Understanding Lung Nodules: Causes, Growth, and Next Steps in Diagnosis
Pulmonary nodules Hello Doctor: I had a chest CT on June 20, which revealed a 5mm solid nodule at the right middle lobe (RML, SE3 IM196). Subsequently, on September 29, I had a follow-up at the same hospital, and the results were as follows: Airway/lungs/pleura: -- two 5mm solid ...
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 treatment options with the attending physician at the hospital where the examination was performed. Thank you.[Read More] Understanding Lung Nodules: Causes, Growth, and Next Steps in Diagnosis
Persistent Left Chest Pain When Lying Down: Seeking Answers
Sharp pain in the left chest when inhaling while lying down? Hello, since I was 17 years old, I have experienced a sharp pain in my left chest when lying in bed for a long time or just after waking up. The pain occurs in the same location each time, but it alleviates as soon as I...
Dr. Yang Wenda Reply:
Hello Mr. Lin: Experiencing muscle cramps after lying down for a long time at night or just waking up may be due to changes in posture. As long as there are no issues with the internal organs, there shouldn't be any major health concerns. It's important to learn to coex...[Read More] Persistent Left Chest Pain When Lying Down: Seeking Answers
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 Non-Specific Parenchymal Changes in Lung CT Scans
The lung CT examination results show nonspecific parenchymal changes? Hello Doctor, I recently received my health check-up report, and the chest CT results mentioned non-specific parenchymal changes in the lungs, but no obvious nodules were found. I will be traveling abroad soon ...
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 treatment options with the attending physician at the hospital where the examination was conducted. Thank you.[Read More] Understanding Non-Specific Parenchymal Changes in Lung CT Scans
Understanding Rising CEA Levels in Lung Adenocarcinoma Treatment
Elevated CEA levels? Hello doctor, I am diagnosed with stage 3B lung adenocarcinoma and currently undergoing treatment with targeted therapy using Alectinib. On August 17, my CEA level was 1.2, and on September 8, it rose to 2.26, an increase of 1.06 in just half a month. What do...
Dr. Yang Wenda Reply:
Hello: The presence of drug resistance is assessed by whether there are significant increases or metastases observed in the CT scan. CEA testing cannot confirm deterioration or metastasis; as long as the CEA levels remain within the normal range, it is not considered deterioratio...[Read More] Understanding Rising CEA Levels in Lung Adenocarcinoma Treatment
Understanding Ground-Glass Nodules: Risks and Follow-Up Recommendations
Ground-glass nodule Hello, doctor. Six years ago, I had a low-dose chest CT scan during a health check, which showed a ground-glass nodule approximately 0.5 cm in size. Since then, I have undergone CT scans every six months to a year for three years, and there has been no signifi...
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 treatment options with the attending physician at the hospital where the examination was performed. Thank you.[Read More] Understanding Ground-Glass Nodules: Risks and Follow-Up Recommendations
Understanding Your Lung Health: Follow-Up for Ground-Glass Nodules
Questions about chest health examination report? This year's health check-up revealed a low-dose lung CT report indicating ground-glass nodules: "Subpleural nodular ground-glass opacities with two solid small nodules located in the right upper lobe (N1: 3.4mm; N2: 2.5mm...
Dr. Wang Lanfeng Reply:
Hello: Since I cannot view the original chest CT scan images, I am unable to provide appropriate recommendations. I suggest that you return to the hospital where the examination was conducted and discuss future treatment options with your attending physician. Thank you.[Read More] Understanding Your Lung Health: Follow-Up for Ground-Glass Nodules
Understanding Small Lung Nodules: When to Worry and Follow-Up Guidelines
Pulmonary nodule issues? Hello Doctor: I recently had a low-dose CT scan, and the report is as follows: Small (<5mm) lung nodules noted in the right middle lobe (Srs/Img:302/92,103). Differential Diagnosis: small granuloma, intrapulmonary lymph node, or focal atelectasis is fa...
Dr. Wang Lanfeng Reply:
Hello: Since I cannot view the original chest CT scan images, I am unable to provide appropriate recommendations. I suggest that you return to the hospital where the examination was conducted and discuss future treatment options with your attending physician. Thank you.[Read More] Understanding Small Lung Nodules: When to Worry and Follow-Up Guidelines
Understanding Lung Fibrosis: What You Need to Know After Abnormal X-Ray Results
Pulmonary fibrosis issues? Hello, doctor. About a week ago, my father's annual health check-up report from his company came out, and the chest X-ray showed abnormalities, indicating "bilateral pulmonary fibrosis." It was recommended that he see a pulmonologist for ...
Dr. Yang Wenda Reply:
Hello: Based on your description, there is only an increase in lung markings (which may also just be an increase in vascular markings). Since there are no abnormalities noted during auscultation, there should not be any significant issues. It is recommended to repeat the chest X-...[Read More] Understanding Lung Fibrosis: What You Need to Know After Abnormal X-Ray Results
Understanding Chest Pain: Insights on Symptoms and Diagnosis
Pain in the center of the chest? At the end of February this year, after receiving the BNT vaccine, I began to experience symptoms of palpitations, initially thinking it was myocarditis. However, after undergoing examinations including an electrocardiogram and echocardiogram (whi...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your symptoms are non-specific and it is difficult to determine the underlying cause. You have also undergone a series of tests with no significant abnormalities. It is recommended that you continue to monitor your condition, and if the symptoms ...[Read More] Understanding Chest Pain: Insights on Symptoms and Diagnosis
Managing Lung Nodules in Elderly Patients: A Case Study
Pulmonary nodular disease progression Hello, Dr. Huang. My grandmother is 83 years old and has hypertension. A CT scan revealed a 2.8 cm solid and ground-glass nodule. A follow-up CT scan three months later showed no changes or signs of metastasis. She has undergone pulmonary fun...
Dr. Huang Yiwen Reply:
Dear Mr. Lin: I apologize for the late response to your question. 1. The replication time for typical lung adenocarcinoma is approximately 1 to 3 months. Age does not significantly accelerate this process. 2. Tumors that can be surgically removed generally have a better prognosis...[Read More] Managing Lung Nodules in Elderly Patients: A Case Study
Are Three Monthly CT Scans Safe for Lung Nodules? Understanding Risks and Concerns
Is there any harm to the body from having a chest CT scan every three months? I would like to consult a doctor about ground-glass nodules in the lungs, which are said to be post-inflammatory granulomas. What is this condition? The doctor told me there is an 80% chance that it wil...
Dr. Huang Yiwen Reply:
Dear Yao Yao: I apologize for the late response regarding the ground-glass nodules and granulomas. Generally, they do not disappear, and it is important that they do not continue to enlarge. Ground-glass nodules can indeed have the potential to be associated with lung adenocarcin...[Read More] Are Three Monthly CT Scans Safe for Lung Nodules? Understanding Risks and Concerns
Understanding 5mm Ground Glass Nodules: What You Need to Know
5mm ground-glass nodule Hello Doctor, I went to a major hospital at the end of June for a lung CT scan, and the report indicated: "There is a 5mm ground-glass nodule (5mm, Se3/Im58-59) in the superior basal segment of the left lower lobe. Post-inflammatory granuloma is highl...
Dr. Huang Yiwen Reply:
Dear Miss Dou: It is correct to recommend a follow-up in 3 to 6 months for the 5 mm lesion. This recommendation is based on the tumor replication time, indicating that if there are no changes within this interval, it is relatively reassuring. There are many patterns of ground-g...[Read More] Understanding 5mm Ground Glass Nodules: What You Need to Know
Managing Back Pain and Symptoms During Lung Cancer Treatment
Lower back pain Hello Doctor: In March of this year, I was diagnosed with stage 3B lung adenocarcinoma and am currently undergoing targeted therapy with Alectinib. A CT scan in June showed a significant reduction in the tumor size, and a bone scan in April was normal. My job requ...
Dr. Yang Wenda Reply:
Hello: Currently, the tumor treatment response seems to be good, and the likelihood of metastasis is low. Weight may be slightly lower in the summer, which is acceptable. It is recommended to avoid prolonged sitting and to engage in moderate exercise daily for improvement![Read More] Managing Back Pain and Symptoms During Lung Cancer Treatment
Understanding Ground-Glass Nodules: Are They a Sign of Lung Cancer?
Self-paid lung CT scan Hello doctor, I previously tested positive and went to a large hospital for a self-paid chest CT. The results showed a ground-glass opacity nodule in the left lower lobe, which is likely a post-inflammatory granuloma (0.5 mm). Could you please tell me if th...
Dr. Wang Lanfeng Reply:
Hello: Since I cannot view the original chest CT scan images, I am unable to provide appropriate recommendations. I suggest that you return to the hospital where the examination was conducted and discuss future treatment options with your attending physician. Thank you.[Read More] Understanding Ground-Glass Nodules: Are They a Sign of Lung Cancer?
Understanding Low-Dose Lung Cancer Screening Results and Next Steps
The low-dose lung cancer screening report indicates mild fibrotic changes in the left lung apex and a nodule in the right lung lobe, with a maximum diameter of approximately 0.3 centimeters? The low-dose lung cancer screening report indicates slight fibrotic changes in the left a...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, there are currently no significant abnormalities in your examination report. It is recommended to continue monitoring. Quitting smoking will also help improve your health condition. Thank you.[Read More] Understanding Low-Dose Lung Cancer Screening Results and Next Steps
Understanding Pneumothorax: Diagnosis, Treatment, and Military Service Implications
Diagnosis and Treatment of Pneumothorax Seven years ago, I went to the emergency department of National Taiwan University Hospital due to a pneumothorax. After several days of oxygen therapy and X-ray examinations, I was discharged in stable condition. The hospital issued a diagn...
Dr. Yang Wenda Reply:
In my personal opinion, I would like to respond as follows: 1. For recurrent pneumothorax with abnormal air bubble expansion visible on CT scans, surgical treatment is recommended. 2. Regarding the second question, I cannot speak on behalf of Tri-Service General Hospital and the ...[Read More] Understanding Pneumothorax: Diagnosis, Treatment, and Military Service Implications
Understanding Iatrogenic Pneumothorax from Acupuncture: Risks and Recovery
Iatrogenic pneumothorax caused by acupuncture? 1. Regarding iatrogenic pneumothorax caused by acupuncture, is there a high possibility of recurrence after recovery? 2. After being hospitalized and receiving oxygen therapy for two days, I was discharged, but I still have symptoms...
Dr. Yang Wenda Reply:
Hello: 1. The chance of recurrence is very low, unless you already have small bubbles in your lungs (which is more common in tall and thin individuals, and can be more easily seen on a CT scan), in which case there is a possibility of recurrence. 2. The chest pain symptoms should...[Read More] Understanding Iatrogenic Pneumothorax from Acupuncture: Risks and Recovery
Understanding Ground-Glass Nodules: Risks and Next Steps After LDCT
Low-dose computed tomography reveals ground-glass lung nodules? Hello, doctor. I have been smoke-free for over six months now, after smoking for 10 years at a rate of one pack a day. In January of this year, I had a cough and underwent a low-dose computed tomography (LDCT) scan. ...
Dr. Wang Lanfeng Reply:
Hello: Since I cannot view the original chest CT scan images, I am unable to provide appropriate recommendations. I suggest that you return to the hospital where the examination was conducted and discuss future treatment options with your attending physician. Thank you.[Read More] Understanding Ground-Glass Nodules: Risks and Next Steps After LDCT
Persistent Cough and Fever: Understanding Lung Health Issues
Persistent cough that does not resolve? Hello, my mother is 53 years old and has been coughing for 4.5 months with clear phlegm. Over the past month, she has experienced recurrent fevers and severe shortness of breath when walking. She underwent X-rays, CT scans, and bronchoscopy...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, it is currently difficult to determine the specific issue. I recommend discussing the relevant treatment matters with your mother's attending physician. Thank you.[Read More] Persistent Cough and Fever: Understanding Lung Health Issues