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What Do These Results Indicate? My Daughter Who Is 4

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Posted on Wed, 22 Feb 2023
Question: What do these results indicate?
My daughter who is 4 had a triple scope for chronic croup/stridor, chronic cough, GERD, etc.
Upon scoping her lower resp tract, the surgeon noted “ RML orifice with significant narrowing, appeared edematous and extremely friable. Other airways patent, normal anatomy” so he performed a XXXXXXX
These are her culture results: XXXXXXX Culture: Mixed respiratory flora
Direct Gram Stain: Moderate WBC’s
Direct Gram Stain: few squamous epithelial cells
Direct gram stain: rare gram positive cocci
doctor
Answered by Dr. Drkaushal85 (6 hours later)
Brief Answer:
These bronchoscopy XXXXXXX reports are normal.

Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
I have gone through the reports you have attached. XXXXXXX reports are normal. No need to worry for this.
Only significant finding in bronchoscopy is RML narrowing.
Hope I have solved your query. I will be happy to help you further. Wishing her good health. Thanks.
Above answer was peer-reviewed by : Dr. Saisudha Kotla
doctor
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Follow up: Dr. Drkaushal85 (15 hours later)
Thank you!
We have a CT for her lung scheduled tomorrow morning. Her pulmonologist is part of one of the only two aerodigestive teams in the state and is very hard to get ahold of (understandably).

What conditions could cause this RML narrowing? And if the RML is showing the inflammation, is it normal to do the XXXXXXX on the RLL instead, like they did for her?
doctor
Answered by Dr. Drkaushal85 (9 hours later)
Brief Answer:
Yes, it is normal.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
This kind of narrowing is mostly seen after infection like TB or fungal infection.
But it can be foreign body aspiration or since birth.
And yes it is normal to do XXXXXXX in her. No need to worry for this.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15005 Questions

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What Do These Results Indicate? My Daughter Who Is 4

Brief Answer: These bronchoscopy XXXXXXX reports are normal. Detailed Answer: Thanks for your question on Ask a doctor forum. I can understand your concern. I have gone through the reports you have attached. XXXXXXX reports are normal. No need to worry for this. Only significant finding in bronchoscopy is RML narrowing. Hope I have solved your query. I will be happy to help you further. Wishing her good health. Thanks.