Hello. Thank you for contacting HCM. I have gone through your report and I will try my best to give you a satisfactory answer. The findings in your report point towards chronic fibrosis. Chronic fibrosis is basically referred to as the thickening and scarring of the lung tissue which leads to difficulty in breathing. the rest of the findings such as cardiomediastinal silhouette and thoracic aorta are age related changes. I would suggest you consult your local physician for detailed clinical history, evaluation and further course of treatment accordingly. Meanwhile, I would suggest to quit smoking ifyou are a smoker as this may worsen your condition. Also, it would be a good idea to have vaccines for pneumonia and flu as these diseases further exacerbates difficulty in breathing in cases of fibrosis. I hope this answers your question. Please feel free to contact HCM again if you have any concerns. Wishing you good health.