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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain With Breathlessness?

Hello Doctor My husband has been to see a consultant today regarding his chest pain which he has had for six months, on CT scan it showing what appears to look like someone has flicked white paint all over his lungs, she did mention what she thought it may be and we did not catch the name, it began with S and she said it attached to the lymph notes in the bottom of the lungs, he has to have breathing tests and has had bloods and may have to have a biopsy tissue from his lungs, otherwise he appears well although his eyesight sometimes is not quite in focus and he gets quite hot a night time, he has always watched his weight and is/was a keen walker climber, sometimes he gets out of breath on walking up a slope but not on flat. Thank you
Tue, 14 Jul 2015
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Pulmonologist,  's  Response
Thanks for your question on Health Care Magic.
I can understand your husband's situation and problem.
By your history and description, possibility of sarcoidosis is more in his case.
It is granulomatous disease affecting lungs and mediastinal lymphnodes. It can cause ground glass appearance of lungs on CT scan (white paint like as you mentioned).
It also causes breathlessness on exertion.
And hence PFT (Pulmonary Function Test) and blood reports like complete blood count, serum calcium level, ACE level etc are needed.
The most confirmatory test is lung biopsy.
Sarcoidosis can also affect retina and hence eyesight problem he is having can also be due to sarcoidosis.
So get done PFT and blood reports, follow your doctor 's advice and if needed also get done lung biopsy.
Hope I have solved your query.
Wish you good health. Thanks.
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What Causes Chest Pain With Breathlessness?

Thanks for your question on Health Care Magic. I can understand your husband s situation and problem. By your history and description, possibility of sarcoidosis is more in his case. It is granulomatous disease affecting lungs and mediastinal lymphnodes. It can cause ground glass appearance of lungs on CT scan (white paint like as you mentioned). It also causes breathlessness on exertion. And hence PFT (Pulmonary Function Test) and blood reports like complete blood count, serum calcium level, ACE level etc are needed. The most confirmatory test is lung biopsy. Sarcoidosis can also affect retina and hence eyesight problem he is having can also be due to sarcoidosis. So get done PFT and blood reports, follow your doctor s advice and if needed also get done lung biopsy. Hope I have solved your query. Wish you good health. Thanks.