Understanding Suspected Vascular Shadows in Chest CT Reports
Health Checkup CT Report Hello, doctor. I underwent a health check-up arranged by my company in late May this year and received the report. I would like to ask what does "suspected vascular shadow in the hilar and sub-hilar region" mean?
Dr. Cai Zongwei Reply:
Hello: Based on the information you provided, the report from your chest CT scan indicates "hilar and subhilar region: suspected vascular shadow," which suggests that an image resembling a blood vessel has been observed in that area. The term "suspected" indic...[Read More] Understanding Suspected Vascular Shadows in Chest CT Reports
Understanding Left Rib and Chest Pain: Causes and When to Seek Help
Left-sided rib and chest pain? Hello Doctor, in the past two weeks, I have been experiencing pain on the outer side of my left rib cage, along the lower edge of my left chest, and beneath my left clavicle, which sometimes has a specific point of pain and other times is more gener...
Dr. Wu Yingxun Reply:
Hello: For chest pain, you can consult a pulmonologist to check for any issues with a chest X-ray. For headaches and nausea, you may want to see a neurologist to determine if they are related to prolonged computer use.[Read More] Understanding Left Rib and Chest Pain: Causes and When to Seek Help
Consultation on Tracheal Medications for Lung Health Concerns
Tracheal-related medication consultation? Dr. Wu, your response is as follows: Have you undergone pulmonary function tests to assess lung capacity? If there is obstructive lung disease, inhalers can be used instead of oral medications. My reply: I have had pulmonary function test...
Dr. Wu Yingxun Reply:
Hello: If everything is normal and there is no improvement after taking the medication, you should stop taking it.[Read More] Consultation on Tracheal Medications for Lung Health Concerns
Should You Follow Up on a Detected Lung Nodule After a Health Check?
The health check report indicates a solid nodule in the right upper lobe of the lung. Should it be monitored? Dear Dr. Zhou, I am currently about to turn 30 in a month. I had a health check-up in early May, which included a low-radiation chest CT scan. Recently, I received the r...
Dr. Zhou Ziguang Reply:
Hello: As previously suggested, please visit the pulmonology department for an evaluation of the "risk factors" by a physician, and then discuss the follow-up with the doctor.[Read More] Should You Follow Up on a Detected Lung Nodule After a Health Check?
Managing Medication for Respiratory Issues in Seniors: A Guide
Tracheal-related medication consultation? Hello, my 70-year-old mother, who weighs 78 kg and has not smoked for over 20 years, has been experiencing shortness of breath for the past couple of years. She gets breathless after climbing three flights of stairs. Last year, she consul...
Dr. Wu Yingxun Reply:
Hello: Is there a pulmonary function assessment for lung capacity? If there is obstructive lung disease, can inhalers be used instead of oral medication?[Read More] Managing Medication for Respiratory Issues in Seniors: A Guide
Unexplained Chest Pain and Gastrointestinal Distress: Seeking Answers
Chest tightness, difficulty breathing, bloating, and dizziness? I have been experiencing a sensation of tightness in my chest when taking deep breaths, along with stomach bloating and pain that becomes unbearable before bed and upon waking. A week ago, I visited a pulmonologist d...
Dr. Zhou Ziguang Reply:
Hello: According to the content, it is advisable to visit a regional-level hospital or higher for consultation and treatment by a physician.[Read More] Unexplained Chest Pain and Gastrointestinal Distress: Seeking Answers
Understanding Upper Abdominal Issues: When to See a Pulmonologist
Upper abdominal issues? Hello Doctor, I have a question. There is a protruding lump in the lower right side of my chest (approximately at the location of the underwire of my bra), and it is slightly painful when pressed. What could this condition be? I will be going to a health c...
Dr. Shen Bochan Reply:
Hello, my specialty is pulmonary medicine. Regarding your statement, it is indeed not possible to provide online diagnosis. I can suggest some possible directions: the pulmonary department can perform a chest X-ray to clarify any issues within the thoracic cavity or identify any ...[Read More] Understanding Upper Abdominal Issues: When to See a Pulmonologist
Common Concerns About Lung Health: Answers for Anxiety Patients
Could you please provide some specific questions regarding lung examinations? Hello, Doctor. I am a patient with anxiety disorder and health anxiety. I would like to ask you some questions, and I appreciate your help. Thank you, Doctor. 1. I was diagnosed with COVID-19 last yea...
Dr. Huang Yiwen Reply:
Dear JAMES: First, I apologize for the late response. 1: The impact of COVID-19 on the lungs, if there are no significant symptoms at the time of infection, is unlikely to lead to changes such as pulmonary nodules; the primary effect on the lungs would be fibrosis. 2: No. 3: No, ...[Read More] Common Concerns About Lung Health: Answers for Anxiety Patients
Understanding Follow-Up Care for Pneumothorax: X-Ray Importance and Recovery
Follow-up for pneumothorax? Hello, I would like to ask: Previously, I had a pneumothorax and had a drainage tube placed to remove the air. When I was discharged, the doctor mentioned that I should have an X-ray during my next follow-up visit to check the situation. However, due t...
Dr. Shen Bochan Reply:
Hello, regarding the question you raised, I cannot accurately determine why your attending physician did not follow up with an X-ray during your return visit, as I am not aware of their primary considerations. If I were your attending physician, it might be because you no longer ...[Read More] Understanding Follow-Up Care for Pneumothorax: X-Ray Importance and Recovery
Can a Cold Affect LDCT Results? Important Considerations for Patients
Is it safe to undergo LDCT while having a cold? Hello, doctor. I have been experiencing a long-term cough with blood, and I have scheduled a low-dose computed tomography (LDCT) scan for next Monday, May 22. However, I currently have a cold and a sore throat. Will having a cold af...
Dr. Zhou Ziguang Reply:
Hello: Generally, low-dose computed tomography (LDCT) is used for lung cancer screening. If there are acute symptoms, there may be pneumonia or other pulmonary infiltrates, which could present additional abnormal shadows on the imaging. However, if the purpose is to perform a che...[Read More] Can a Cold Affect LDCT Results? Important Considerations for Patients
Understanding Low-Dose Chest CT Reports: Implications for Cancer Recurrence
Low-Dose Computed Tomography Report of the Lungs The CT of the chest without contrast enhancement shows: - Low sensitivity of non-contrast CT scan. - Irregular opacity in the left upper lobe (1.5 cm, SE5 IM35). - No mediastinal or hilar lymphadenopathy. Given the history of gastr...
Dr. Zhou Ziguang Reply:
Hello: A 1.5 cm shadow has been detected; please consult a thoracic surgeon for evaluation to determine if there is a suspicion of a tumor. It is important to assess whether surgical intervention is necessary, especially if it is a new formation. The potential for recurrence or m...[Read More] Understanding Low-Dose Chest CT Reports: Implications for Cancer Recurrence
Understanding the Anxiety of Low-Dose CT Scans for Lung Cancer Detection
Patients with severe anxiety disorder experience heightened anxiety during low-dose computed tomography (CT) scans? Hello Doctor, I have two questions I would like to ask, and I hope you can help clarify them for me. Thank you. I have generalized anxiety disorder, obsessive-compu...
Dr. Zhou Ziguang Reply:
Hello: 1. The presence or absence of a disease will not change the results of the report, regardless of whether you review the report. Please return for a follow-up to discuss the report with your physician. 2. Different populations cannot be directly compared in data.[Read More] Understanding the Anxiety of Low-Dose CT Scans for Lung Cancer Detection
Understanding Chest Discomfort: Causes, Relief, and When to Seek Help
Chest tightness issue? Hello Dr. Zhou: I have been experiencing a feeling of tightness and pressure near the indentation in my chest, and sometimes I feel a bit of shortness of breath. It seems that as long as I don't pay attention to the tightness in my chest, I don't ...
Dr. Zhou Ziguang Reply:
Hello: Please visit the pulmonology department for a consultation with a physician.[Read More] Understanding Chest Discomfort: Causes, Relief, and When to Seek Help
Understanding Shortness of Breath: Causes and When to Seek Help
Shortness of breath Recently, I have been experiencing difficulty breathing when lying down, making it hard to sleep. I need to elevate my head and neck to feel somewhat better, but even with that, I've still been having some breathing difficulties. Additionally, I suddenly ...
Dr. Huang Yiwen Reply:
Dear Fa-Fa: Based on the symptoms you described, it seems more likely to be autonomic nervous system dysfunction. However, it is advisable to have further examinations conducted by relevant specialists. Starting with a cardiologist at Changhua Hospital would be a good option for ...[Read More] Understanding Shortness of Breath: Causes and When to Seek Help
Understanding Sudden Left Chest Pain: Possible Causes and Concerns
Sharp pain at the lower edge of the left chest? Hello, doctor. Recently, I've been experiencing sudden sharp pain at the lower edge of my left chest. The pain can occur whether I'm standing, sitting, lying flat, lying on my side, or even prone. I can't pinpoint a s...
Dr. Zhou Ziguang Reply:
Hello: There are many potential causes of chest pain, including neuromuscular issues, lung conditions, heart problems, and gastroesophageal reflux disease (GERD). It is important to seek medical attention and discuss with a physician for proper diagnosis and treatment.[Read More] Understanding Sudden Left Chest Pain: Possible Causes and Concerns
Understanding Chest and Respiratory Issues: When to Seek Medical Help
Respiratory and thoracic-related issues? Hello Doctor, I would like to ask you some questions. My current situation is a bit complicated. I previously experienced autonomic nervous system dysfunction, and I have some tightness in the upper part of my neck that hasn't complet...
Dr. Zhou Ziguang Reply:
Hello: Please continue to seek treatment from a physician.[Read More] Understanding Chest and Respiratory Issues: When to Seek Medical Help
Understanding Chest and Back Pain: When to Seek Further Medical Help
Chest pain and back pain? I have been experiencing chest pain for a year, lasting for a few seconds each time. The pain occurs intermittently near the right side under the clavicle and is difficult to describe. I have undergone X-rays and a CT scan, and a pulmonologist suggested ...
Dr. Yang Wenda Reply:
Hello: If your symptoms are suggestive of neuropathic pain, it is recommended to see a neurologist. If you also experience respiratory distress, it is advisable to consult a cardiologist.[Read More] Understanding Chest and Back Pain: When to Seek Further Medical Help
Understanding Your Chest Scan: Key Insights for Chronic Cough and Throat Phlegm
Hello, doctor. I would like to ask for your help in reviewing my test results, as I have some questions I would like to discuss? I have been experiencing a long-term cough and often feel phlegm in my throat. I have seen many doctors at various clinics and taken numerous medicatio...
Dr. Yang Wenda Reply:
Hello: It is recommended to consult the original prescribing physician regarding the relevant test reports, as they can provide explanations in conjunction with your original symptoms, other medical history, or family history.[Read More] Understanding Your Chest Scan: Key Insights for Chronic Cough and Throat Phlegm
Understanding Your Chest X-Ray and Blood Test Results: Key Insights
Hello Dr. Huang, I would like to ask you about the X-ray report and blood test report. Thank you for your help? Hello Doctor, I have been experiencing breathing difficulties for over 10 years. Sometimes, I feel a sensation of constriction in my airways, and when I breathe forcefu...
Dr. Huang Yiwen Reply:
Dear Ming: From your report, it is clear that you are experiencing an allergic reaction. The persistent cough is related to this, and the test data, especially the IgE levels, are very indicative. It is likely asthma. Further pulmonary function tests should be conducted. The thic...[Read More] Understanding Your Chest X-Ray and Blood Test Results: Key Insights
Chest Pain During Deep Breathing: Possible Causes and Insights
Experiencing chest pain when taking deep breaths? Hello, Dr. Zhou. I have noticed that when I take a deep breath, I experience pain about 30 degrees to the left and slightly above my right nipple, approximately 4 centimeters below my clavicle. This pain occurs during forceful dee...
Dr. Zhou Ziguang Reply:
Hello: Please visit the pulmonology department for evaluation by a physician.[Read More] Chest Pain During Deep Breathing: Possible Causes and Insights