Pulmonary Function Test (PFT) Sample Reports for Medical Transcriptionists:
DATE OF STUDY: MM/DD/YYYY
REFERRING PHYSICIAN: John Doe, MD
PULMONOLOGIST: Jane Doe, MD
REASON FOR THE TEST: Chronic obstructive pulmonary disease.
DETAILS OF STUDY: Spirometry showed normal forced vital capacity and normal FEV1. Forced vital capacity was 91% and FEV1 was 85%. FEV1 to forced vital capacity was 93% predicted. FEF 25-75% is markedly reduced to 38% predicted. Also, FEF 50% is severely reduced to 27% predicted indicating small airway disease. Expiratory reserve volume is increased markedly to 168% predicted. Maximum ventilatory ventilation was 65% predicted. Inspiratory capacity was reduced to 66% predicted. Diffusion was severely reduced to 23% predicted. The adjusted diffusion capacity to hyperventilation was reduced to 27% predicted. Flow volume loop shows moderate obstructive defect with evidence of possible sleep apnea. No bronchodilator test was done.
IMPRESSION: This test is consistent with moderate obstructive sleep apnea with air trapping and severe diffusion impairment.
Thank you, Dr. Doe, for your kind referral.
____________________
DATE OF STUDY: MM/DD/YYYY
REFERRING PHYSICIAN: John Doe, MD
PULMONOLOGIST: Jane Doe, MD
REASON FOR THE TEST: Chronic obstructive pulmonary disease.
ABG showed a pH of 7.40, pCO2 51.8, and pO2 75.3 with bicarbonate 31.5, and saturation of 94.9%. This was on room air. Considering the high pCO2 and the presence of leg edema, the patient mostly likely has some element of pulmonary hypertension, cor pulmonale.
DETAILS OF STUDY: The spirometry showed forced vital capacity of 59% predicted. FEV1 is severely reduced at 48% predicted. The ratio of FEV1 to forced vital capacity is 82% predicted. FEF 25-75% is severely reduced to 22% predicted. FEF 50% is also severely reduced to 16% predicted. Response to bronchodilator was minimal with only improvement of the FEV1 by 2%, and FEF 25-75% has improved only by 1%. Maximum ventilatory ventilation is 56% predicted. Total lung capacity is 96% predicted. Residual volume is 146% of predicted. The ratio of the residual volume to total lung capacity is severely increased to 153% predicted. Diffusion is 112% predicted. The adjusted diffusion to hyperventilation is 125% predicted. Flow volume loop showed severe obstructive defect with minimal response to bronchodilators. The patient also shows some restrictive defect, probably secondary to his weight.
IMPRESSION:
1. Severe obstructive defect with minimal response to bronchodilators.
2. Severe air trapping.
3. Normal diffusion, although arterial blood gas showed low oxygenation. The patient also shows evidence of cor pulmonale.
Thank you, Dr. Doe, for your kind referral.
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