apollo
  • male
  • 40 Years
  • 22/01/2025

I recently got an HRCT scan done for a surgery, and the report mentioned a small fibrotic patch in the middle lobe close to the oblique fissure. The rest of the HRCT of my chest is basically normal with no signs of viral pneumonia. But I'm pretty worried about this fibrotic patch. I dont have any bad habits or anything like that. Should I be concerned about this?

Doctor 1

Answered by 1 Apollo Doctors

Patient is advised tab augmentin 625mg orally,thrice dailly for 5 days,tab levocetrizine 10 mg for 5 days and syrup salbutoml 10 ml thrice dailly for 5 days. A sputum for AFB and microscopy and spirometry is advised to the patient.

Dr. Kareemulla Suggests...

Consult a Pulmonology Respiratory Medicine Specialist

Answered 04/07/2025

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Hey, so about a month ago, I noticed I was coughing up blood even though I didn't have a cough or cold, and it went on for a week before stopping. But just a couple of days ago, it started happening again. I had a chest X-ray, and the report said the bronchovascular mark is prominent in the lungs field. I also got a CBC done, and while most things seemed normal, my ESR was high at 38, and my hemoglobin was low at 11.5. I've also been having sharp pains in my chest, back, neck, and sometimes in my abdomen. Do you think this could be something serious?

Based on your symptoms and test results, it is important to address the underlying cause of the blood in your sputum and the chest pain. The prominent bronchovascular mark on your chest x-ray may indicate inflammation or infection in the lungs. To help reduce inflammation and manage any potential infection, I recommend taking a course of antibiotics such as Azithromycin 500mg once daily for 5 days. In addition, the high ESR and low hemoglobin levels suggest possible inflammation in the body and mild anemia. To address this, you can take Ferrous Sulfate 325mg twice daily to help increase your hemoglobin levels and improve your overall health. It is important to follow up with your healthcare provider for further evaluation and management of your symptoms to ensure appropriate treatment and monitoring.

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Doctor 1Doctor 2

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I'm really concerned about my dad. He keeps experiencing these sudden moments where he loses his breath for like a second while he's asleep. Could this be something serious? Should we be looking into this further?

Patient is advised pulmonary function test (PFT)and a chest x-ray .

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I'm a bit worried about my husband. He had covid and got over it by April 14th, but his tests showed minimal lung fibrosis. Since then, he's taken steroids for five days and used a symbicort inhaler for a month. His CRP and D-dimer levels are normal, and his oxygen levels have been fine even during the covid infection. He doesn't have any breathing issues or cough and can do normal physical activities without any problems. The doctor mentioned it might clear up in 6 to 8 weeks, but I'm anxious to know if we should do more tests to confirm if the fibrosis is gone or if we're doing okay just watching and waiting. What do you think?

Pulmonologist opinion is advised to the patient.

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