Post-Bronchodilators:
Pre-Bronchodilators:
Post-1st Dosage:
Post-2nd Dosage:
Image by the VRIxp™ device Pre-Bronchodilators: Abnormal vibration energy graph Every breathing cycle differs The expiratory phase has higher intensity than the inspiratory phase Severe dynamic disturbance (asynchrony in the movement of vibration energy), inverse dominance and the right lower area seems to be the area with the lowest intensity Wheezes are evident (indicated by red dots) Image by the VRIxp™ device Post-first dosage of Bronchodilators: The vibration energy graph has an improved shape (note the prolonged expiratory phase) Still a dynamic disturbance but it is less severe than before No inverse dominance is displayed Although the right lower lung areas still has the lowest intensity, no wheezes are evident Image by the VRIxp™ device Post-second dosage of Bronchodilators: Vibration energy graph a near normal pattern No dynamic disturbance apparent Right lower lung has decreased intensity Explanation: the images post treatment shows dramatic improvement compared to pre-treatment image by the VRIxp™ device. An interesting finding is the lower right lung area appears to be problematic all along the treatment and seems to be chronically effected. It is recommended follow up and monitor this patient.
Pre-Bronchodilators Silent Lung:
Baseline image by the VRIxp™ device: The vibration energy graph indicates rapid breathing, the expiratory phase has a higher amplitude than the inspiratory phasethe inspiratory and expiratory phases The energy patterns shows a severe disturbance in the vibration energy distributions with areas that are almost completely obstructed No wheezes are evident Second image by the VRIxp™ device 8 minutes later post-bronchodilator treatment: Near similar pattern of the vibration energy graph The inspiratory phase and the expiratory phase almost had the same amplitude (still considered to be abnormal) Although less prominent than the previous recording dynamic disturbance in the vibration energy was evident Decreased areas of decreased vibration energy, but less severe than before Wheezes are now indicated by red dots Explanation: the baseline image demonstrated a severe obstruction, so much so that wheezes could not be detected. The bronchodilator treatment succeeded in opening the obstruction to such an extent that the air movement created wheezes.