Dees,
This is all good news because this all means there is room for improvement. Good that he is on Sinugulair and that he responded. Good that his X-Ray looks like someone with asthma. My CT scan shows big changes that my doctor says is amazing. One of the noticeable things she says is as my asthma reduced, you can see the size of the airways have shrunk as the swelling as gone down.
Here are some questions to ask the NP who seems observant: Ask if his ears are red and his eardrum swollen. Ask if the back of his throat is red? And in addition to the suspected polyps, are his nasal passages red or otherwise occluded (swollen, partially blocked).
This opens the door for discussions of treating inflammation. My doctor says that these are in part, her clues in diagnosing my exacerbations as infection or rooted in inflammation. What goes on in the ears, nose, and throat can be an indication of how the lungs look also.
Here are some threads to get you started. You can read what I've written as well as other people's interesting ideas. The people on here are an amazing source of information.
1)Update: Inflammation, steroids... <a target=_blank class=ftalternatingbarlinklarge href="http://www.cysticfibrosis.com/forums/messageview.cfm?catid=5&threadid=42322
">http://www.cysticfibrosis.com/...atid=5&threadid=42322
</a>2)Adults: Have you ever been tested for Asthma... <a target=_blank class=ftalternatingbarlinklarge href="http://www.cysticfibrosis.com/forums/messageview.cfm?catid=5&threadid=44227&STARTPAGE=1&FTVAR_FORUMVIEWTMP=Linear
">http://www.cysticfibrosis.com/...R_FORUMVIEWTMP=Linear
</a>3)Cleaning House... <a target=_blank class=ftalternatingbarlinklarge href="http://www.cysticfibrosis.com/forums/messageview.cfm?catid=6&threadid=39912
">http://www.cysticfibrosis.com/...atid=6&threadid=39912
</a>4)CF Doc gives negative... <a target=_blank class=ftalternatingbarlinklarge href="http://www.cysticfibrosis.com/forums/messageview.cfm?catid=6&threadid=37352
">http://www.cysticfibrosis.com/...atid=6&threadid=37352
</a>5)Adults: Sinus Problems... <a target=_blank class=ftalternatingbarlinklarge href="http://www.cysticfibrosis.com/forums/messageview.cfm?catid=5&threadid=39055&STARTPAGE=1&FTVAR_FORUMVIEWTMP=Linear
">http://www.cysticfibrosis.com/...R_FORUMVIEWTMP=Linear
</a>6)Families: Sinus infections... <a target=_blank class=ftalternatingbarlinklarge href="http://www.cysticfibrosis.com/forums/messageview.cfm?catid=6&threadid=38741&highlight_key=y&keyword1=Sinus%20Surgery
">http://www.cysticfibrosis.com/...word1=Sinus%20Surgery
</a>