Print This Page     Close Window Consult Request Guidelines for Abnormal Chest x-ray Interstitial Changes Focal and Diffuse     Abnormal Chest x-ray Interstitial Changes Focal and Diffuse Suggested Pre-Referral Evaluation and Management Guidelines 1) Obtain old chest x-rays for comparison 2) Full pulmonary function testing (spirometry lung volumes, DLCO) ABG and 6 minute walk test 3) Detailed assessment of occupational and environmental exposures Suggested Additional Test/Management Prior to Specialty Visit 1) Spirometry 2) Chest x-ray 3) Old chest x-rays 4) High resolution CT chest 5) Strongly consider biopsy for definitive diagnosis prior to institution of a therapeutic intervention. Patient Education/Information (includes preps) 1) Pulmonary Fibrosis 2) The Lung Association: Pulmonary Fibrosis Appointment Timeframe <1 month How to Get Results to Consultant UMHS Patients: See CareWeb External Patients: Hand carry non-UM records, pulmonary function tests and chest x-rays to visit Clinic Contact Information Physicians: 800-962-355 Patients: Dyspnea Clinic: 734-763-7668, 888-284-5864 Clinic Location Sites Pulmonary and Critical Care Clinic Locations UM Consulting Physician Pulmonary Faculty Revised on: 07/25/2011