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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My Chest CT-scan Suggest?

My son 17 years age suffers Rheumatoid arthritis since six months age a recent chest CT showed bilateral old fibrotic changes, enlarged pulmonary artery trunk and cardiac size, bilateral atelectatic changes seenand thickened I L septae noted what does all this mean please> I am really worried.
Mon, 23 Mar 2015
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Pulmonologist,  's  Response
Hello dear, thanks for your question on HCM.
I can understand your situation and problem.
Rheumatoid arthritis is collagen vascular disease which can affect lungs.
Pulmonary fibrosis suggest pulmonary involvement.
This is irreversible damage.
His pulmonary trunk is also enlarged. This suggest possibility of pulmonary hypertension.
So get done 2d echo to rule out pulmonary hypertension.
Atelectesis is partial collapse of lungs and it is mostly to due to secretions.
So better to consult pulmonologist and get done 2d echo for the diagnosis of pulmonary hypertension. He may need anti fibrotic , antibiotic and expectorant.
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What Does My Chest CT-scan Suggest?

Hello dear, thanks for your question on HCM. I can understand your situation and problem. Rheumatoid arthritis is collagen vascular disease which can affect lungs. Pulmonary fibrosis suggest pulmonary involvement. This is irreversible damage. His pulmonary trunk is also enlarged. This suggest possibility of pulmonary hypertension. So get done 2d echo to rule out pulmonary hypertension. Atelectesis is partial collapse of lungs and it is mostly to due to secretions. So better to consult pulmonologist and get done 2d echo for the diagnosis of pulmonary hypertension. He may need anti fibrotic , antibiotic and expectorant.