Doctor insights on:
Subsegmental Atelectasis Fibrosis
Partial Collapse: The lingula is the lower anterior (front) portion of the left upper lobe of the lung that corresponds to the right middle lobe. Atelectasis is collapse of a portion of the lung. So, subsegmental atelectasis means that portions of lung segments of the lingula are incompletely aerated. May indicate bronchial blockage, poor breathing, or even early infection. ...Read more
No: Two completely different diseases. CF is an inherited disorder leading to failure to clear mucus and repeated infections. It does end up with fibrosis in the lungs. Idiopathic fibrosis is a disease of unknown cause where scar tissue replaces normal lung and eventually causes respiratory failure. ...Read more
Not good news: Pulmonary fibrosis means that the patient has developed abnormal tissue formation (fibrosis) that affects the thin membranes separating the air sacs from the blood vessels making it harder for oxygen to cross from air to the red bleed cells. This disease usually irreversible; it is critical to have an early diagnosis and be managed at an institution and by medical staff familiar with it. ...Read moreSee 1 more doctor answer
Xray results showed perihilarbronchial wall thickening w/ perihliar densities w/out evidence of pleural effusion, focal consolidation or pneumothorax?
Xray result:Prominent perihilar interstitial markings suggesting bronchitis.No superimposed infiltrate or atelectasis.I thought bronchitis didn't show?
Subtile finding: Normal bronchial walls are hard to see on a chest x ray (arrows in pic). If they are thickened one can see them a little more. Even so, it is a tough call so we say "suggestive of" to say we really are not sure, but we see enough to be more than just a little suspicious. For complete eval of lung tissue we do high resolution CT. "Bronchitis" is a clinical diagnosis, though, so listen to your Dr. ...Read more
Ct chest adrenal nodule 1.9 CM right. Lungs demonstrate babisalar dependent atelectasis small subpleural bullae noted right up lobe trace pericardial?
Adrenal eval: Hi. The adrenal nodule needs to be evaluated. What were the Hounsfield units on the non-contrast scan of the nodule? Your endocrinologist will determine: 1) if it's producing any hormones, and 2) if it's growing. If high Hounsfield units, it needs sooner evaluation. Any hirsutism, amenorrhea, diabetes, serious high blood pressure, sweating, headache, palpitations, etc? Good luck! ...Read more
COPD: Chronic obstructive pulmonary disease encompasses emphysema and chronic bronchitis. Basically, this means that smoking or another inhalant has made distortions in the architecture of your lungs that make it harder for them to work. Atelectasis and scarring physical changes that occur secondary to COPD. ...Read more
Pulmonary fibrosis: While I have not seen it commonly there are some families with a history of pulmonary fibrosis. Most of my office patients and previous fibrosis patients I have come across are the only ones in their family with fibrosis. I have one patient in my practice with several family members with progressive and ultimately fatal fibrosis. She has been evaluated at duke university with a genetic workup. ...Read moreSee 1 more doctor answer
Benign: This is "radiology talk" describing linear areas of lung with some scarring. Very common and nothing to worry about. In truth, someone your age likely has discoid atelectasis rather than fibrosis. Atelectasis just means the lung is not inflated as much as usual and this can be seen when a patient hasn't taken a deep breath for the xray or after epidsodes of pneumonia. ...Read moreSee 1 more doctor answer
Patience: Chest tube drainage/evacuation will often resolve pressure imbalance instantly. The hole in the lung from trauma or spontaneous collapse can potentially seal in just a few days (like a scab). The lung tissue takes longer to fully heal, depending on type of injury. If from trauma, associated chest wall injury (rib fractures, etc...) as well as chest tube site may take weeks to months to heal. ...Read moreSee 3 more doctor answers
Patchy subpleural parenchymal scars in both apies on right lung middle segmental lobe and inferior lingular ligament?
Lung base atelectasi: Bibasilar atelectasis typically refers to linear (subsegmental) atelectasis at the lung bases. This is typically seen with inadequate inspiration at the time of radiologic studies. It may be a result of prior infection or surgery. Uncommonly it may be caused by bronchial obstruction from mucus or adjacent lymph nodes or other tissue. It depends on the degree of atelectasis but typically is benign. ...Read more
Depends: The appearance/radiological description of a lung infiltrate can be helpful, but still non specific, unless it is part of the overall evaluation of the patient. In other words, the most accurate diagnoses depends on accurate history taking, physical examination, chest x ray description/appearance, and some bloodwork. Some common bugs may have atypical appearances on x ray, and viceversa... ...Read more
What's a 14mm noncalcified left upper lobe parenchymal pulmonary mass adjacent atelectasis.Left upper lobe bronchus/hillar peribronchial cuffing/thick?
Mgt PHI: The imaging may be uploaded to an inbox consultation. From your description I would suggest a follow up imaging study with an evaluation with additional information. Have you smoked? Is there a family history of cancer? Have you been tested for any infections? The mass is probably impinging on the airway and causing areas of collapse, called atelectasis. This area is prone to secondary infection ...Read more
Explained below: There is a collection of fluid in an estimated small amount around your lung. On the left there is most likely a focal area of scar connecting the lining of the lung called the pleura with the diaphragm. Did you have an empyema? An infection in the pleural space and/or a chest tube placed? ...Read more
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