CT scan, Pulmonology FAQ - Page 8

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Managing Anxiety Before Lung Nodule Surgery: What You Need to Know

A 1 cm nodule has been discovered and is scheduled for removal, but I still feel anxious inside? Hello Doctor, I had a CT scan this month which revealed a 1 cm nodule in my right upper lung. It is solid and has spiculated margins, but it is not ground-glass. A few days ago, my do...


Dr. Yang Wenda Reply:
Hello: Your symptoms are less likely related to metastasis (the pain is not localized). You can choose to have it removed early for examination or wait for three months for follow-up.

[Read More] Managing Anxiety Before Lung Nodule Surgery: What You Need to Know


Choking Incident: Understanding Persistent Cough and Chest Discomfort

Choking sensation with an itchy chest? Hello Doctor, on the evening of July 10th, I choked a little on some vegetable leaves during dinner, which caused me to cough violently for a few seconds, but I returned to normal shortly after. However, for the next few days, I felt persist...


Dr. Yang Wenda Reply:
Hello: If there is a foreign object in the trachea, coughing should be quite severe. Currently, it appears to resemble allergy symptoms. You can consult a pulmonologist to check for asthma attacks, or you may also consider seeing a traditional Chinese medicine practitioner to adj...

[Read More] Choking Incident: Understanding Persistent Cough and Chest Discomfort


Postpartum Back Pain: Seeking Solutions After Multiple Doctor Visits

Postpartum back pain Hello Doctor, this is a question I previously raised. I developed back pain two weeks after completing my postpartum confinement, which is six weeks after giving birth. The pain is located in the middle of my back, neither too high nor too low. I did not fall...


Dr. Tao Ruiming Reply:
Hello: Various examinations indicate that there is approximately no progressive disease, and the pain should gradually diminish. Regular follow-up with chest X-rays can be performed.

[Read More] Postpartum Back Pain: Seeking Solutions After Multiple Doctor Visits


Understanding Curvilinear Fibrotic Opacities in Lung X-rays: What You Need to Know

X-ray report inquiry? Hello Dr. Yang: Recently, the X-ray report from my company's health check mentioned "suspected linear calcification in the right lung measuring 7x0.2 cm." Two years ago, I underwent a minimally invasive thoracoscopic surgery to remove a ground...


Dr. Yang Wenda Reply:
Hello: The report indicates that it appears to be arc-shaped fibers, and there should be no other acute issues!

[Read More] Understanding Curvilinear Fibrotic Opacities in Lung X-rays: What You Need to Know


Understanding Lung Abnormalities: Is It Really Tuberculosis?

Abnormalities in the lungs? Hello Doctor: Last month, I had a physical examination, and the chest X-ray showed an abnormality with a small dark shadow in the lungs. The doctor suspected it might be tuberculosis, so I underwent a CT scan and sputum tests. However, all three sputum...


Dr. Zhou Ziguang Reply:
Hello: Based on the findings, the chest X-ray and chest CT scan show imaging characteristics consistent with tuberculosis. A negative sputum smear indicates that there is currently no evidence of infectiousness, but it does not completely rule out the possibility of tuberculosis....

[Read More] Understanding Lung Abnormalities: Is It Really Tuberculosis?


Can a CT Scan Detect Abnormal Lungs After Seven Years of Spontaneous Pneumothorax?

Spontaneous Pneumothorax (CT Scan) Hello Doctor: I had bilateral spontaneous pneumothorax seven years ago (once on each side, approximately six months apart). Due to recent changes in military service classification, anyone with a history of spontaneous pneumothorax on both sides...


Dr. Yang Wenda Reply:
Hello: If your alveoli have abnormal dilation, a high-resolution computed tomography (HRCT) scan can still detect it!

[Read More] Can a CT Scan Detect Abnormal Lungs After Seven Years of Spontaneous Pneumothorax?


Is Chest Tightness a Sign of Asthma? Understanding Your Symptoms

Is chest tightness a sign of asthma? Hello Doctor, I have been experiencing intermittent shortness of breath and chest tightness for many years. Usually, I feel a slight tightness, but I often need to take deep breaths. During severe episodes, it feels very uncomfortable, as if I...


Dr. Huang Yiwen Reply:
Dear Pudding: Based on your description, it has indeed been a while. Given your history of asthma in childhood, it is most likely that you are still experiencing asthma. You may consider undergoing an asthma provocation test and checking some biomarkers. Foster is primarily a mai...

[Read More] Is Chest Tightness a Sign of Asthma? Understanding Your Symptoms


Should I Discuss LDCT with My Doctor After Lung X-Ray Results?

I am unsure whether it is necessary to discuss with the attending physician about undergoing a further examination with LDCT (Low-Dose Computed Tomography)? Hello Doctor, I hope it's not too presumptuous of me to ask about my two chest X-ray results. I am unable to understan...


Dr. Yang Wenda Reply:
Hello: Previously, there were no signs of recurrence at the primary site after early treatment and subsequent follow-up of the tumor. It is unlikely that there will be sudden distant metastasis. It is recommended to consult a pulmonologist to assess whether the small nodules in t...

[Read More] Should I Discuss LDCT with My Doctor After Lung X-Ray Results?


Understanding Lung Nodules and Breathing Issues: A Guide for Patients

Lung issues Hello Doctor, In the CT scan report from my physical examination, lung nodules were found in the right middle and lower lobes, along with mild bronchiectasis. The X-ray report indicated pulmonary infiltration and aortic sclerosis. I have also been experiencing chest...


Dr. Yang Wenda Reply:
Hello: For lung issues, please follow up with the pulmonology department for re-evaluation. A biopsy is necessary to determine whether the condition is benign or malignant; the timing of the biopsy will be discussed with your attending physician. For sleep problems, it is recomme...

[Read More] Understanding Lung Nodules and Breathing Issues: A Guide for Patients


Understanding Bronchiectasis: Symptoms, Exercise, and Management

The impact of bronchiectasis? Last year, I had a persistent cough for two months. In January of this year, I underwent X-rays and a CT scan, which revealed mild bronchiectasis. Since January, I often have phlegm in my throat, and I definitely cough after running, producing yellow...


Dr. Chen Junwei Reply:
It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health!

[Read More] Understanding Bronchiectasis: Symptoms, Exercise, and Management


Understanding Lung CT Scan Results: What to Do Next?

Questions about pulmonary CT scans? A few days ago, my company conducted a health check, which included a lung CT scan. Later, the hospital called to inform me that a small white spot was detected in my lungs, but they couldn't clearly identify what it was. They suggested th...


Dr. Chen Junwei Reply:
Hello, it is recommended that you go directly to the pulmonology clinic for the physician to explain the abnormal results of your chest CT scan, without waiting for the report to be finalized. Of course, if you prefer, you can wait for the radiologist to complete the report and t...

[Read More] Understanding Lung CT Scan Results: What to Do Next?


Rapid Deterioration of Lung Health in Cancer Patients: A Case Study

Rapid deterioration of suspected Pneumocystis pneumonia of unknown origin? Hello doctor, my mother is a stage I breast cancer patient and has been undergoing chemotherapy. Two weeks after her fourth chemotherapy session, she developed a fever. The doctor mentioned that she had so...


Dr. Wang Lanfeng Reply:
It is advisable for you to discuss the above-related medical conditions further with your attending physician. Wishing you good health!

[Read More] Rapid Deterioration of Lung Health in Cancer Patients: A Case Study


Understanding the Difference Between Microinvasive 1A and In Situ Lung Cancer

Lung cancer issues? The difference between microinvasive carcinoma (stage 1A) and carcinoma in situ lies primarily in the extent of invasion. Microinvasive carcinoma (stage 1A) refers to a cancer that has begun to invade the surrounding tissues but has not penetrated deeply. It...


Dr. Yang Wenda Reply:
Hello: Pulmonary infiltration is a radiological description (from X-rays or CT scans) of scattered lesions (non-tumorous or nodular) and is non-specific, lacking a definitive diagnosis. In situ carcinoma refers to the observation of malignant pathological changes in tissue that h...

[Read More] Understanding the Difference Between Microinvasive 1A and In Situ Lung Cancer


Understanding Ground-Glass Opacity Changes in Lung CT Scans

CT Report The phrase "complete interval regression of ground-glass opacity in the bilateral lower lobes" indicates that the ground-glass opacities observed in the lower lobes of both lungs have completely regressed or improved over time. This suggests that there has bee...


Dr. Zhou Ziguang Reply:
Hello: It should be that the previous lesion has disappeared; please confirm with your physician again.

[Read More] Understanding Ground-Glass Opacity Changes in Lung CT Scans


Understanding Ground-Glass Opacities: Follow-Up Timing and Imaging Options

Ground-glass opacities Hello Doctor, On October 14th of this year, a low-dose chest CT scan revealed a ground-glass opacity measuring approximately 0.7 cm in my left lower lung. I consulted with thoracic surgeons at both Taipei Veterans General Hospital and Mackay Memorial Hosp...


Dr. Chen Junwei Reply:
It is recommended that you follow the follow-up schedule provided by your attending physician. Wishing you good health.

[Read More] Understanding Ground-Glass Opacities: Follow-Up Timing and Imaging Options


Should Surgery Be Immediate for Lung Abscess Caused by Salmonella?

Should a lung abscess be treated with immediate surgery? Hello doctor, I would like to ask a question. How does a lung abscess form in the lungs due to a Salmonella infection, and if a CT scan reveals that some lung lobe tissue has necrosed, should the patient undergo immediate s...


Dr. Chen Junwei Reply:
It is advisable for you to further discuss the aforementioned condition with the patient's attending physician. Wishing you good health!

[Read More] Should Surgery Be Immediate for Lung Abscess Caused by Salmonella?


Understanding Lung CT Findings: What Do White Spots Mean?

Pulmonary CT scan ground-glass opacities? Hello Doctor, I would like to inquire about my mother. During her chest X-ray, there were no abnormalities, and she did not exhibit any symptoms (she has been hoarse recently, but fortunately, a laryngoscopy revealed vocal cord nodules). ...


Dr. Yang Wenda Reply:
Hello: Without a pathological biopsy report, it is impossible to determine whether the small nodule is benign or malignant. If it is malignant, it indicates that metastasis has occurred, and the prognosis in three months is likely poor. If it is benign, the small nodule may decre...

[Read More] Understanding Lung CT Findings: What Do White Spots Mean?


Understanding Pneumothorax: Recovery, Risks, and Travel Considerations

Complications after pneumothorax? Hello Doctor: I was in a car accident on October 20th, and it seems that the airbag deployed and impacted my chest, leading to a pneumothorax and collapse of my left lung. I was taken to the emergency room, where they performed intubation and dra...


Dr. Yang Wenda Reply:
Hello: 1. Your condition is post-traumatic pneumothorax combined with hemothorax, not spontaneous pneumothorax. Unless your CT scan shows abnormal dilated alveoli (bullae) in the normal lung areas, it cannot be assumed that you have a chance of developing spontaneous pneumothorax...

[Read More] Understanding Pneumothorax: Recovery, Risks, and Travel Considerations


Understanding X-Ray White Spots: Are They Benign or Malignant?

Abnormal white spots on X-rays? My father has been experiencing difficulty breathing and wheezing, so he went to see a doctor. An X-ray revealed a white shadow above the diaphragm in the right lung. Could you please tell me if this location is more likely to be benign or malignan...


Dr. Chen Junwei Reply:
We recommend that you wait for the examination report. Wishing you good health.

[Read More] Understanding X-Ray White Spots: Are They Benign or Malignant?


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


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