HomeAnswersPulmonology (Asthma Doctors)interstitial lung diseaseDo I have interstitial lung disease (ILD) based on my X-ray reports?

What are the causes of interstitial lung disease and interstitial thickening?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Chithranjali Ravichandran

Published At May 14, 2022
Reviewed AtJanuary 22, 2024

Patient's Query

Hello doctor,

I am sharing my chest X-ray report, PA (posteroanterior), and lateral views of the chest obtained in two images. Cardiomediastinal silhouette and vessels are normal in size. There is borderline central interstitial thickening—faint haziness within the right infrahilar region, probably projectional superimposition of bronchovascular shadows. No pneumothorax, pleural effusion, or focal consolidation. Visualized portions of the osseous tissues and upper abdomen demonstrate no overt acute abnormality. Is the report normal, or does it point towards interstitial lung disease? What are the causes of interstitial thickening? Kindly let me know. Thank you.

Hi,

Welcome to icliniq.com. Thank you for the query. I understand your concern. According to your radiological interpretation, you are probably suffering from interstitial lung disease. Interstitial thickening means the repair process of the body gets hampered. The tissue around air sacs or alveoli becomes thickened and scarred, which causes more difficulty in carrying oxygen into the bloodstream. In some conditions or illnesses, where the lungs cannot generate the right amount of tissues to repair the damage, interstitial thickening can occur, which further causes interstitial lung disease or ILD. Interstitial thickening may result from prolonged exposure to asbestos, silica, cotton, dust, coal, or autoimmune diseases like lupus, rheumatoid arthritis, sarcoidosis, scleroderma, hypersensitivity pneumonitis, genetics, idiopathic (unknown causes), medications like Sulfonamide, Nitrofurantoin, Methotrexate, Amiodarone, and other medicines. It is not a normal condition, and the lung scarring in the interstitial thickening may not be reversed. It would help if you underwent lung function tests to assess your present lung status. I hope this helps. Kindly revert in case of further queries.

Patient's Query

Hello doctor.

Thank you for your response. If I have interstitial lung disease, will not the lung volume loop show negatively and pulse oximetry be low? On the contrary, my values are 99 percent, and my lungs function better.

Hi,

Welcome back to icliniq.com. A lung function test helps monitor the prognosis of interstitial lung disease. Some people can have abnormalities in HRCT (high-resolution computerized tomography) of the chest that are consistent with interstitial lung disease (ILD) but still have pulmonary function tests (PFT) like oxygen saturation, and vital capacity in a normal range. ILD has different stages like mild, moderate, and severe. ILD may be in the initial stage in your case. Do you have any cough symptoms, shortness of breath, fatigue, chest tightness or pain, weight loss, etc.? If not, then consult a radiologist to interpret your HRCT films again. If needed, he can advise repeating HRCT of the chest or MRI (magnetic resonance imaging) of the chest for further assessment. Kindly let me know in case of further questions.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zubayer Alam
Dr. Muhammad Zubayer Alam

Pulmonology (Asthma Doctors)

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Pulmonology (Asthma Doctors)

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy