esbriet applicable for the following lungs scan report?
My mother in India was prescribed Pirfenex 200 mg (the Indian version of Pirfenidone) for the following lungs scan report. She is 80 years old and not in great health, and could not stand it after 3 doses in 24 hours, and stopped it. My question is: is Pirfenidone applicable to her situation, and if applicable, what are other bearable / milder alternatives? Doctor is suggesting ILD (Interstitial Lung Disease). Any thoughts / advices welcome.
—-below is report—–
LUNGS: Both lung fields are well expanded and hyperinflated. Intra pulmonary bronchi and vessels are splayed, show thinning with peripheral pruning of emphysematous change. Mild centriaciner emphysema both upper lobes. Mild honeycombing with increased reticulation seen in subpleural location mainly both lower lobe basal segment more in right side. Patchy areas of ground glass haziness of alveolar exudate of pneumonitis seen in anterior segment of right upper lobe subpleural location, lateral segment of right middle lobe and in both lower lobe subpleural location. No SOL or bronchiectasis is seen.
PLEURA: No evidence of pleural effusion, thickening or calcification is seen.
HRCT Scan of thorax reveal:
Cardiomegaly, Hyperinflated emphysematous both lung fields, Non specific patchy pneumonitis also seen in both lungs. Tractional bronchiectasis also seen. Diffuse area of ground glass opacity/reticulation seen in bilateral lower lobes & mildly in anterior segments of bilateral upper lobes & right middle lobe. Rest of the lung parenchyma shows normal bronchiovascular distribution and parenchymal attenuation.
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