Guest guest Posted August 5, 2009 Report Share Posted August 5, 2009 Hi everybody, Well I saw my pulmo-dude last week and the surgeon yesterday and my diagnosis is not specifically one thing or another. I'm going to write it all here and maybe someone else had a similar result. Final Pathologic Diagnosis- Cellular Interstitial Inflammation with numerous fibroblastic foci and mild interstitial fibrosis. Biopsies show a cellular mixed inflammatory infiltrate of lymphocytes and histiocytes in the alveolar septae. Scattered throughout the alveoli are several small fibroblastic foci in the interstitium. There is mild interstitial fibrosis thickening of the alveolae septae. No dense honeycombing. Findings are consistant with a cellular fibrosing interstitial pneumonitis. Differential diagnosis is a mixed NSIP pattern and UIP. Presence of fibroblastic foci favors UIP but the dense fibrosing associated with UIP is not observed in the samples. A similar histologic picture may be observed in collagen vascular disease, pneumoconoisis, and hypersensitivity pneumonitis. Suggest correlation with clinical and radiologic findings.HUH? This is not how an episode of HOUSE MD ends! Anyway I am being referred by my pulmo-dude to Columbia Presbyterian Medical Center-NYC which has an interstitial lung disease department to be evaluated. I am back at work and so happy to be out of the house. My company is giving me a parking spot closest to the lobby and I also got from Motor Vehicles a handicapped placard since I am on O2 for exertion. - nne Quote Link to comment Share on other sites More sharing options...
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