Understanding Ground-Glass Nodules: What You Need to Know
Ground-glass nodules in the lungs? Hello doctor, I recently underwent a health check due to persistent dizziness, and it was discovered that I have a 1.2 cm cavitary ground-glass nodule in the right middle lobe of my lung. Although the report mentions that it could possibly be ca...
Dr. Yang Wenda Reply:
Hello: Cavitary lesions caused by infections may result from bacteria or other pathogens (such as mycobacteria or fungi) leading to localized inflammation or tissue necrosis. After being expelled through small bronchi, cavities may be left behind. It is recommended that you promp...[Read More] Understanding Ground-Glass Nodules: What You Need to Know
Understanding Mediastinal Lymph Node Enlargement: When to Follow Up?
Mediastinal lymphadenopathy Doctor: Hello, here is the recent report from the low-dose lung CT scan: High Resolution Computed Tomography (HRCT) of the Lung Clinical Information: chronic cough with sticky sputum, NIFTP HRCT of Chest. This study was performed without contrast enhan...
Dr. Wang Lanfeng Reply:
Hello: Since I cannot view the original chest CT scan images, I am unable to provide appropriate recommendations. I suggest discussing future management options with the attending physician at the hospital where the examination was performed. Thank you.[Read More] Understanding Mediastinal Lymph Node Enlargement: When to Follow Up?
Understanding Your ALK Gene Test Results in Lung Adenocarcinoma
Genetic Testing Report Hello, I am diagnosed with stage 3B lung adenocarcinoma with an ALK gene mutation. I am currently undergoing treatment with Alectinib. A PET scan showed bright spots in the hilar region of the lungs; the thoracic oncologist indicated that these are old canc...
Dr. Yang Wenda Reply:
Hello: It should still be the original mutation. For other questions, I suggest you consult your attending physician![Read More] Understanding Your ALK Gene Test Results in Lung Adenocarcinoma
Waiting Times for Bronchial Cancer Biopsy in Northern Taiwan Hospitals
Waiting time for bronchial cancer tissue biopsy? Hello doctor, my grandfather underwent a positron emission tomography (PET) scan abroad, and the report suggests a suspicion of bronchial cancer. A biopsy is needed for further testing, but the wait time for the biopsy abroad is ov...
Dr. Huang Yiwen Reply:
Dear Ms. Feng: The scheduling for examinations in Taiwan varies by hospital, but they can all be completed within a week. Changhua Hospital is concerned about you.[Read More] Waiting Times for Bronchial Cancer Biopsy in Northern Taiwan Hospitals
Chest Pain When Exhaling: Possible Causes and Concerns
Experiencing chest pain while exhaling? Hello, doctor. I have asthma and bronchial sensitivity issues. Sometimes I cough during an episode, but I haven't coughed recently. However, I've noticed that when I exhale forcefully, I feel a tight, painful sensation between my ...
Dr. Huang Yiwen Reply:
Dear Nini: Based on your description, it seems to be a small bronchial obstruction related to your asthma, which can be improved with bronchodilators. Changhua Hospital cares about you.[Read More] Chest Pain When Exhaling: Possible Causes and Concerns
Understanding Your Chest CT Scan Report: Key Insights and Follow-Up
Computed Tomography Report I would like to inquire about the content of the examination report. I have been experiencing recurrent discomfort near my chest area, which prompted me to undergo a CT scan and X-ray report. The physician reviewed the results and stated that no issues ...
Dr. Yang Wenda Reply:
Hello Junyi: According to the report, there are small nodules in the lungs, but they are not large (0.3 cm and 0.6 cm). It is recommended to follow up with a CT scan in two years. During this period, you can have a chest X-ray for follow-up annually. Best wishes![Read More] Understanding Your Chest CT Scan Report: Key Insights and Follow-Up
Understanding Respiratory Issues: Dry Throat and Breathing Difficulties
Respiratory issues Hello, doctor! Recently, due to work, I've often been going to bed around 4 or 5 AM and then getting up to work at 10 AM. I feel that my throat has been particularly dry, and even drinking water doesn't help much. When I take a deep breath, it feels l...
Dr. Jian Shuntian Reply:
Hello: 1. A dry throat is likely due to throat inflammation. 2. Difficulty breathing can have many causes, including bronchitis, pneumothorax, gastroesophageal reflux, or a cold. It is advisable to consult a pulmonologist for diagnosis and treatment.[Read More] Understanding Respiratory Issues: Dry Throat and Breathing Difficulties
Understanding Chronic Yellow Sputum: Causes and Treatment Options
What are the causes of chronic yellow sputum? Hello, doctor. Five years ago, my asthma recurred after I started working in a factory. Prior to that, I hadn't used any medication or experienced symptoms for 10 years. Since then, I have been coughing up yellow sputum daily, bu...
Dr. Yang Wenda Reply:
Hello: Bronchiectasis is a condition where the ciliary function of the bronchial walls is impaired, leading to the accumulation of small amounts of mucus that can form mucus plugs. The goal is to manage and reduce the amount of mucus, but it may not be possible to eliminate it co...[Read More] Understanding Chronic Yellow Sputum: Causes and Treatment Options
Can Chemical Bronchitis or Laryngitis Lead to Full Recovery?
Can chemical bronchitis or laryngitis fully recover? Six weeks ago, I started experiencing coughing symptoms and a sensation of something stuck in my throat, possibly due to using too much bleach to clean the bathroom walls. These symptoms have persisted until now, and I have not...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, it is currently not possible to determine whether the chemical lung injury was caused by bleach. However, you have already undergone preliminary examinations, and everything seems fine at the moment. It is recommended that you focus on symptomati...[Read More] Can Chemical Bronchitis or Laryngitis Lead to Full Recovery?
Persistent Cough: Understanding Causes and Concerns in Chest Medicine
Persistent cough In mid-May, I experienced throat swelling. The pharmacy provided medication for four days, which alleviated my symptoms, but I began to develop a scratchy throat and a cough, without any phlegm. My throat is not painful or swollen, just slightly itchy. Occasional...
Dr. Wang Zhengde Reply:
Hello Miss Pikachu: Based on your description, I suspect that you may have been infected with the COVID-19 virus at that time, but the rapid test showed a negative result. Your current symptoms could be a result of post-viral syndrome. It is also possible that you are experiencin...[Read More] Persistent Cough: Understanding Causes and Concerns in Chest Medicine
Interpreting Chest X-Ray Findings: Insights on Bronchiolitis and More
Inquiry about X-ray report? The chest X-ray (CXR) in the posteroanterior (PA) view reveals the following findings: Normal heart size. There is bilateral parahilar infiltration with increased thickness of the bronchiolar walls, which raises suspicion for bronchiolitis, bronchitis,...
Dr. Yang Wenda Reply:
Hello: Based on the report, there appears to be no pneumonia or pulmonary nodules; it may simply be due to shallower inhalation, resulting in relatively thicker vascular or bronchial markings. If there are no significant respiratory symptoms, monitoring is sufficient. If symptoms...[Read More] Interpreting Chest X-Ray Findings: Insights on Bronchiolitis and More
Understanding COVID-19 Breakthrough Infections and Long-Term Effects
COVID-19, virus-related issues? Hello, doctor. Although I have received three doses of the vaccine, I recently experienced a breakthrough infection and I'm unsure who transmitted it to me. Today is my last day of quarantine, but I am still coughing severely, with blood-strea...
Dr. Jian Shuntian Reply:
Hello: 1. To determine if there are irreversible changes in the lungs, please consult a pulmonologist. You may start with a standard chest X-ray and pulmonary function tests, after which the pulmonologist will decide if further examinations are necessary. 2. Currently, there are ...[Read More] Understanding COVID-19 Breakthrough Infections and Long-Term Effects
Understanding Chest X-Ray Findings: What They Mean for Your Health
Inquiry about the report content? The chest X-ray (CXR) in the posteroanterior (PA) view shows: Normal heart size. Bilateral parahilar infiltration with increased thickness of the bronchiolar walls, suggesting bronchiolitis, bronchitis, or pulmonary congestion. No definite destru...
Dr. Zhou Ziguang Reply:
Hello: Please visit the original hospital's pulmonary department for evaluation and treatment by a physician.[Read More] Understanding Chest X-Ray Findings: What They Mean for Your Health
Understanding Bronchitis: Symptoms, Fever, and Throat Pain Explained
Bronchitis Is it normal to still have a fever, rapid heartbeat, and a sore throat with significant pain and bad breath on the second day of bronchitis? I did a rapid test and it was positive, and the X-ray on the first day indicated bronchitis.
Dr. Jian Shuntian Reply:
Hello: In the course of COVID-19 infection, it is important to monitor for symptoms such as shortness of breath, increased heart rate, and blood oxygen levels. If the heart rate remains above 110-120 beats per minute and blood oxygen saturation is below 94%, medical attention sho...[Read More] Understanding Bronchitis: Symptoms, Fever, and Throat Pain Explained
Concerns After 5-Year-Old Swallows Vitamin C Gummy: What to Do?
My five-year-old daughter swallowed a whole vitamin C gummy? Hello Doctor: A week ago, my daughter accidentally swallowed a whole vitamin C gummy while jumping up and down. She coughed and managed to spit it out, but then accidentally swallowed it again, which may have caused her...
Dr. Huang Yiwen Reply:
Dear Ms. Wu: Regarding the foreign body ingestion, since it is a soluble substance, it may be difficult to visualize on X-rays. It would be advisable to consult a pediatric pulmonologist for further evaluation. However, in my personal opinion, performing prone positioning and e...[Read More] Concerns After 5-Year-Old Swallows Vitamin C Gummy: What to Do?
Understanding Mild Interstitial Lung Markings: When to Seek Further Evaluation
Increased pulmonary markings? Hello, Director! The recent chest X-ray report is as follows: 1. Mild increase of interstitial lung markings in both lower lungs is noted. Suggest correlating clinically and following up. 2. Normal heart size is noted. 3. Degenerative disk disease of...
Dr. Yang Wenda Reply:
Hello: The X-ray report only mentions a mild increase in the pulmonary markings in both lungs (which may be due to individual variations in vascular or bronchial markings). Since there are no symptoms, you can wait to return for a follow-up. A repeat X-ray can be done in six mont...[Read More] Understanding Mild Interstitial Lung Markings: When to Seek Further Evaluation
Should My Kids Use Maintenance Steroid Sprays for Allergies?
Should I start using maintenance corticosteroid inhalers? Hello Doctor, my children are 18 and 20 years old and are university students. They have both been experiencing bronchitis and nasal allergies. During their high school years, they used to spray medications such as Pulmico...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your child's asthma issue has been treated and is currently stable without medication. It is recommended to monitor the situation. As for whether asthma medications can prevent COVID-19 infection, there is currently no evidence to support th...[Read More] Should My Kids Use Maintenance Steroid Sprays for Allergies?
Understanding Chronic Wet Cough: Diagnosis and Treatment Options
Chronic wet cough Hello Doctor, I have suffered from colds since childhood and have frequently visited clinics for respiratory diseases. For the past five years, after catching a cold, I have experienced a persistent wet cough (clear mucus with slight foaming) that lasts from one...
Dr. Lu Mingzhi Reply:
Hello: The typical symptoms of asthma include prolonged intermittent cough with phlegm, shortness of breath, wheezing, and chest tightness (especially worsening at night or in the early morning). However, not every asthma patient exhibits these typical symptoms. Although pulmonar...[Read More] Understanding Chronic Wet Cough: Diagnosis and Treatment Options
Understanding Asthma: Do I Need Bronchodilators for Persistent Cough?
I am unsure whether I have asthma and uncertain if I should continue using the bronchodilator? Hello Doctor, I have had allergic rhinitis since childhood, and I have been coughing for three years. During this time, I have seen several pulmonologists due to reasons such as attendi...
Dr. Yang Wenda Reply:
Hello: When asthma is not exacerbated, lung function can be normal. Typically, regular daily use of inhaled long-acting bronchodilators combined with corticosteroids should improve symptoms. In cases of allergic bronchitis, the use of bronchodilators should also lead to improveme...[Read More] Understanding Asthma: Do I Need Bronchodilators for Persistent Cough?
Understanding Low Oxygen Levels: Causes and Management in Respiratory Health
Hypoxemia Hello doctor, around October last year, I started coughing up yellow sputum in the mornings. I went to the hospital, and the sputum test indicated a Klebsiella pneumoniae (KP) infection. I took Cravit for several weeks, but there was no improvement. In December, a low-d...
Dr. Huang Yiwen Reply:
Dear EVAN: 1. Continuous KP infection is quite unusual, as clinically there should be symptoms such as fever, productive cough, and abnormal white blood cell counts. Please confirm with the hospital whether bronchiectasis has been diagnosed, and if so, consider using postural dr...[Read More] Understanding Low Oxygen Levels: Causes and Management in Respiratory Health