this can be very serious. ...Read more
I understand that a "patchy consolidation" can be indicative of pneumonia. But could someone have a patchy consolidation if he also had, for instance, COPD & bilateral pleural effusions?
Yes it can be: Some one with COPD and bilateral effusion can also have Patchy Consolidation. It may be due to a co existing Pneumonia or it may be due to pulmonary edema (fluid in the lungs) or Atelectasis (Collapse of Lung)That is why we always say to medical students and residents, that we never treat the xray findings. But first History/Physical and xray in the context of Patients clinical presentation ...Read more
A 4 yr old boy had interstitial pneumonia, bilateral result by x-ray procedure what is treatment to her. Thank u very much?
Intertitial Pnumonia in 4 years old needs to be treated in Hospital often in IntensiveCare Unit as often there is need for Mechanical Ventilation. Therapy with Corticosteroid is attempted although it's usefulness is not known
It is a serious condition at any age
I hope He is in hospital under care of Pediatric PulmonoogIst ...Read more
Person has stage 4 cancer with mets to the brain, and now has bilateral pneumonia, how bad is this? Is this the cancer trying to spread? What's next?
Very bad: The cancer does not have to try to spread, it already has. Discuss this with the person's doctor and get an estimate of how long they are expected to survive and whether it is time to call in hospice. You also need to ask what further therapy is likely to make a meaningful difference in survival and whether that survival is functional or just further misery. Good luck. ...Read more
I had lung ctscan showing groundglass opacities n bilateral lower&right upper lobe representing cellular nonspecific interstitial pneumonia what is it?
What would you diagnose a pt who has a WBC count of 13.7, co2 of 140 on abg, & bilateral lung infiltrates; placed on a ventilator. Pneumonia, or asrd?
What issues can occur with someone with stage 4 breast cancer with mets to the brain and now bilateral pneumonia? What are signs of it worsening?
Radiology-speak!: The radiologist sees signs of inflammation in the area near the center of the chest called the hilum as well as the basal or bottom portions of the lungs. Hyperaeration means there is increased air-space to lung tissue ratio, caused by breakdown of the septa between alveoli, creating fewer but larger alveoli, as seen in emphysema. Its up to your doctor to interpret these findings. ...Read more
I had a report saying that I have a minimal bilateral basal pleural effusion of uncertain clinical significance. What does it mean?
You have "water on your lungs", which has many possible reasons. First of all your age is important, where you live and what your medical history is especially lung and heart problems. There are also infectious possibilities! See your PCP ASAP for complete person to person evaluation.
Hope this helps!
Good luck Dr Z ...Read more
Bilateral lower zone haziness seen and basal crepitations heard. Patient is post myocardial infarction. What could it be?
Whay does this mean " the lung fields are clear and consider perihilar pneumonitis, bilateral? Can my son still go with his operation/surgery?
Depends on situation: If the kid will be placed under an inhaled general anesthesia, such a reading on an x-ray might lead the treatment team to delay an elective operation. A lung disorder can be aggravated by inhaled anesthetics & lead to worsening of the lung status. Discussion of the findings with your doc is indicated. ...Read more
Mri found bilaterally along the inferior lateral aspect of the basal ganglion, either old lacunar infarctions or bilateral benign cysts. Thoughts?
Old lacunar infarcts or bilateral benign cysts found in basal ganglion. Seeing neuro soon. Possible cause of my migraine w/ stroke like symptoms?
Unlikely,: Not unique for an MRI to show white matter lesions in pts who have history of migraine, especially complex episodes, either classical or hemiplegic. Strokes with migraine, seems most associated with auras, cigarette smoking, and hormonal use. The root cause of your episodes is genetic, which changes your brain glutamate sensitivity. ...Read more
Pet/ct scan of brain shown bilateral temporal (more severe on left side)parietal, thalami & basal ganglia hypo metabolism. What does it mean, pl advice.
MaybeNothing: Pet/ct can show a region of hypometabolism, yes. But you describe many areas, including bilateral areas. That is much harder to accurately define on these kinds of tests, and results should be viewed with caution. Also, remember that the metabolism images should fit with what is wrong with the patient. ...Read more