CT scan, Pulmonology FAQ - Page 16

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Understanding Lung Shadows and Fluid: What Do They Mean for Your Health?

The presence of shadows and fluid in the lungs may indicate several conditions, such as pneumonia, pulmonary edema, lung tumors, or pleural effusion. It is essential to conduct further diagnostic tests, such as imaging studies or laboratory tests, to determine the underlying caus...


Dr. Jian Shuntian Reply:
Hello, there are many reasons for the presence of shadows in the lungs along with fluid accumulation, such as inflammation, pneumonia, tuberculosis, tumors, etc. Further examinations are necessary to establish a diagnosis, and treatment can only be provided based on that diagnosi...

[Read More] Understanding Lung Shadows and Fluid: What Do They Mean for Your Health?


Understanding Lung Nodules: Causes and Advanced Diagnostic Options

Lung examination Hello Doctor: My father has been suffering from a persistent cough for 1 to 2 months without improvement. A CT scan revealed a 0.4 cm white spot at the left lung base, along with slight collapse symptoms. A bronchoscopy was arranged for further evaluation, but th...


Dr. Zhou Ziguang Reply:
Hello, there are many possible causes. Common ones include fibrosis (scarring from previous inflammation), ongoing inflammation (such as pneumonia or tuberculosis), and malignant tumors. Further examination is necessary; for a definitive answer, a lung biopsy may be required. Tha...

[Read More] Understanding Lung Nodules: Causes and Advanced Diagnostic Options


Should You Wait Six Months to Monitor a 0.5 cm Lung Tumor?

A 0.5 cm tumor was found on the CT scan? Hello, doctor. I underwent a health check-up and had a test for the lung cancer tumor marker Cyfra 21-1, which resulted in a value of 5.8 (with a reference range of <3.3). I later had a CT scan that revealed a 0.5 cm tumor in my lung, b...


Dr. Huang Yiwen Reply:
Dear emilycarry: Your concerns are valid; it can be unsettling to monitor abnormal data without further investigation. However, the situation you mentioned is indeed a blind spot in pulmonology. It may also be important to know if there is a history of smoking, any other chronic ...

[Read More] Should You Wait Six Months to Monitor a 0.5 cm Lung Tumor?


Understanding Cavitation in the Right Upper Lung: Tuberculosis Insights

Right upper lung perforation? Recently, a CT scan confirmed a cavitary lesion in the right upper lung. I am curious about the duration it typically takes for tuberculosis bacteria to cause cavitation, especially since there have been no typical symptoms of pulmonary tuberculosis ...


Dr. Zhou Ziguang Reply:
Hello, the phenomenon of cavitation does not occur within a specific timeframe, and it is possible to be asymptomatic. Additionally, the progression from Mycobacterium tuberculosis infection to active disease is not a matter of days; it can take several weeks or more. Thank you f...

[Read More] Understanding Cavitation in the Right Upper Lung: Tuberculosis Insights


Understanding Lung Shadows on X-rays: Diagnosis and Next Steps

There is an opacity on the chest X-ray? Hello Dr. Zhou! My father had an X-ray in mid-October, which revealed shadows in the right middle lobe and right lower lobe of his lung (three areas). Sometimes he experiences pain in his right chest while breathing, and it hurts more with ...


Dr. Zhou Ziguang Reply:
Based on the situation you described, the right middle/right lower lung should be compared with older images. If there are new shadows, there is a higher possibility of active lesions. Although no tuberculosis bacteria were found in the sputum, we cannot completely rule out the p...

[Read More] Understanding Lung Shadows on X-rays: Diagnosis and Next Steps


Understanding Potential Tuberculosis Diagnosis: Key Questions and Next Steps

Diagnosis of pulmonary tuberculosis? Hello Doctor, In June, during a medical examination for studying abroad, a chest X-ray revealed a fibrotic calcified nodule in the upper lobe of my right lung. The examining physician suggested that it might be a scar from a past tuberculosis...


Dr. Zhou Ziguang Reply:
Hello, 1. If there were no abnormalities in the chest X-ray six years ago and there are now significant lesions, the likelihood of an active lesion is greater (unless there has been a history of other lung diseases in the past six years). 2. If there is a lesion in the right ...

[Read More] Understanding Potential Tuberculosis Diagnosis: Key Questions and Next Steps


Understanding Lung Fibrosis and Fluid Accumulation After Trauma

Please provide the content you would like me to translate? Hello, after my mother was in a car accident, an X-ray revealed increased fibrosis in her left upper lung. Later, a CT scan indicated that this might be related to fluid accumulation. If the fluid does not decrease, drain...


Dr. Ke Zhengchang Reply:
Based on your description, your mother has a hemothorax due to the car accident, and it is necessary to aspirate some pleural fluid for examination. If it is confirmed as a hemothorax, it is recommended to place a chest tube for drainage by a thoracic surgeon. If there are other ...

[Read More] Understanding Lung Fibrosis and Fluid Accumulation After Trauma


Understanding Lung Tumors: Treatment Options for Elderly Patients

Regarding lung tumors? Hello, my grandmother is nearly 90 years old, weighs 48 kg, and is able to take care of herself. She requires a cane to walk due to knee joint degeneration. She has been experiencing a long-term cough and has only been receiving cough and expectorant medica...


Dr. Ke Zhengchang Reply:
Hello: Based on your description, if a 90-year-old patient has lung cancer, the first step is to identify the type of cancer cells and determine the stage of the lung cancer. If it is stage I or II, radiation therapy or surgical resection may be considered (provided that cardiac ...

[Read More] Understanding Lung Tumors: Treatment Options for Elderly Patients


Understanding Calcified Lung Nodules: What You Need to Know

Calcified pulmonary nodules Hello! Last April, I accidentally discovered a white spot in my right lower lung while having a cold. After evaluations including sputum tests and pulmonary function tests by two pulmonologists, the first doctor did not provide a clear explanation but ...


Dr. Zhou Ziguang Reply:
Hello, the term "calcified and fibrotic lesions" generally refers to old changes left behind due to factors such as inflammation or trauma. Calcification is usually a benign scar, but if there are changes during follow-up (such as an increase of 1 cm), it does not confo...

[Read More] Understanding Calcified Lung Nodules: What You Need to Know


Understanding Pulmonary Fibrosis After Lung Cancer Surgery: Key Insights

Inquire about pulmonary fibrosis issues? Hello Doctor, my father previously had lung cancer and underwent surgery to remove a lobe of his lung at the beginning of last year. He is currently under continuous monitoring. Last week, during a follow-up CT scan, the doctor mentioned t...


Dr. Jian Shuntian Reply:
Hello, generally, fibrosis refers to inactive lesions that can be monitored. However, if there is a misunderstanding during communication, it is advisable to discuss this further in person with the attending physician. Thank you. This response is respectfully provided by Dr. Jian...

[Read More] Understanding Pulmonary Fibrosis After Lung Cancer Surgery: Key Insights


Understanding Mild Fever and Persistent Cough: When to Seek Further Testing

mild fever As a child, I frequently caught colds, almost having to visit the doctor every month. However, about seven or eight years ago, I became much less sick. But whenever I do get sick, I tend to cough severely, often taking nearly a month to recover. After not having a cold...


Dr. Jian Shuntian Reply:
Hello, the chest CT scan is normal, but tuberculosis (TB) cannot be ruled out. It is recommended to test three sputum samples. If sputum is not available, an induced sputum procedure can be performed. The likelihood of pulmonary tuberculosis or bronchial tuberculosis is low, so i...

[Read More] Understanding Mild Fever and Persistent Cough: When to Seek Further Testing


Understanding Chest X-Ray Shadows: Next Steps for Diagnosis

There is an opacity on the chest X-ray? On December 8th, a health check was performed, and an X-ray showed a shadow in the left chest. During the outpatient visit, the doctor suspected it might be a blood vessel and recommended a chest CT scan. The scan results did not show any o...


Dr. Ke Zhengchang Reply:
Hello: Based on your description, if the results of the chest CT scan show no significant lesions and the report only mentions suspected vascular issues, generally speaking, if both a radiologist and a pulmonologist at a regional level have the same opinion, then any abnormality ...

[Read More] Understanding Chest X-Ray Shadows: Next Steps for Diagnosis


Understanding Lung Nodules: What to Do After Acute Pneumonia Recovery

I'm here to help! Please go ahead and ask your question Hello Doctor: My father was recently hospitalized for acute pneumonia and is currently recovering at home. He has been returning for follow-up visits and has had X-rays for monitoring. During the most recent CT scan, a ...


Dr. Yang Zhiyun Reply:
Hello, Xiao Zhen. You may discuss with your physician whether further examinations are necessary, depending on the condition of the lesion and the patient's overall health status. Without clarity on these two aspects, I cannot provide a personal opinion. The examinations for...

[Read More] Understanding Lung Nodules: What to Do After Acute Pneumonia Recovery


Understanding Increased Lung Markings: Symptoms and Follow-Up Care

Increased lung markings refer to the appearance of more prominent or denser vascular and bronchial structures on a chest X-ray or CT scan. This can indicate various conditions, such as pulmonary edema, interstitial lung disease, or chronic bronch Dr. Chou, I apologize for the int...


Dr. Zhou Ziguang Reply:
Hello RICO, 1. Symptoms may not always be present, but it is essential for a physician to assess the likelihood of certain conditions. If there is a suspicion of a condition that requires prompt attention, additional tests such as a CT scan may be ordered, considering potential...

[Read More] Understanding Increased Lung Markings: Symptoms and Follow-Up Care


Understanding Hemoptysis: Causes and Management After Tuberculosis

Hemoptysis My brother had tuberculosis three years ago and was cured after six months of medication. However, over the past year, he has experienced hemoptysis, sometimes coughing up blood once a month and other times every two weeks. He often feels a tickle in his throat at nigh...


Dr. Yang Wenda Reply:
Hello Andy: After the cure of pulmonary tuberculosis, the blood vessels in the areas of fibrosis (scarring) may be more prone to rupture and cause hemoptysis, especially after consuming rich foods such as fried foods, alcoholic beverages, or spicy dishes. If follow-up chest X-ray...

[Read More] Understanding Hemoptysis: Causes and Management After Tuberculosis


Managing Recurring Pneumothorax: Treatment Options After Surgery

Left thoracic cavity Hello, Doctor: I experienced a left-sided pneumothorax in August this year, which was a spontaneous pneumothorax. I underwent conservative treatment with a drainage tube, but unfortunately, it recurred in October. This indicates that my chances of a third rec...


Dr. Ke Zhengchang Reply:
Hello: After experiencing a recurrence of pneumothorax and undergoing thoracoscopic surgery, it is recommended that you return to the original hospital for another chest CT scan to determine how many blebs may potentially rupture and cause pneumothorax again. This information wil...

[Read More] Managing Recurring Pneumothorax: Treatment Options After Surgery


Understanding Post-Pneumothorax Complications: Seeking Answers and Support

Complications of pneumothorax? Medical Condition Description: Eleven months ago, a pneumothorax occurred due to needle knife therapy, leading to intubation at the hospital. Since then, there has been a sensation of the diaphragm being unable to descend, accompanied by weak cardio...


Dr. Yang Wenda Reply:
Hello Ashin: Since most of your tests are normal, there shouldn't be any major issues. It seems to be more related to what Traditional Chinese Medicine refers to as "Qi stagnation." I recommend reducing the intake of gas-producing foods (such as legumes), taking a ...

[Read More] Understanding Post-Pneumothorax Complications: Seeking Answers and Support


Should Diabetic Patients with Pulmonary Edema Undergo Thoracentesis?

Should patients with diabetes and pulmonary edema undergo puncture? Dear Dr. Zhou, My father, who is 57 years old, has a long history of diabetes and hypertension. He is also blind in one eye and has hearing impairment. On July 23, he was admitted to the hospital due to difficul...


Dr. Zhou Ziguang Reply:
Hello: (A) If kidney function is poor, the drainage through urine is less effective. (B) Generally, the puncture needle is not large, and there is rarely a wound left after removal. (C) There may be some discomfort during the puncture (similar to blood draws or injections). (D) T...

[Read More] Should Diabetic Patients with Pulmonary Edema Undergo Thoracentesis?


Understanding Pleural Effusion: Causes, Diagnosis, and Treatment Options

Pleural effusion Hello, Dr. Qu! My mother experienced pain near the side of her back on April 14th. She visited a doctor who took an X-ray and said there were no significant issues, only inflammation of the muscles, and prescribed medication. After taking the medication for a few...


Dr. Qu Changke Reply:
Hello, Dolphin: Based on the statement, it is not possible to determine the cause of pleural effusion. However, I will try to provide you with some directions. There are many potential causes of pleural effusion, including heart failure, kidney failure, pneumonia, lung cancer, an...

[Read More] Understanding Pleural Effusion: Causes, Diagnosis, and Treatment Options


Understanding Lung Cancer vs. Tuberculosis: Key Differences and Risks

Regarding the lungs? Hello, what are the differences between lung cancer and tuberculosis? Is lung cancer contagious? My grandfather is 76 years old and seems to have some lung issues recently. The doctor has recommended a CT scan, and I'm worried about whether he is in dang...


Dr. Qu Changke Reply:
Hello, Ida: Tuberculosis is caused by the Mycobacterium tuberculosis and is infectious, classified as a notifiable communicable disease. Lung cancer, on the other hand, is caused by cellular mutations leading to malignancy and is not contagious. When lung cancer is suspected, a c...

[Read More] Understanding Lung Cancer vs. Tuberculosis: Key Differences and Risks


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