Can Incorrect Breathing During Lung CT Cause False Shadows? - Radiology

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Incorrect breathing during a lung CT scan?


I had a chest CT in January, and the report showed 4-5 ground-glass opacities in both lower lobes of the lungs.
I am wondering if this could be due to improper breathing during the test? When I take a deep breath, I tend to forcefully contract my abdomen.
Could this cause the appearance of opacities in the lungs?

sam, 50~59 year old female. Ask Date: 2024/02/13

Dr. Wang Yifen reply Radiology


Hello, the ground-glass opacities in the lungs have a very low correlation with the breath-holding situation you mentioned.
It is recommended to visit a pulmonologist for a thorough evaluation and treatment.
Please take this into consideration, and I wish you safety and good health.

Reply Date: 2024/02/13

More Info


When it comes to lung CT scans, the quality of the images and the interpretation of the findings can be influenced by various factors, including the patient's breathing technique during the scan. However, the likelihood of incorrect breathing causing false shadows or artifacts on a CT scan is relatively low, especially when it comes to the appearance of ground-glass opacities (GGOs).

Ground-glass opacities are areas on a CT scan that appear hazy and indicate that the lung tissue is partially filled with fluid, cells, or other substances. They can be associated with a variety of conditions, including infections, inflammatory processes, and even early-stage lung cancer. In your case, the presence of multiple GGOs in both lower lobes raises the need for further evaluation, but it is unlikely that improper breathing during the scan would be the primary cause of these findings.

Breathing techniques during a CT scan are important for obtaining clear images. Patients are typically instructed to take a deep breath and hold it during the scan to minimize motion artifacts. While improper breathing can lead to some blurring or misinterpretation of the images, it is not a common cause of significant findings like GGOs. The appearance of these opacities is more likely related to underlying lung pathology rather than the technique used during the scan.

In your specific situation, it is essential to follow up with a healthcare professional, preferably a pulmonologist, who can assess the CT findings in the context of your clinical history and symptoms. They may recommend additional imaging studies, such as a follow-up CT scan after a certain period, or even a biopsy if there is a concern for malignancy. It is also important to consider other factors that could contribute to the appearance of GGOs, such as recent infections, inflammatory conditions, or even benign processes like atypical adenomatous hyperplasia.

In summary, while breathing technique is important for obtaining high-quality CT images, it is unlikely to be the cause of the ground-glass opacities observed in your scan. It is crucial to discuss your concerns with your healthcare provider, who can guide you through the necessary steps for further evaluation and management. Early detection and appropriate follow-up are key in addressing any potential lung issues, and your healthcare team will be best equipped to provide you with the necessary care and support.

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