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EMERGENCY SOS
Age/Sex: 33-year-old male
Height: 171 cm
Weight: 57 kg
Smoking status: Non-smoker
Clinical History
Persistent dry chest sensation since Sept 2024
In April 2025, experienced an acute respiratory illness lasting 4 days, characterized by:
Severe cough
Yellow, foul-smelling sputum
Fever (resolved)
Investigations
HRCT Chest (26-04-2025)
Centrilobular nodules in both lungs, suggestive of infective bronchiolitis
Mild central bronchiectasis
Pulmonary Function Tests
FEV₁: ~98% predicted
FVC: ~114% predicted ( hyperinflation)
FEV₁/FVC ratio: 0.71 (LLN 0.739)
DLCO: Normal
Bronchoscopy
Airways: Normal
Bronchoalveolar Lavage (BAL)
Few inflammatory cells present
AFB smear
GeneXpert MTB Bacterial culture
Fungal culture: All Negative
Malignant cells: Absent
Airway Inflammation
FeNO: 20 ppb
Immunology
Total IgE: 72–81 IU/mL (Normal <200 IU/mL)
Aspergillus IgE / IgG: Negative
Genetics
CFTR mutation: Negative
Current Medication
Forcort 400, dry
Still Lung Discomfort/Lung Pain 24×7×9Months
Answers (5)
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Share pft report actual one.. get a repeat hrct (i+e) chest done and review with reports
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Dr. Sivaraj Karri
Pulmonologist
10 yrs exp
Kakinada
Consult with reports
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Dr. A Raja Prasanna Kumar
Pulmonologist
46 yrs exp
Hyderabad
Pl consult with reports.
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Dr. Anirban Deb
Pulmonologist
33 yrs exp
Kolkata
What is profession? Any pets at home (including pigeons)
Repeat PFT (including Oscillometry with BDR), HRCT thorax (including Prone and End expiratory series)
X-ray PNS (OM view)
Blood for Collagen profile, ACE, Hba1c
Next Steps
Should consult Pulmonologist (preferably physically) with all reports (both previous and new ones)
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Dr. Vivek Gautam
Pulmonologist
11 yrs exp
Greater Noida
kindly share all printed reports together rather than just posting values..the graphs are significant in these cases
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.