Understanding Aortic Curvature and Lung Expansion Issues in Chest Health
Curvature of the aorta and mild linear expansion insufficiency of both lower lungs? Hello! Based on my recent health check results, the chest X-ray shows a curvature of the thoracic aorta and mild linear expansion insufficiency in both lower lungs. I have also noticed that I ofte...
Dr. Huang Yiwen Reply:
Dear Mr. Chuang: The curvature of the thoracic aorta is a normal phenomenon that changes with age. Bilateral lower lung expansion deficiency can affect sputum production and lead to increased phlegm (bronchiectasis), but it has less correlation with wheezing unless the expansio...[Read More] Understanding Aortic Curvature and Lung Expansion Issues in Chest Health
Persistent Hiccups Leading to Breathing Difficulties: What You Should Know
Persistent hiccups leading to difficulty breathing? Hello Doctor, Since I was young, I have occasionally experienced difficulty breathing. I have read many articles suggesting that it could be due to gastroesophageal reflux disease (GERD) or bronchitis, but I do not have persis...
Dr. Wang Zhengde Reply:
Hello Xiaoya: Given your age, the long-term symptoms of bronchial itching and coughing may actually be manifestations of asthma. Additionally, the symptom of burping is somewhat difficult to assess in terms of its exact nature (burp or hiccup?), and it could potentially be a sign...[Read More] Persistent Hiccups Leading to Breathing Difficulties: What You Should Know
Is Choking on Food Causing My Father's Fever and Pneumonia?
Could this be pneumonia caused by aspiration of food? Thank you? Hello, recently my dad choked while eating. I immediately helped him by patting his back, and he coughed as well. He mentioned that the feeling of having something stuck is lessened. However, that afternoon after he...
Dr. Wang Lanfeng Reply:
Hello: The bronchi in the human body instinctively produce a cough response to external stimuli in order to expel foreign objects. Based on your description, your father accidentally choked, and although patting his back has improved the situation, the subsequent symptoms of chil...[Read More] Is Choking on Food Causing My Father's Fever and Pneumonia?
Choking on Food: When to Seek Medical Help for Airway Concerns
Choked and worried about it going into the airway? I choked on crushed pearls or tapioca while drinking, and I coughed lightly at the moment, feeling like the food went down. Because the particles are smaller, I'm worried that they might have gone into my trachea or bronchi....
Dr. Wang Lanfeng Reply:
Hello: The bronchial tubes in the human body instinctively produce a cough response to external irritants in order to expel foreign objects. Based on your description, the sago pearls you accidentally inhaled may have already been expelled due to your coughing reflex. Even if the...[Read More] Choking on Food: When to Seek Medical Help for Airway Concerns
Understanding Persistent Cough with Phlegm: When to Seek Medical Attention
Frequent coughing with phlegm? My father is 65 years old and has never smoked. However, over the past year or two, he has experienced intermittent coughing with phlegm, which comes and goes. Previous chest X-rays have shown no abnormalities, so he is reluctant to see a doctor. Re...
Dr. Zhang Ziyan Reply:
Hello, Xiaoting. Your father is 65 years old, a non-smoker, but is exhibiting symptoms of chronic bronchitis, and his X-ray results are clear. Recently, he has had an exacerbation, which may be related to air quality or seasonal changes, but could also be due to other allergies o...[Read More] Understanding Persistent Cough with Phlegm: When to Seek Medical Attention
Understanding the Risks of Ignoring Lung Nodule Follow-ups
Pulmonary nodules are not being monitored regularly? Hello Doctor, the following is a chest CT report from June 2019. I read online that lung nodules are mostly benign, so I did not follow the doctor's advice to have a follow-up once a year. Until this year, I started to fee...
Dr. Huang Yiwen Reply:
Dear Rui: Hello, the CT report indicates that there are nodules in both lower lung lobes (size not specified) and mild fibrotic changes. Additionally, there are lymph nodes in the mediastinum and axilla, while the rest appears normal. It is personally recommended that you should ...[Read More] Understanding the Risks of Ignoring Lung Nodule Follow-ups
Chronic Cough with White Foamy Sputum: Understanding Your Symptoms
Chronic cough with white foamy sputum, no cough at night? Hello, Doctor. I have been experiencing intermittent coughing for about two years (3-4 coughs each time), with periods of no coughing lasting a few months. However, in the past six months, the coughing has resumed. During ...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, you frequently experienced pneumonia due to colds during your childhood, which may have led to bronchiectasis from recurrent inflammation in your lungs, resulting in chronic cough. Additionally, you mentioned that you often experience coughing sy...[Read More] Chronic Cough with White Foamy Sputum: Understanding Your Symptoms
Understanding Lung Tumors: Insights on Diagnosis and Next Steps
Tumor and lung cancer issues? Dear Dr. Yang, After a family member underwent a chest X-ray as part of a health check-up, a nodule was discovered, which was subsequently confirmed by a CT scan. A PET-CT, bone scan, and MRI have been arranged, and we are currently awaiting the rep...
Dr. Yang Wenda Reply:
Hello, the CT report suggests a malignant lung tumor, mentioning enlarged mediastinal and axillary lymph nodes. A pathological biopsy is still needed to confirm the malignancy before staging. If it is indeed a malignant tumor, it would be at least stage III. The definitive stagin...[Read More] Understanding Lung Tumors: Insights on Diagnosis and Next Steps
Understanding Lung Health: Evaluating an 86-Year-Old's Chest X-Ray Findings
Grandmother's health check report? Dear Dr. Yang, My grandmother, who is 86 years old, has the following findings from her health check-up report: Both lungs show clear vascular markings. In the left lower lobe, near the hilum, there is a soft tissue mass measuring approxim...
Dr. Yang Wenda Reply:
Hello: To determine whether it is a malignant tumor, a pathological report from a tissue biopsy is required. For older patients, a biopsy (puncture) may be less distressing.[Read More] Understanding Lung Health: Evaluating an 86-Year-Old's Chest X-Ray Findings
Understanding Bronchial Enlargement: Should You Be Concerned?
Bronchial dilation refers to the abnormal widening of the bronchi, which can indicate various underlying conditions. It may suggest the presence of chronic bronchitis, bronchiectasis, or other Today, I went to the orthopedic department for an X-ray. The doctor looked at the X-ray...
Dr. Huang Yiwen Reply:
Dear May: This question was answered previously. There seems to be a slight bronchial dilation, but for an accurate assessment, it would be best to consult a pulmonologist and have imaging done. Changhua Hospital cares about you.[Read More] Understanding Bronchial Enlargement: Should You Be Concerned?
Understanding Bronchial Enlargement: Should You Be Concerned?
Bronchial dilation indicates what? Today, I went to the orthopedic department for an X-ray. The doctor looked at the X-ray and asked me if I often cough. I replied that I usually do not. I asked the doctor why he inquired about that. He mentioned that he noticed the bronchi appea...
Dr. Huang Yiwen Reply:
Dear May: This adjective is generally used less frequently. It is possible that there is some bronchiectasis, which may appear slightly enlarged, but it is difficult to determine if this is the case based on the description. Please follow up with the pulmonology department at Cha...[Read More] Understanding Bronchial Enlargement: Should You Be Concerned?
Managing Persistent Cough in Elderly Patients After Stroke: Expert Advice
Coughing issues Hello Doctor: My elder at home is 79 years old and has been on medication since suffering a stroke two years ago, including Liziana and Strocain. However, he has been experiencing a persistent cough since the stroke. The doctor prescribed cough suppressants and ex...
Dr. Huang Yiwen Reply:
Dear j-bear 22: Elderly individuals who have had a stroke may experience impaired central control of cough and sputum clearance, making them more susceptible to sputum accumulation, which can irritate the bronchi and trigger coughing. In such cases, medication can provide only te...[Read More] Managing Persistent Cough in Elderly Patients After Stroke: Expert Advice
Blood-Streaked Sputum Upon Waking: Causes and Concerns
Coughing up blood after waking up? Hello doctor, this morning when I woke up, I noticed blood streaks in my sputum when I coughed. It has occurred intermittently since then, but I have never experienced this before. I haven't been coughing continuously and I don't have ...
Dr. Huang Yiwen Reply:
Dear Mark: Given your age, the likelihood of lung cancer is low. Although we cannot completely rule out the presence of blood-streaked sputum, the most common cause is still bronchitis. Smoking is harmful to your health in every way, so I strongly recommend that you quit smoking ...[Read More] Blood-Streaked Sputum Upon Waking: Causes and Concerns
Prolonged Cough: Understanding Symptoms and Seeking Solutions
Persistent cough that has not improved? Hello, I have been experiencing a persistent cough for over six months. In the past, similar symptoms would resolve on their own within about a month, but this time it has lasted unusually long. I have visited the hospital several times dur...
Dr. Lu Mingzhi Reply:
Hello: Based on your description, asthma is a highly likely diagnosis. You can come to the clinic to arrange for asthma-related tests, including allergen testing. Additionally, it is recommended to schedule sputum analysis and a CT scan to rule out other potential lung diseases.[Read More] Prolonged Cough: Understanding Symptoms and Seeking Solutions
Understanding Lung Issues: Insights on CT Scan Findings and Concerns
Lung issues Hello Doctor: During a previous health check, it was noted that there was "partial lung expansion and increased infiltration in the left upper lung lingula." Later, when I went to the hospital for a CT scan, the doctor was watching a variety show on the comp...
Dr. Zhou Ziguang Reply:
Hello: The report and imaging still need to be evaluated and explained by a qualified physician. Please visit a pulmonologist, and it would be best to bring the imaging results.[Read More] Understanding Lung Issues: Insights on CT Scan Findings and Concerns
Understanding Black Spots on Chest X-rays: What You Need to Know
The chest X-ray shows a black spot? Hello, Dr. Lu: Yesterday, I had a chest X-ray, and the doctor mentioned there was a dark spot and requested that I return in three months for a follow-up X-ray. She explained that she suspects it might be related to the bronchi and noted that ...
Dr. Lu Mingzhi Reply:
Hello: The bronchi are part of the respiratory tract, not a disease name. It is recommended that you visit a pulmonologist for a follow-up examination, and if necessary, discuss with the pulmonologist about arranging a low-dose computed tomography (CT) scan.[Read More] Understanding Black Spots on Chest X-rays: What You Need to Know
Chest CT Report: Analysis of a 3cm Heterogeneous Mass and Findings
Chest CT examination report Results: The contrast-enhanced chest CT shows: > A heterogeneous mass measuring 3 cm located in the posterior basal segment of the left lower lobe (LLL), adjacent to the descending thoracic aorta, with malignancy not excluded. > Focal fibrosis in...
Dr. Lu Mingzhi Reply:
Hello: The meaning of this written report in Chinese is not very clear. It is recommended that you return to the physician who originally scheduled the examination for a detailed evaluation.[Read More] Chest CT Report: Analysis of a 3cm Heterogeneous Mass and Findings
Understanding Nighttime Breathing Issues After Pneumothorax Surgery
Occasionally, I experience some difficulty breathing at night, but it is not painful? Last month I had surgery for a pneumothorax, and now at night when I lie down, I feel a sensation of something in my throat. Sometimes I also experience sudden palpitations and difficulty breath...
Dr. Jian Shuntian Reply:
Hello: Recurrence of pneumothorax is primarily characterized by chest pain and shortness of breath. If you experience difficulty breathing at night, it is advisable to consult a pulmonologist to check for issues such as asthma or bronchitis.[Read More] Understanding Nighttime Breathing Issues After Pneumothorax Surgery
Understanding Persistent Cough and Blood in Sputum: Is It Lung Cancer?
I'm not sure what's wrong? In 2016, a family member was diagnosed with squamous lung cancer, despite having no history of smoking. They experienced six months of treatment, but unfortunately, it could not reverse the advanced malignant tumor that had metastasized. That ...
Dr. Huang Yiwen Reply:
Dear Inquirer: If the chest X-ray is normal and you continue to have blood-tinged sputum, it is advisable to consult a pulmonologist for a bronchoscopy. Changhua Hospital cares about you.[Read More] Understanding Persistent Cough and Blood in Sputum: Is It Lung Cancer?
Understanding Noisy Breathing: Possible Causes and Solutions
Audible breathing? Hello, about a month ago, I started experiencing a sound of obstruction while breathing, but I do not have difficulty breathing. Occasionally, I cough up clear, foamy sputum that resembles mucus. I feel the sound of my breathing is located between my collarbone...
Dr. Jian Shuntian Reply:
Hello: It is necessary to examine the trachea and bronchi for mucus or foreign body inflammation. Please consult a pulmonologist for further evaluation. Allergies, such as rhinitis, may be related to the current symptoms.[Read More] Understanding Noisy Breathing: Possible Causes and Solutions