Understanding Lung Nodules: Insights from Recent CT Scan Findings
Pulmonary nodule issues? CT of the whole abdomen scanning from the diaphragmatic dome to the pubic symphysis with and without IV contrast injection plus coronal section MPR images shows: - Three hypervascular tumors in the right lobe of the liver, with a maximal size of about 3....
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 consult with the hospital where the examination was performed for more suitable advice. Thank you.[Read More] Understanding Lung Nodules: Insights from Recent CT Scan Findings
Understanding Multiple Small Nodules on Chest CT: What to Do Next?
Multiple small white spots on chest CT? Hello Doctor, I had a chest X-ray in February last year, and the doctor noted some suspicious small white spots. I then consulted a thoracic surgeon, who arranged for a CT scan in August. The CT results showed several small white spots in m...
Dr. Jian Shuntian Reply:
Hello: A follow-up chest CT scan is required, as chest X-rays typically cannot detect these small nodules. Thank you. Best regards.[Read More] Understanding Multiple Small Nodules on Chest CT: What to Do Next?
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 Low Oxygen Levels: Causes and Management in Respiratory Health
Hypoxemia Hello doctor, around October last year, I started coughing up yellow sputum in the mornings. I went to the hospital, and the sputum test indicated a Klebsiella pneumoniae (KP) infection. I took Cravit for several weeks, but there was no improvement. In December, a low-d...
Dr. Huang Yiwen Reply:
Dear EVAN: 1. Continuous KP infection is quite unusual, as clinically there should be symptoms such as fever, productive cough, and abnormal white blood cell counts. Please confirm with the hospital whether bronchiectasis has been diagnosed, and if so, consider using postural dr...[Read More] Understanding Low Oxygen Levels: Causes and Management in Respiratory Health
Understanding COPD Symptoms and Management: A Guide for Patients
Questions about pulmonary obstruction? My father is 68 years old and recently experienced severe coughing and shortness of breath in the middle of the night due to a cold front. He had phlegm and was taken to the emergency room, where they only performed an X-ray and did not cond...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your father has a long history of smoking and exhibits symptoms related to pulmonary obstruction. After being evaluated by a qualified pulmonologist, there should be no issues with the diagnosis. Currently, for pulmonary obstruction, it is genera...[Read More] Understanding COPD Symptoms and Management: A Guide for Patients
Understanding Solid Lung Nodules: Monitoring and Follow-Up Care
Pulmonary nodule (solid) Hello Doctor, my mother underwent a CT scan in September 2020 based on the doctor's recommendation, which revealed multiple solid pulmonary nodules (measuring 0.4, 0.6, and 1 cm). Cancer markers and other tests returned normal results. However, due t...
Dr. Zhang Ziyan Reply:
Hello Mr. Han, you have three solid pulmonary nodules, the largest measuring 1 cm. It is certainly a good sign that there has been no change after three months of follow-up. However, the actual interpretation will depend on the reader's perspective, whether it leans towards ...[Read More] Understanding Solid Lung Nodules: Monitoring and Follow-Up Care
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 Pulmonary Nodules: Insights from Chest X-Ray Findings
Chest X-ray screening revealed pulmonary nodules? Hello Doctor: In August 2015, during a routine health check, a nodule was found in my left upper lung lobe on a chest X-ray. I subsequently had a follow-up visit and underwent a CT scan, during which the doctor mentioned that the ...
Dr. Zhang Ziyan Reply:
Hello Ms. Emma, the chest X-ray screening presents many issues that can be difficult to interpret. However, if you have undergone a CT scan, it is recommended to return to the original hospital for follow-up imaging for comparison, which will provide a clearer understanding. The ...[Read More] Understanding Pulmonary Nodules: Insights from Chest X-Ray Findings
Understanding Left Diaphragmatic Elevation: Causes and Implications
Left diaphragmatic hernia? In November, I underwent a company health check, and in January, the report indicated a left-sided diaphragmatic elevation on the chest X-ray. I would like to understand the possible causes of this condition.
Dr. Huang Yiwen Reply:
Dear Ms. Chen: The spleen and stomach are located below the left diaphragm. There are many possible reasons for the protrusion, including lung atrophy causing upward displacement or pressure from below. If the condition is severe, a CT scan should be performed for differential di...[Read More] Understanding Left Diaphragmatic Elevation: Causes and Implications
Understanding Upper Right Abdominal Discomfort: Causes and Next Steps
Tightness and warmth in the upper right abdomen near the rib cage? Recently, I have been experiencing a tight sensation in the upper right abdomen (approximately from above the navel to below the lower rib margin). Sometimes, it feels warm (similar to the sensation of a heating p...
Dr. Zhang Ziyan Reply:
Hello Mr. Ken, based on your symptoms and the tests conducted, the most common issue appears to be gastroesophageal reflux disease (GERD) and its related symptoms. This is usually associated with abnormal eating habits (e.g., eating late-night snacks before lying down) or irregul...[Read More] Understanding Upper Right Abdominal Discomfort: Causes and Next Steps
Chronic Cough After Giant Cell Tumor Surgery: When to Get a CT Scan?
Coughing for three months: is it appropriate to perform a CT scan? Giant cell tumor of bone? I previously had a giant cell tumor of bone, which was found on my lumbar spine. Not long after, I underwent surgery with a neurosurgeon in February to remove it. Currently, I am using de...
Dr. Zhang Ziyan Reply:
Hello Mr. Mi, there are many questions: 1. Regarding the main issue: Is it possible to get a CT scan after coughing for three months? If you are paying out of pocket, it depends on whether you want to spend the money and expose yourself to radiation; if you want insurance cover...[Read More] Chronic Cough After Giant Cell Tumor Surgery: When to Get a CT Scan?
Effective Remedies for Cough and Phlegm Relief in Lung Cancer Patients Post-Chemotherapy
What methods can be used to alleviate symptoms of persistent cough and difficulty expectorating phlegm in lung cancer patients after chemotherapy? Dear Doctor, My father needs to undergo an annual health check-up due to his work requirements. Unfortunately, this year's resu...
Dr. Yang Wenda Reply:
Hello: The cough suppressants and expectorants commonly used in pulmonology are quite similar. It is recommended to discuss with your attending physician to adjust the medication that is more suitable for the patient's constitution. If necessary, a consultation with a tradit...[Read More] Effective Remedies for Cough and Phlegm Relief in Lung Cancer Patients Post-Chemotherapy
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 Fibrosis and Nodules: Key Insights for Patients
Please provide information on pulmonary fibrosis and pulmonary nodules? Hello, Doctor: I would like to ask the following questions and would greatly appreciate your clarification. Result: Y Finding: Low dose chest CT without IV contrast administration: - The low dose protocol...
Dr. Yang Wenda Reply:
Hello: The first area of fibrosis appears as a band-like structure, which typically does not change much, resembling a small scar in the lung tissue, so there is less cause for concern. The second area is a small nodule measuring 3mm, which requires closer monitoring to see if it...[Read More] Understanding Lung Fibrosis and Nodules: Key Insights for Patients
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
Understanding Lung CT Scans: Concerns About Nodules and Radiation Exposure
Pulmonary CT scan Hello, Chief Physician! Today I reviewed my report, and the nodule from two years ago has not changed, but there is one more nodule in another location. The internist suspects it is an infection and has advised a follow-up CT scan in three months. I am feeling v...
Dr. Jian Shuntian Reply:
Hello: 1. Low-dose chest computed tomography (CT) can be considered; currently, there are no specific methods to reduce radiation exposure, but increasing the intake of antioxidant-rich foods may help. 2. A lung CT scan does expose the breasts to radiation, which can still have a...[Read More] Understanding Lung CT Scans: Concerns About Nodules and Radiation Exposure
Understanding Ground-Glass Opacities in Lung Imaging: Diagnosis and Follow-Up
Ground-glass opacity (GGO) in the lungs? 1. A small ground-glass nodule in the left upper lung field (size not specified), suspected to be a granuloma or chronic inflammation, but a potential lung tumor should be included in the differential diagnosis. 2. No significant mediast...
Dr. Yang Wenda Reply:
Hello: The size is not specified, but it is usually very small (possibly less than 5mm). The key point is that there is no significant change compared to July 16, 2020, so it may be sufficient to continue monitoring. It is recommended to have an X-ray in six months and a CT scan ...[Read More] Understanding Ground-Glass Opacities in Lung Imaging: Diagnosis and Follow-Up
Understanding Unexplained Chest Pain: When to Seek Medical Help
Intermittent sharp pain on both sides of the chest? Hello! I am a full-time mom. In February of this year, I underwent gallbladder removal surgery due to gallstones. Since then, I have been experiencing chest pain that varies in location; sometimes it occurs on the left side, som...
Dr. Zhou Ziguang Reply:
Hello: You may first discuss with a neurologist.[Read More] Understanding Unexplained Chest Pain: When to Seek Medical Help
Persistent Breathing Difficulties: Seeking Answers After 18 Months
Shortness of breath lasting for one and a half years? Hello, Since I developed symptoms of shortness of breath after a fever last May, I have been experiencing a tight feeling in my neck and a sensation of exertion (even when relaxed). The tightest area extends from my neck up ...
Dr. Yang Wenda Reply:
Hello: 1. Based on the X-ray and CT scan, you likely do not have any pulmonary parenchymal disease. 2. Since you have not experienced improvement with the use of bronchodilators (asthma medication), it is unlikely that you have asthma; please do not dwell on this diagnosis. 3. Th...[Read More] Persistent Breathing Difficulties: Seeking Answers After 18 Months
Symptoms of Lung Metastasis from Giant Cell Tumors: What to Watch For
If a giant cell tumor of bone metastasizes to the lungs, it may present with symptoms such as persistent cough, chest pain, shortness of breath, and hemoptysis (coughing up blood). In some cases, patients may also experience fatigue, weight loss, or other systemic symptoms? I hav...
Dr. Jian Shuntian Reply:
Hello: If there are possible lung metastases, there may be no symptoms, or there could be coughing and chest pain. You can visit the pulmonology outpatient clinic. If necessary, a chest CT scan may be performed. There are many causes of chest pain and coughing, so please consult ...[Read More] Symptoms of Lung Metastasis from Giant Cell Tumors: What to Watch For