Understanding Chest X-Ray Findings: Implications and Next Steps
Chest X-ray report issues? Today, I was hospitalized and had an X-ray taken. The report is as follows: Chest 1 view PA: Thoracoscoliosis with convexity to the right is noted. Increased lung markings in both lower lobes are present. Bilateral costophrenic angles are clearly iden...
Dr. Wang Lanfeng Reply:
Hello: Since we cannot view the original X-ray and chest CT scan images, it is advisable for you to consult the original examining hospital. Thank you.[Read More] Understanding Chest X-Ray Findings: Implications and Next Steps
Understanding Lung Nodules: A Patient's Journey Through Medical Follow-Up
Health Report Hello Dr. Zhang, I had a chest X-ray report during my company health check in 2016 that noted "suspected nodular lesions in the left lower lung, recommended outpatient follow-up." I followed up at the hospital that year, and after the doctor marked it with...
Dr. Zhang Ziyan Reply:
Hello Mr. Lin, if the low-dose computed tomography (CT) scan in February of the 110th year did not reveal any lesions, then there are none. Chest X-rays have many limitations, and the radiologist may have observed artifacts; even if it appears to be a nipple, it must be reported....[Read More] Understanding Lung Nodules: A Patient's Journey Through Medical Follow-Up
Understanding Abnormal LDCT Results: Common Concerns and Follow-Up
Questions regarding abnormal findings in LDCT screening? Hello Doctor, I would like to ask about my LDCT report from my health check-up, which shows the following two abnormalities: recommended follow-up in 3 months. *Mild fibrosis in both lung apices with irregular pleural inter...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your LDCT report shows some nonspecific changes that generally only require observation and follow-up. As for the cause, it may be due to past chronic inflammation. In principle, these changes may not necessarily resolve, but they should not caus...[Read More] Understanding Abnormal LDCT Results: Common Concerns and Follow-Up
Understanding Your Low Dose Lung CT Report: Key Insights and Next Steps
Lung LDCT Report Hello Doctor: Due to a recent family member being diagnosed with lung cancer, close relatives over the age of 40 have undergone LDCT screening. One of the reports is as follows: Finding: (Completion time of the examination is displayed on the images) Low Dose L...
Dr. Zhang Ziyan Reply:
Hello Alex, there is thickening of the pleura at both lung apices, with suspicion of left lower lung fibrosis +/- pulmonary nodules (series 4 image 67). There are no significant changes in the pleura. It is recommended to follow up. Best regards from the Department of Pulmonary M...[Read More] Understanding Your Low Dose Lung CT Report: Key Insights and Next Steps
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
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 Mild Lung Infiltration: Causes and Next Steps for Patients
Pulmonary infiltration My mother has been coughing three to four times a day for about 4-5 months. A few days ago, she visited a pulmonologist and had a chest X-ray, which the doctor said was normal. It was suggested that it might be gastroesophageal reflux disease (GERD). Howeve...
Dr. Yang Wenda Reply:
Hello: A CT report indicating mild infiltration usually suggests that there is no severe lung disease. It is sufficient to adjust cough medications or use traditional Chinese medicine for recovery, and cough symptoms should gradually improve.[Read More] Understanding Mild Lung Infiltration: Causes and Next Steps for Patients
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
CT Scan Findings: Treating Pneumonia, Pleural Effusion, and Empyema
The treatment for pneumonia, pleural effusion, and empyema identified through a computed tomography (CT) scan typically involves the following approaches: 1. **Pneumonia**: Treatment usually includes antibiotics to target the specific bacteria causing the infection. Supportive c...
Dr. Chen Junwei Reply:
Based on the current situation, your father is 92 years old and is dependent on a ventilator. The CT scan shows pneumonia and a localized empyema (in small volume), and the clinical presentation includes a significant amount of purulent sputum. It is recommended to start treatmen...[Read More] CT Scan Findings: Treating Pneumonia, Pleural Effusion, and Empyema
Managing Symptoms After Stopping Tuberculosis Treatment: A Patient's Journey
Symptoms after discontinuing medication for pulmonary bullae and pulmonary tuberculosis? Thank you, Director Jian, for your previous response. I completed six months of tuberculosis medication in early July. On that day, I had a follow-up appointment where I underwent X-rays and ...
Dr. Jian Shuntian Reply:
(1) In the case of chest pain, a CT scan should be able to identify any lesions. (2) Without reviewing the CT scan, it is not possible to make a judgment; you may seek a second opinion from another pulmonologist or thoracic surgeon. (3) Consider performing a bronchoscopy. (4) It ...[Read More] Managing Symptoms After Stopping Tuberculosis Treatment: A Patient's Journey
Understanding the Worsening of Tuberculosis During Treatment: Key Insights
Worsening during the treatment process of pulmonary tuberculosis? Hello Doctor: In early December last year, I suddenly experienced full-body chills and shivering at night. The next day, I had severe chest pain. I had previously experienced night sweats while sleeping. I initiall...
Dr. Jian Shuntian Reply:
1. It is important to know whether the sputum culture was positive at the time of diagnosis and if there are results from drug susceptibility testing. 2. The current condition requires another sputum test to check for the presence of bacteria, and a rapid diagnostic test for ant...[Read More] Understanding the Worsening of Tuberculosis During Treatment: Key Insights
Understanding Left Chest Pain: Causes, Concerns, and Next Steps
Left chest pain? Dear Doctor, I have been experiencing persistent left-sided chest pain (which feels like pressure) for the past year. The pain worsens with coughing and tilting my head back. I had a chest X-ray in January 2018, which was normal (I have had three X-rays during th...
Dr. Zhou Ziguang Reply:
Hello: 1. If the chest X-ray and low-dose computed tomography (LDCT) do not show any lesions sufficient to explain the chest pain, you may first consult with an orthopedic or cardiology specialist. 2. The LDCT report from June 2016 indicates infiltration; the follow-up interval s...[Read More] Understanding Left Chest Pain: Causes, Concerns, and Next Steps
Understanding Coughing and Lung Health: Should You Worry About Lung Cancer?
Risk of lung cancer? Hello Doctor, I have been experiencing occasional coughing for almost a month now, along with some phlegm. Sometimes I hear sounds from my airways and feel like there is phlegm inside. When I manage to cough up some phlegm, the airway sounds go away. I don&#x...
Dr. Yang Wenda Reply:
Hello: Most lung cancers do not grow rapidly in a short period of time. Since a CT scan last July did not reveal any suspicious tumor lesions, it would be advisable to get a chest X-ray for the physician to interpret. Your symptoms are more indicative of allergic rhinitis and bro...[Read More] Understanding Coughing and Lung Health: Should You Worry About Lung Cancer?