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Pleural Effusion    
Asthma    
COPD    
Pneumonia    
Lung Transplant    

Pre and Post-Acute Asthmatic Attack

Case 1:  Severe Asthmatic Attack - 18 y.o. Female
Pre-Bronchodilators:

                                

Post-Bronchodilators:
 

                              


                                  
Pre-Bronchodilator Image by the VRIxp™ device:

  The vibration energy graph indicates rapid breathing, the inspiratory and expiratory  
    phases have about the same amplitude
  The energy patterns shows a severe disturbance in the vibration energy movement  
    (asynchrony) particularly in the lower parts of both lungs 
  Wheezes are present in the right lung during the expiratory phase 
  QLD (Quantitative lung data) shows an abnormal contribution 

Case 2:  Assessing Treatment Efficacy Post-2 Dosages of Bronchodilators - 56 y.o. Male

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. 


Case 3: Silent Lung Pre-Bronchodilators, 
Wheezes Post-Bronchodilators - 64 y.o. Male
Patient Data:
This patient (a known Asthma patient) presented to the pulmonary department with acute dyspnea

Pre-Bronchodilators
Silent Lung:


                               

Post-Bronchodilators
Wheezes Indicated in Red:

                                

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.