Chest Issues: Possible Causes and Recovery Time - Pulmonology

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Lung issues


My father had a chest X-ray in May 2005, which showed no issues.
However, before the Lunar New Year in 2006, he noticed a protrusion about 2 cm on the lower left side of his chest that was painful to the touch and also caused discomfort in his back.
In the past two days, he has started experiencing pain in his right leg.
He went to the hospital for an examination, and the doctor mentioned the possibility of a cyst and prescribed anti-inflammatory medication to take for a month before returning for another X-ray.
What could this condition possibly be? Is it serious? How long might it take to recover? Thank you.

Shen, 10~19 year old female. Ask Date: 2006/02/07

Dr. Li Shiwei reply Pulmonology


Hello: Your issue cannot be adequately addressed in writing; it is best to have an X-ray comparison and an in-person consultation with the patient for diagnosis.
We warmly welcome your father to visit our hospital for a consultation with Dr.
Li Shih-Wei in the Internal Medicine department.

Reply Date: 2006/02/07

More Info


Based on the information provided, it seems that your father has been experiencing some concerning symptoms related to his chest and possibly his lungs. The initial X-ray in May 2005 showed no issues, but by early 2006, he developed a noticeable protrusion in the left lower chest, which is painful to the touch and has led to discomfort in his back. Additionally, he has recently started experiencing pain in his right leg.
The protrusion you described could potentially be a number of things, including a benign condition such as a lipoma (a fatty tumor), a cyst, or even a more serious condition such as a mass or tumor. The fact that it is painful and has caused discomfort in the back could suggest that it is pressing on surrounding structures or nerves. The mention of a "possible follicle" by the physician may indicate a concern for an infection or inflammation, which could lead to the formation of an abscess or other localized issue.

The pain in the right leg could be unrelated, but it is also important to consider that it could be a symptom of a more systemic issue, such as a nerve impingement or even a vascular problem. It is crucial to follow up with the healthcare provider to determine the exact cause of these symptoms.

Regarding the severity of the condition, it is difficult to ascertain without further diagnostic imaging and evaluation. The physician's recommendation to start anti-inflammatory medication and reassess after a month is a common approach to manage inflammation and pain while waiting for further diagnostic tests.
Recovery time will depend on the underlying cause of the symptoms. If it is a benign condition, recovery could be relatively quick, especially with appropriate treatment. However, if the issue is more serious, such as a tumor or significant infection, the recovery process could be longer and may require more intensive treatment, including possible surgery or other interventions.

In summary, it is essential to have a thorough evaluation, including follow-up imaging such as an X-ray or possibly a CT scan, to better understand the nature of the protrusion and any associated symptoms. It is also important to monitor the leg pain and discuss it with the physician, as it may require additional investigation. Encourage your father to keep in close contact with his healthcare provider and to report any changes in symptoms or new concerns that arise.

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