instruction: hi doctor I am looking for a specialist in pulmonology my wife has been diagnosed with pulmonary fibrosis she is having a small rim of pneumothoraces bilaterally with subcutaneous disease and mediastinal emphysema I am attaching here her medical test reports for review by a specialist who can suggest a treatment to manage this condition
output: hello I have gone through all it scan reports and images it looks like this is a long standing problem and it is progressing as well but unfortunately there is no mention of the chief complaints of the patient and no previous treatment details are available before we plan any treatment it is very important to review previous medicines and see if there was an improvement or not as per it scan it looks like to be sip nonspecific interstitial pneumonia a chronic type of interstitial lung disease also it is complicating as leakage of air surrounding the lungs and heart it is very important to see what is the oxygenation status of the patient and other comorbidities the treatment of sip mainly consists of steroids as per the weight if oxygen saturation is not maintained above 92 on room air oxygen supplementation either by cylinder concentrator or ni non invasive ventilation must be considered so it is advisable to see a specialist pulmonologist near to you and take medicines and other required treatment under his observation as it has to be reviewed frequently according to the condition of the patient if the patient is suffering from any other comorbid autoimmune disease it should be treated simultaneously then only the lung pathology will be under control I hope I have elaborated the treatment plan in detail for you autoimmune old interstitial lung disease idiopathic pulmonary fibrosis sip nonspecific interstitial pneumonia steroids like tablet medrol methylprednisolone as per the weight of the patient supportive treatment as required oxygen supplementation