Top
30
Doctor insights on: Pleural Parenchymal Fibrosis

Share
1

1
I had a ct done and it says "small focal area of pleural parenchymal fibrosis in mid posterior right chest"?

I had a ct done and it says "small focal area of pleural parenchymal fibrosis in mid posterior right chest"?

Likely benign: This could be from an old infection you had in the lung but it could also be due to other causes such as auto immune conditions. However, it's less likely to be anything serious. It's important for me to know why you had a CT in the first place.
Overall, less likely to be anything serious based on what you have posted. ...Read more

2

2
Recent CT report states:scattered reactive lymph nodes within the neck. Biapical pleural parenchymal fibrosis at the lung apices is noted. Please expl?

Recent CT report states:scattered reactive lymph nodes within the neck. Biapical pleural parenchymal fibrosis at the lung apices is noted. Please expl?

Nothing worrisome: Reactive lymph nodes are lymph nodes that are prominent but not worrisome, presumably secondary to a recent infection. Fibrosis is scarring. On it's own, not a terrible thing. Slightly unusual for a 37 yr old though. May be from an old infection. However, if you smoke, this would be secondary to damage. ...Read more

3

3
What is meaning of starry sky parenchymal echotexture consistent with peri portal fibrosis...????

What is meaning of starry sky parenchymal echotexture consistent with peri portal fibrosis...????

Liver problem: This is often a reaction to a medication!!! )Suffices to say FURTHER STUDIES INDICATED!! You need to see a Gastroenterologist!! Ask your Primary Care Provider! ...Read more

4

4
Hi doc.....this is the result of my medical x-ray.....1.left pleural effusion and 2.left upper zone fibrosis....can you explain to me what does it me?

Hi doc.....this is the result of my medical x-ray.....1.left pleural effusion and 2.left upper zone  fibrosis....can you explain to me what does it me?

Mgt: A virtual consult may be helpful and you can upload the files to your EMR.
From your description an area of your left upper lung field has scar tissue. The left pleural effusion is a collection of fluid around the lung itself. This may be caused by infection for example. Have you had a recent lung infection? TB testing? ...Read more

5

5
HRCT scan chest result focal parenchymal fibrosis rt middle & left lower lobe.w/mammal residual ground glass/opacities. What is the meaning? Prognosis

HRCT scan chest result focal parenchymal fibrosis rt middle & left lower lobe.w/mammal residual ground glass/opacities. What is the meaning? Prognosis

Hard to know: The findings indicate changes to lung structure in these areas, possibly some scarring and possibly with some fluid/inflammation of the smallest air pockets. Without more knowledge of the clinical history, however, any meaningful interpretation is impossible. The physician who ordered the test will discuss within context of the medical situation. ...Read more

6

6
Would parenchymal fibrosis of upper lungs explain chest and shoulder/scapula pain? I had pleurisy w effusion earlier this year. Sle. Now this.

Would parenchymal fibrosis of upper lungs explain chest and shoulder/scapula pain? I had pleurisy w effusion earlier this year. Sle. Now this.

No: Pleurisy, fibromyalgia ( often seen with sle), cervical disk disease, overuse, muscle strain are all common causes of pain in this distribution with sle. You should see your doctor for a definitive diagnosis. ...Read more

7

7
Ct scan result ptb both upperlobes, pleural thickening, pleuroparenchymal fibrosis both upperlobe. No treatment done. Is this serious?

Ct scan result ptb both upperlobes, pleural thickening, pleuroparenchymal fibrosis both upperlobe. No treatment done. Is this serious?

No: You had an infection in your lungs that resolved but left scars. As a radiologist, I see this often and will generally comment on it but know it is not anything that needs attention. That being said, if you have a positive test for TB, you should consult your doctor. ...Read more

9

9
Can you explain if it's possible to have lung scarring and plueral thickening in the lower left lung and not have pulmonary fibrosis?

Can you explain if it's possible to have lung scarring and plueral thickening in the lower left lung and not have pulmonary fibrosis?

Terminology: Lung scarring would technically be local pulmonary fibrosis but 'pulmonary fibrosis' is a generalized interstitial lung disease category and we usually reserve the term for that. ...Read more

10

10
What is pleural parenchymal scarring in the upper lung?

What is  pleural parenchymal scarring  in the  upper lung?

Scaring sack: Scar tissue in pleural sac which surrounds the lung from prior infection or trauma. ...Read more

11

11
Multiple parenchymal nodules less than 4mm & multiple pleural nodules less than 5mm with a dominant nodule 6.4mm all solid in lower lobes next action?

Mgt: The cause of the nodules can be further assessed by a biopsy, screening of washings for infections and malignancy. Are you a smoker? do you have a family history of lung cancer? At your age without risk factors, lung cancer is not likely. I would suggest an appointment with your pulmonary specialist. ...Read more

12

12
What does "dependent atelectasis is present posteriorly within the lungs. Mild biapical pleural/parenchymal scarring is present." mean?

What does "dependent atelectasis is present posteriorly within the lungs.  Mild biapical pleural/parenchymal scarring is present."  mean?

Benign findings: Dependent atalectasis is just compression of the dependent lungs when lying down. A normal finding, mild bi-apical scarring is simply symmetric scar formation at the top of both lungs, usually associated with aging. Don't worry. ...Read more

13

13
My chest X-ray result shows mild pleural-parenchymal tenting what does this mean & what i suppose to take for it?

My chest X-ray result shows  mild pleural-parenchymal  tenting what does this mean & what i suppose to take for it?

Usuall nothing: Usually means some localized pleural abnormality usually related to old disease or scarring. Could be remnant from pneumonia that was present previously or from old trauma to lung. Sometimes becomes less evident with time. ...Read more

14

14
I was wondering if I should worry about few small nonspecific linear pleural parenchymal opacities right lung apex found on a shoulder MRI?

I was wondering if I should worry about few small nonspecific linear pleural parenchymal opacities right lung apex found on a shoulder MRI?

Need more informatio: Need more information, More medical and social history. smoking or not. Any other medical disease at present.
These findings are on MRI of shoulder and not a dedicated MRI of chest
So You need to be seen by a MD or Pulmonary to go over your history, physical exam and more work up if needed ...Read more

16

16
What is biapical pleural parenchymal scarring? I also have an elevated d-dimer, a spleen cyst (8cm) and an abnormal chest xray. Can provide more bac

What is biapical pleural parenchymal scarring?  I also have an elevated d-dimer, a spleen cyst (8cm) and an abnormal chest xray.  Can provide more bac

Refer to your doctor: or the doctor who ordered those imaging studies and blood tests, should be explained within a clinical context, cannot give any advice based on such truncated information, you can use HealthTap Prime for virtual consult if you wish to have an advice and / or a discussion of your case, good luck ...Read more

17

17
CT scan done and it showed that I have lingular pleural parenchymal scarring? What does this mean and how it happens? Is Pulmonary embolism a cause?

CT scan done and it showed that I have lingular pleural parenchymal scarring? What does this mean and how it happens? Is Pulmonary embolism a cause?

A prior PE: could be a cause, but also any prior inflammatory, infectious, or traumatic process that injures the lung could cause scarring. ...Read more

18

18
How can cystic fibrosis affect p.I.E.S development?

How can cystic fibrosis affect p.I.E.S development?

Certainly: Cystic Fibrosis (CF) most common life-limiting genetic disorder of Caucasians, affecting approximately 30K people in the US.A, impacting mainly respiratory function. In recent years patients symptoms better controlled by genetic findings and better medications.Emotional & phys. development depend on severity, time in hospital, complications.Morb. & mort.factors afect emotional,cognitive behavior. ...Read more

19

19
Can someone be diagnose with cystic fibrosis in their 40's?

Can someone be diagnose with cystic fibrosis in their 40's?

As a carrier: Genetic carrier testing:
more than 10 million americans are symptomless carriers of the defective CF gene. This blood test can help detect carriers, who could pass CF onto their children. To have cystic fibrosis, a child must inherit one copy of the defective CF gene from each parent. ...Read more

20

20
I have symptoms of cystic fibrosis. Is it possible to start show the symptoms in my 30's?

Yes: Yes it is possible. Presentation of cystic fibrosis varies greatly, and it is possible, depending on your specific mutation (and other factors) to present at a later age. In order to prevent late diagnoses, all states now have a newborn screen in place for cystic fibrosis. ...Read more

21

21
I have family members with cystic fibrosis. Is it possible to start show the symptoms in my 20's?

I have family members with cystic fibrosis. Is it possible to start show the symptoms in my 20's?

Yes: However, usually an adult who is diagnosed so late has usually had chronic problems with cough and "pneumonias". That said i've diagnosed a new case in a 38 year old woman. ...Read more

22

22
What are the chances of a child getting cystic fibrosis among the different racial groups in the u.S.?

What are the chances of a child getting cystic fibrosis among the different racial groups in the u.S.?

Overall 1/3700: Acording to the CF foundation: the overall birth prevalence is 1/3700 . It can occur in any race, however the greatest incidence is in caucasians of northern european descent, being 1/2500. The other major groups affected are hispanics 1/13500, african americans 1/15000.
More than 10 million of us carry one part of the defective gene, but to have the disease you must have a copy from both parents. ...Read more

23

23
What is cystic fibrosis?

Genetic disorder: It is a genetic disorder characterized by abnormal sodium channels, which affect a great deal of problems including the respiratory and digestive systems. It is most commonly diagnosed in infants failing to gain appropriate weight, and in children who have multiple chronic infections. ...Read more

24

24
What is apical fibrosis?

What is apical fibrosis?

Scarred lung apices: Causes include:

- Sarcoidosis
- eosinophilic pneumonia
- tuberculosis
- cystic fibrosis
- ankylosing spondylitis
- radiation pneumonitis
- pneumoconiosis


...Read more

25

25
Can you die of cystic fibrosis?

Yes but: Yes but with early diagnosis and regular care and adherence to prescribed therapy by a pediatric pulmonologist the long term survival has improved greatly in the past two decades. ...Read more

26

26
What is cystic fibrosis exactly?

What is cystic fibrosis exactly?

Inherited disease: Cystic fibrosis (CF) is an inherited disease that affects the cells lining the lungs, sinuses, intestines, spleen and liver. It prevents chloride ions from crossing the cell membranes properly. This can clog organ ducts. In the lungs, the extra mucus crushes the cilia and leads to more lung infections. Medications can help; in late-stage disease, lung transplantation may be life-saving. ...Read more

27

27
What is risk of cystic fibrosis?

What is risk of cystic fibrosis?

Depends on genes: The risk of acquiring cystic fibrosis (CF) depends on whether the parents of a child are carriers for the gene. It is estimated that about 1 in 20 americans are carriers of the CF gene. In order for a child to acquire the disease, both parents must be carriers. If both parents are carriers, there is then a 25% chance that the child will acquire the disease. ...Read more

28

28
What exactly is cystic fibrosis?

Cystic fibrosis: CF is a genetic disease that from birth causes the body to produce a thick and sticky mucus. This mucus interferes with the ability to breath and digest food. It is life threatening, but with good management people can live into their 40s and beyond with it. ...Read more

29

29
What is retroperitoneal fibrosis?

What is retroperitoneal fibrosis?

Chronic scarring: Idiopathic retroperitoneal fibrosis is a chronic non-specific inflammation of the retroperitoneum, which can entrap and obstruct important structures, notably the ureters. The average age of diagnosis is about 55 years and the male:female ratio was 3:1. Options for treatment include corticosteroids, other immunosuppressive and hormonal treatment (such as tamoxifen), as well as surgery. ...Read more

30

30
Can you die from cystic fibrosis?

Yes.: Although the complications of cystic fibrosis are treatable, and although the available treatments are helpful, the disorder shortens the normal life expectancy. ...Read more