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Doctor insights on: Pulmonary Interstitial Glycogenosis

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Dr. Mario Mangas Dr. Mangas
Internal Medicine
34 years in practice
Universidad Central del Caribe School of Medicine
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What is interstitial pulmonary disease?

What is interstitial pulmonary disease?

IPF?: It's a disease characterized by thickening of the membrane of the lungs causing difficulty of the oxygen molecule from passing into the blood. Symptoms are usually related to shortness of breath and cough. Cause is unknown.

Dr. Herman Hammerstead
1 Doctor shared a insight

Respiratory (Definition)

Pertaining to the work of breathing done by the chest ...Read more


Dr. Erik McClain Dr. McClain
Internal Medicine
years in practice
Medical University of the Americas
2

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What is pulmonary interstitial markings?

What is pulmonary interstitial markings?

Lung markings: Hi HajjM, that is a very general term used to describe what is going on within the tissue of lung when seen on a chest xray. In the lung you have airbags (alveoli) and tissue (interstitium). The tissue has blood vessels, lymph vessels, and many cells that make up the framework of the lung. When seen on xray, it could mean several things. Talk with your doctor about the findings. Hope that helps.

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Dr. Nestor Del rosario Dr. Del rosario
Addiction Medicine
30 years in practice
Eastern Virginia Medical School
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What does it mean findings in both upper parahilar regions may relate to chronic inflammatory changes vs. Prominent pulmonary interstitial markings?

What does it mean findings in both upper parahilar regions may relate to chronic inflammatory changes vs. Prominent pulmonary interstitial markings?

I am not sure: But I believe that the radiologist is saying that the vessels at the hilum are prominent and is indicative of chronic bronchitic changes (an inflammatory process) or that the blood vessels are prominent as in chf. You can correlate with the symptoms which fits. Like the radiologist, I do not have a history to make a best guess.

Dr. Jessica Allan Dr. Allan
Internal Medicine
19 years in practice
St. George's University School of Medicine
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Chest ex ray says lungs show increased interstitial markings with no active infiltrate, mass or effusion. What does that mean?

Chest ex ray says lungs show increased interstitial markings with no active infiltrate, mass or effusion. What does that mean?

Depends on context: The interstitium of the lung refers to the area in and around the blood vessels and alveoli (air sacs). This is where the exchange of oxygen and carbon dioxide takes place. Inflammation and scarring of the interstitium disrupts this tissues. So the radiologist is noting that there appears to be increased markings in the area. There are many different conditions and disease that cause this pattern.

Dr. Louise Andrew Dr. Andrew
Emergency Medicine
42 years in practice
Duke University School of Medicine
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What does Diffuse coarsened interstitial markings throughout both lungs w/bilateral hilar prominence and perihilar infiltrates mean.?

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.

Dr. Ibrahim Faruqi Dr. Faruqi
Internal Medicine - Pulmonary Critical Care
17 years in practice
University of Health Sciences Vijayawada, Osmania Medical College
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What is interstitial pulmonary fibrosis and how can it be treated?

Depends on the Dx: Pulmonary fibrosis is a loose term. "idiopathic pulmonary fibrosis (ipf)" on the other hand is a specific diagnosis with no known good treatment.

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Dr. Philip Miller Dr. Miller
Family Medicine
43 years in practice
Autonomous University of Guadalajara Faculty of Medicine
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On a chest xray it said on the lungs there was mild, minimal interstitial scarring but no sign of focal consolidation. What's is this, is it serious?

On a chest xray it said on the lungs there was mild, minimal interstitial scarring but no sign of focal consolidation. What's is this, is it serious?

OLD INFECTION: The mild intersticial scarring is not serious;however, may be indicative of recovery from pneumonia or bronchitis. This is also seen in smokers.

Dr. Amrita Dosanjh Dr. Dosanjh
Pediatrics - Pulmonology
32 years in practice
UC San Diego School of Medicine
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My 3 babies have pulmonary hyperaeration (8yrs old), interstitial pneumonitis (7 y/o) and primary TB infection (5y/o.What best meds can I have for them?

My 3 babies have pulmonary hyperaeration (8yrs old), interstitial pneumonitis (7 y/o) and primary TB infection (5y/o.What best meds can I have for them?

Possible conditions: If there are chest radiographs/CT scans, perhaps you could upload them. I have a consult service at : healthtap. Com/DosanjhMD Keycode: NCYHPZ. Each of these conditions may have a different underlying cause. Hyperinflation may be related to asthma/ bronchial obstruction. Interstitial pneumonitis is commonly associated with viral illnesses, but there are other causes. TB test all household members.

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Dr. Lyall Gorenstein Dr. Gorenstein
Surgery - Thoracic
34 years in practice
University of Toronto Faculty of Medicine
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Tell me about interstitial lung disease and pulmonary fibrosis?

Tell me about interstitial lung disease and pulmonary fibrosis?

Same: Ipf is one form of ild. It refers to disorders of the interstitium of he lung vs. Diseases that effect the bronchi, or alveolar spaces.

Dr. Frank Mayo Dr. Mayo
Internal Medicine - Pulmonary Critical Care
44 years in practice
The Ohio State University College of Medicine
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What cab be done for interstitial lung disease and pulmonary fibrosis?

What cab be done for interstitial lung disease and pulmonary fibrosis?

Not much: Ild/pulm fibrosis is a progressive destruction of lung architecture resulting in progressive shortness of breath. All therapy tried to date has not provided much improvement. Oxygen and exercise while awaiting lung transplant is a current management option. The mortality of ipf is on the order of less than 5 yr after dx.

Dr. Michael Gabor Dr. Gabor
Diagnostic Radiology
29 years in practice
University of Connecticut School of Medicine
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Can granulomas cause mild dependent interstitial markings on lungs shown on Chest CT a year later?

Can granulomas cause mild dependent interstitial markings on lungs shown on Chest CT a year later?

No,: They are two different things. Granulomas are small benign nodules. Mild dependent interstitial markings are generally an incidental finding related to gravity dependent changes in lung markings, and are usually of no clinical concern.

Dr. Dennis Clifford Dr. Clifford
Internal Medicine - Pulmonary Critical Care
39 years in practice
University of Minnesota Medical School
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What's the cure for interstitial lung disease/pulmonary fibrosis?

What's the cure for interstitial lung disease/pulmonary fibrosis?

None unfortunately: So far there is no effective treatment or cure for interstitial lung disease. In some cases where it is due to hypersensitivity to some inhaled antigen, steroid treatment may help, but otherwise there is no treatment of benefit.

Dr. Aaron Milstone Dr. Milstone
Internal Medicine - Pulmonology
23 years in practice
Wayne State University School of Medicine
13
Dr. Vasudev Ananthram Dr. Ananthram
Internal Medicine - Cardiology
28 years in practice
Bangalore University, Bangalore Medical College
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What. Is antihypertensive of choice in interstitial lung disease with mild pulmonary hypertension?

What. Is antihypertensive of choice in interstitial lung disease with mild pulmonary hypertension?

Several choices: In the absence of other heart problems I would tend to try amlodipine in someone with high blood pressure and mild pulmonary hypertension. However many other medications such as acei or arb, beta blockers, Diltiazem or diuretics could also be appropriate. Please discuss with your doctor.

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Dr. Luis Taylor Dr. Taylor
Internal Medicine - Pulmonology
35 years in practice
University of the City of Manila College of Medicine
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How long to wait between Normal chest CT that showed mild interstitial markings lungs & high resolution CT to see any changes? 6 mo? 1 yr? No differe

How long to wait between Normal chest CT that showed mild interstitial markings lungs & high resolution CT to see any changes? 6 mo? 1 yr? No differe

Try plain chest xray: CT scans have very high doses of radiation compared to a plain chest xray. You had some findings that could be followed with a plain chest xray. If there were significant changes on the next xray, then you may need a Chest CT. If not, I suggest talking to your doctor to postpone the CT. Because you are 31 yo, you need to be aware of the amount of radiation your body is receiving.

Dr. Rick Koch Dr. Koch
Internal Medicine - Cardiology
18 years in practice
University of Chicago Pritzker School of Medicine
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Dr. Karen Dantin Dr. Dantin
Family Medicine
33 years in practice
Louisiana State University School of Medicine in Shreveport
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Dr. Nestor Del rosario Dr. Del rosario
Addiction Medicine
30 years in practice
Eastern Virginia Medical School
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Should increased interstitial markings on a chest X-ray of the lungs be investigated if the patient had breast cancer in the past and is at highrisk?

Should increased interstitial markings on a chest X-ray of the lungs be investigated if the patient had breast cancer in the past and is at highrisk?

Yes: Several reasons come to mind. Chf: many of the chemotherapies esp with radiation can cause cardiomypathy. Radiation: can cause pneumonitis. Cancer can present as lymphangitic spread in the lungs infection: after cancer treatment there is immunosuppression. Please discuss it with your doctor.

Dr. George Horng Dr. Horng
Internal Medicine - Pulmonary Critical Care
16 years in practice
UC San Diego School of Medicine
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Can interstitial lung disease like pulmonary fibrosis and those like pulmonary fib. Be ruled out pretty good with pulse ox, CT of lungs, and chest xra?

Can interstitial lung disease like pulmonary fibrosis and those like pulmonary fib. Be ruled out pretty good with pulse ox, CT of lungs, and chest xra?

No: The above tests are not sensitive enough. Pulmonary function tests and a high resolution ct scan of the lungs are more sensitive. If they are normal, then interstitial lung disease can be essentially ruled out.

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Dr. James Ferguson Dr. Ferguson
Pediatrics
42 years in practice
University of Texas Medical Branch School of Medicine
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My dr says I have acute interstitial lung disease and wants to do a pulmonary function test and high resolution CT scan. What does all of this mean?

My dr says I have acute interstitial lung disease and wants to do a pulmonary function test and high resolution CT scan. What does all of this mean?

Not simple pneumonia: For a simple pneumonia, the initial x-rays can provide classical features and the doc can send you on your way with simple treatment. Interstitial lung disease requires a more involved evaluation because the potential causes are quite diverse. Differentiating a simple transient from a long term issue is important to identify a cause and course of treatment.

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