Doctor insights on:
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
Increased perihilar markings bilaterally r/t CHF... does this indicate pneumonia? What else could it indicate?
CHF -: CHF stands for congestive heart failure, which indicates there is insufficient forward flow of blood throughout the circulatory system. On xray, fluid accumulation around the blood vessels show up from the pressure buildup. This is not an infection, unlike pneumonia. The concern for you is to identify why someone of your age would have CHF in the first place. See your doc asap to address this. ...Read more
My chest xray and CT scan show groundglass opitcity and perihilar infiltrates. I an 91. What is this. I am told it is not pneumonia. Thank You?
Abnormal CT findings: Abnormal CT/x-ray findings frequently are meaningless in absence of a patient's history, & so it is not possible to answer the question directly; there may be many possible causes of such findings. One non-pneumonia cause of CT findings of groundglass opacities & perihilar infiltrates can happen to asthmatics; it is allergic bronchopulmonary aspergillosis (an allergic response to an airborne fungus) ...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
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
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
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?
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
Prominence Of Bilateral Perihilar Bronchovascular Markings is noted... please say what does this mean in common wods?
X-RAY FINDINGS: The hilum is an area of the lung where the breathing tubes, blood vessels, & many lymph nodes all come together. Findings could represent acute infection like pneumonia, inflammation, malignancy, chronic conditions, or nothing at all. I would certainly follow up promptly with the person who ordered the x-ray for an explanation of possibilities in the context of your current medical history. ...Read more
What does increased bilateral perihilar and paracardiac bronchovascular markings and right apears to be more affected mean?
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
What does Diffuse coarsened interstitial markings throughout both lungs w/bilateral hilar prominence and perihilar infiltrates mean.?
Ask the doctor: Who ordered the study. Without any more history or symptoms no one could properly interpret this finding. The doctor who ordered the study should be able to answer this question but only for the person who actually got the study due to privacy concerns. ...Read more
Not necessarily: Pneumonia can be nilater, and have bilater infusions - in may individuals: children, otherwise healthy adults; the presence of cancer depends on numerous factors - are there and masses on the x-ray? Is the person a somker or ex-smoker? Many more details are needed to answer this question - please speak with your doc! ...Read more
Lots of things: Lots of things can cause pneumonia, which is an infection of the lung. Bacteria, viruses & fungi can all cause pneumonia. However, so can aspiration which occurs when choking on something, typically stomach contents. Appropriate vaccines are very useful in decreasing certain, but not all, pneumonias. ...Read more
From infected person: Most of the pneumonias are caused by a viral or bacterial infections. You usually get them from someone who has a respiratory infection, not necessarily pneumonia, by cough or touch hand contact. There are rare pneumonias like Legionaire disease and non-infectious pneumonias that has different mode of transmission. ...Read more
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