Mi abuelo tiene fibrosis pulmonar?

I hope this message finds you well. I’m reaching out to inquire about my grandfather’s health, and I’m hoping someone here, especially medical professionals, might be able to help or offer guidance.

My grandfather has lived most of his life in the highlands of Peru, at an altitude of over 3000 meters above sea level. Throughout his life, he worked as a farmer and livestock breeder under very challenging conditions, with limited access to healthcare. Due to the severity of his pneumonia, he was recently transferred to Lima, the capital, at 183 meters above sea level, to receive specialized medical care.

In addition to his respiratory condition, my grandfather also suffers from osteoarthritis in one of his hands, which has been affecting his ability to perform daily tasks, but he is currently hospitalized.

Current condition and treatment:

1. Initial deterioration: My grandfather was taken to the hospital in an emergency due to a severe worsening of his pneumonia, which required intensive oxygen therapy. He was in the ICU for two weeks, where the doctors initially gave him 48 hours to live. However, he started to improve, and his oxygen needs were reduced by half.
2. Ongoing recovery: He is now off oxygen, breathing on his own, but still has a cough with phlegm and pain in his lungs when coughing.
3. Current treatments: He was started on intravenous human albumin due to low levels in his blood tests. He has also been prescribed Pulmocare, a supplement to improve lung function. Additionally, I know they are administering medications to treat the pneumonia, though I'm unsure of the exact medications.
4. Current situation: The doctors plan to discharge him in two weeks.
5. Oxygen saturation: His oxygen saturation is currently between 90-92%, but it drops to around 80% when he talks.

Test results:

Biochemical analysis:

• Glucose: 120.4 mg/dl (Reference value: 70.0 - 110.0 mg/dl)
• Creatinine: 1.2 mg/dl (Reference value: 0.55 - 1.18 mg/dl)
• Urea: 34.0 mg/dl (Reference value: 15.0 - 50.0 mg/dl)
• C-Reactive Protein (CRP): 8.84 mg/dl (Reference value: 0.0 - 0.50 mg/dl)
• Hemoglobin: 13.5 g/dl (Reference value: 12.0 - 16.0 g/dl)

Liver profile:

• Total proteins: 5.9 g/dl (Reference value: 6.6 - 8.3 g/dl)
• Albumin: 2.6 g/dl (Reference value: 3.8 - 5.1 g/dl)
• Globulin: 3.3 g/dl (Reference value: no reference value)
• Transaminases (TGO): 15.0 u/l (Reference value: 5.0 - 35.0 u/l)
• Transaminases (TGP): 22.5 u/l (Reference value: 5.0 - 45.0 u/l)
• Gamma-glutamyl transpeptidase (GGT): 12.4 u/l (Reference value: 5.0 - 49.0 u/l)
• Total bilirubin: 0.90 mg/dl (Reference value: 0.20 - 1.20 mg/dl)
• Direct bilirubin: 0.22 mg/dl (Reference value: 0.10 - 0.50 mg/dl)
• Indirect bilirubin: 0.68 mg/dl (Reference value: 0.55 - 1.18 mg/dl)
• Alkaline phosphatase: 122.4 u/l (Reference value: 30.0 - 120.0 u/l)

Questions:

Given that the initial diagnosis was pulmonary fibrosis, I would like to know if this is still accurate, especially since the CT scan results do not mention it. Could you help clarify if pulmonary fibrosis remains a concern based on his current condition and the CT scan results? Additionally, if pulmonary fibrosis is a confirmed diagnosis, what procedures or treatments would you recommend to improve his quality of life and lung function?

Here are the links to the CT scan results for your reference:

1. CT Scan Viewer : https://visor.riacs.health/viewer?StudyInstanceUIDs=1.2.156.14702.1.1002.16.0.20260408110619468&aet=DLQ_PUENTEPIEDRA
2. CT Scan Report: https://drluisquito.riacs.health/gqris/Web/Pages/Informe/VerInforme.aspx?guid=467bf3ff-7eea-494e-8ea3-ffe6a21c599b

Thank you very much for your time and assistance. I appreciate any advice or insights you can provide.