Mild Lung Fibrosis Detected in Low-Dose CT Scan: What You Should Know - Pulmonology

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Low-dose computed tomography results: Mild fibrosis in the right middle lobe and left lower lobe of the lungs?


Hello Dr.
Huang, on November 7, 2018, I underwent a low-dose computed tomography (CT) scan at the hospital.
The results are as follows: Mild fibrotic change over the right lung middle lobe and left lung lower lobe near the base.
No focal mass or nodule seen in the lung parenchyma or mediastinum.
Scoliosis of the thoracolumbar spine.
Otherwise, the findings of this study are unremarkable.

Since I do not have any bad habits such as smoking or staying up late, and I always wear a mask for protection when going out, along with normal chest X-ray results at my previous workplace (though I have congenital scoliosis), I felt very anxious upon seeing the mild fibrosis result.
Could this be related to the cold symptoms I had at the time of the examination? (Symptoms: sore and itchy throat, no cough, yellow phlegm, overall mild symptoms).
Or could it possibly be due to past bronchitis leading to lung injury and scarring?
For a patient with my symptoms, how long would you recommend waiting before a follow-up examination? Thank you for your guidance.

Ms. Chen, 30~39 year old female. Ask Date: 2018/11/09

Dr. Huang Yiwen reply Pulmonology


Dear Ms.
Chen: The issue you described is likely a scar left after an infection.
If there are no symptoms, it is recommended to follow up in one year.
Changhua Hospital cares about you.

Reply Date: 2018/11/09

More Info


Mild lung fibrosis detected in a low-dose CT scan can understandably cause concern, especially for someone who has no significant risk factors like smoking or prolonged exposure to harmful substances. The findings you described indicate mild fibrotic changes in the right middle lobe and left lower lobe of your lungs, with no focal masses or nodules observed. This is a reassuring aspect of the report, as the absence of nodules or masses typically suggests that there are no significant malignancies present.

Fibrosis in the lungs can result from various causes, including past infections, environmental exposures, or even autoimmune conditions. In your case, you mentioned having mild symptoms of a throat infection at the time of the scan, which is unlikely to be directly related to the fibrotic changes observed. Acute infections typically do not cause fibrosis; however, a history of bronchial inflammation or infections could potentially lead to scarring over time. This scarring is what we refer to as fibrosis.

Given that you have a history of normal chest X-rays and no significant risk factors, it is possible that the mild fibrosis observed is a result of previous, perhaps unnoticed, respiratory issues rather than an acute process. The presence of scoliosis may also contribute to lung function changes, but it is generally not a direct cause of lung fibrosis.

As for follow-up, the timing can vary based on individual circumstances. Generally, if the fibrosis is mild and there are no concerning features (like nodules or significant symptoms), a follow-up CT scan is often recommended in 6 to 12 months. This allows for monitoring any changes in the lung condition without exposing you to unnecessary radiation too frequently. If there are any new symptoms or if your current symptoms worsen, it would be prudent to consult your healthcare provider sooner.

In summary, while mild lung fibrosis can be concerning, the absence of nodules and the overall unremarkable findings in your CT scan are positive indicators. It is essential to maintain regular follow-ups as advised by your healthcare provider and to monitor any changes in your health. If you experience new or worsening symptoms, do not hesitate to seek medical advice. Your proactive approach to health, including wearing masks and avoiding harmful habits, is commendable and beneficial for your lung health.

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