It was felt that his PFT's and chest x-ray were consistent with asthma and previous lobectomy. He had evidence of volume loss of the right lung with residual hyperinflation, and his PFT's showed a decreased FVC with a reversible airflow obstruction.
We switched his delivery method of inhaled steroid from a mask aerochamber to a mouthpiece aerochamber to improve deposition and arranged for a two month follow-up.
Two months later, he was a little worse. He was using his salbutamol more frequently and had night time symptoms. He was wheezing on exam in the clinic.
His PFT's were repeated this time with lung volumes.
BELOW; Flow Volume Loop for PFT 2
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