Understanding Lung CT Findings: What Do the White Spots Mean?
Pulmonary CT scan reveals nodules? Hello, doctor. I would like to inquire about my mother. When she had a chest X-ray, there were no abnormalities, but during a recent CT scan, round white spots were found near the pulmonary vessels. The doctor mentioned they are about 0.5 cm, bu...
Dr. Yang Wenda Reply:
Hello: If there is no family history of lung cancer, it is recommended to follow up with a chest X-ray every 3 to 6 months, and then a chest CT scan after one year. If there is a family history of lung cancer, it is advised to have a follow-up CT scan after six months. Best wishe...[Read More] Understanding Lung CT Findings: What Do the White Spots Mean?
Persistent Cough and Chest Pain: Seeking Solutions Beyond X-rays
Persistent cough that does not resolve? Hello, Dr. Yang. I do not have a smoking habit, but during a business trip in March of this year, I smoked a few packs while socializing with colleagues and supervisors. Since then, I have experienced intermittent coughing and chest and bac...
Dr. Yang Wenda Reply:
Hello: Based on several imaging examinations confirming no significant pulmonary parenchymal lesions, you may consider Traditional Chinese Medicine for adjustments and treatment according to your constitution![Read More] Persistent Cough and Chest Pain: Seeking Solutions Beyond X-rays
Repeated Pneumonia Hospitalizations: Unraveling the Mystery Behind My Symptoms
I have been hospitalized for pneumonia three times in a row, and the doctors are puzzled, as all tests have come back normal? Hello, Doctor. I initially experienced severe shortness of breath and a high fever. On December 5, 2018, I went to the emergency room and was diagnosed wi...
Dr. Yang Wenda Reply:
Hello: After successful treatment of pneumonia, if the X-ray appears normal (without significant fibrosis), there should be no obvious sequelae. Recurrent pneumonia, in the absence of immunodeficiency (such as diabetes, autoimmune diseases, HIV, etc.), may be due to bodily imbala...[Read More] Repeated Pneumonia Hospitalizations: Unraveling the Mystery Behind My Symptoms
Understanding Left Lower Lung Nodules: Insights and Next Steps
Left lower lung nodule? Dear Dr. Chen, In late March of this year, I underwent a chest X-ray and blood tests, including tumor marker tests, at Cathay Health Checkup. The report in mid-April indicated "significant vascular shadow in the left hilum, possibly a mass lesion,&qu...
Dr. Chen Junwei Reply:
If you have any concerns regarding your medical condition, it is advisable to discuss them with your attending physician, who will provide a detailed explanation. Wishing you good health.[Read More] Understanding Left Lower Lung Nodules: Insights and Next Steps
Persistent Cough: Understanding Symptoms and Seeking Effective Treatment
Persistent cough? Hello, doctor. I would like to ask about my condition. I have been suffering from a cold since before the Lunar New Year, and it hasn't completely resolved yet. To summarize my symptoms, I initially had a cough and nasal congestion, with yellowish-green phl...
Dr. Wu Yingxun Reply:
Hello: A consultation with the pulmonology department will be conducted to reassess for conditions such as asthma and gastroesophageal reflux disease (GERD).[Read More] Persistent Cough: Understanding Symptoms and Seeking Effective Treatment
Can Lung LDCT Replace Chest X-Ray for Health Screenings?
Can lung LDCT replace chest X-ray? Hello, the chest X-ray included in the health check-up package can be omitted if your wife is undergoing a lung LDCT (Low-Dose Computed Tomography) scan. The LDCT is more sensitive and provides a detailed assessment of the lungs compared to a st...
Dr. Zhou Ziguang Reply:
Hello: LDCT, while significantly reducing radiation exposure compared to traditional CT scans, still has a higher radiation dose than a chest X-ray. However, it provides much clearer images of the lungs than a chest X-ray. For individuals in high-risk groups for lung cancer, LDCT...[Read More] Can Lung LDCT Replace Chest X-Ray for Health Screenings?
Mild Lung Fibrosis Detected in Low-Dose CT Scan: What You Should Know
Low-dose computed tomography results: Mild fibrosis in the right middle lobe and left lower lobe of the lungs? Hello Dr. Huang, on November 7, 2018, I underwent a low-dose computed tomography (CT) scan at the hospital. The results are as follows: Mild fibrotic change over the rig...
Dr. Huang Yiwen Reply:
Dear Ms. Chen: The issue you described is likely a scar left after an infection. If there are no symptoms, it is recommended to follow up in one year. Changhua Hospital cares about you.[Read More] Mild Lung Fibrosis Detected in Low-Dose CT Scan: What You Should Know
Understanding Cough Variant Asthma: Why Am I Still Coughing?
I have been diagnosed with cough variant asthma, but I am still coughing even after using asthma medication? Time: I started experiencing mild cough symptoms in early July, which worsened around mid-July. On July 20th, I visited Far Eastern Memorial Hospital. Symptoms: coughing, ...
Dr. Chen Junwei Reply:
Hello~ It is recommended to discuss medication issues with your attending physician, and if necessary, to consult with other specialties. Wishing you peace and good health.[Read More] Understanding Cough Variant Asthma: Why Am I Still Coughing?
Understanding New Lung Shadows on X-rays: What Could They Mean?
The chest X-ray shows abnormalities? Hello, doctor. My father is 65 years old and has moderate COPD. He has experienced asthma symptoms for the past 3-4 years and occasionally coughs. During a follow-up visit on August 3rd, a chest X-ray revealed a 2 cm white shadow at the lower ...
Dr. Chen Junwei Reply:
Hello, a chest X-ray cannot be used to screen for lung tumors due to the influence of image quality and the presence of interpretive blind spots. Therefore, a computed tomography (CT) scan is needed for further evaluation. There are many possible causes for lung shadows, and some...[Read More] Understanding New Lung Shadows on X-rays: What Could They Mean?
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 Lung Nodules, Granulomas, and Increased Lung Markings: What You Need to Know
I would like to ask what it means when a medical report indicates increased lung markings, lung nodules, and granulomas? Granulomas are small areas of inflammation in tissue that can occur due to various conditions, including infections (such as tuberculosis or fungal infections)...
Dr. Jian Shuntian Reply:
Hello: There are various reasons for increased lung markings, with chronic bronchitis being the most common. A proper assessment requires reviewing the actual chest X-ray, so please schedule an appointment with a pulmonologist for discussion. Lung nodules also have multiple possi...[Read More] Understanding Lung Nodules, Granulomas, and Increased Lung Markings: What You Need to Know
Understanding Lung Nodules: Comparing CT Scan Results for Clarity
Inquiry about lung nodules on CT scan? Hello Dr. Zhou: This year during my health check-up, a nodule was found in my left lung. I compared it with previous imaging studies and would like to confirm whether this nodule has been present before. Below are the images from this time (...
Dr. Zhou Ziguang Reply:
Hello: Please discuss clinical judgment with a physician in the department of pulmonary medicine or thoracic surgery.[Read More] Understanding Lung Nodules: Comparing CT Scan Results for Clarity
Persistent Dry Cough for 3 Weeks: Should I Worry About Lung Cancer?
Dry cough for 3 weeks? I am a 32-year-old male. I had a full body check-up on January 4, 2018, which included a low-dose chest CT scan that showed no nodules and was clear. However, I have been experiencing a dry cough for three weeks without any phlegm, and now I am starting to ...
Dr. Yang Wenda Reply:
Hello: I had a lung cancer screening in January of this year with no nodules found, so there should be no concern about tumors at this time. The cough lasting for three weeks may be due to a lung infection or bronchial sensitivity. I recommend seeing a pulmonologist! A chest X-ra...[Read More] Persistent Dry Cough for 3 Weeks: Should I Worry About Lung Cancer?
Understanding Ground-Glass Opacities: GGO CT Scan Analysis and Management
Ground-glass opacities (GGO)? Hello Dr. Jian, I would like to ask about the two CT scans taken at the same time but with different slice thicknesses (3mm & 1mm). Is the area highlighted in red showing pure ground-glass opacity (GGO)? The size reported is approximately 0.5 c...
Dr. Jian Shuntian Reply:
It appears to be a pure ground-glass opacity (GGO). A follow-up CT scan can be done in six months. If there are concerns, surgical intervention may also be considered. Thank you.[Read More] Understanding Ground-Glass Opacities: GGO CT Scan Analysis and Management
Understanding Lung Nodules: Fibrosis, Granulomas, and Follow-Up Care
Pulmonary nodule, pulmonary lobe fibrosis, granuloma? Hello: Last year, I underwent a CT scan, and the report indicated "Chest CT with and without contrast - Bilateral lung area nodule-like and focal densities, as left. Srs: 4. Img: 16. right. Img: 11.17.45.33. etc. lung win...
Dr. Yang Wenda Reply:
Hello: It is generally recommended to consult a pulmonologist for interpretation and advice. If possible, it would be even better to obtain copies of previous chest X-rays from the past two years for comparison.[Read More] Understanding Lung Nodules: Fibrosis, Granulomas, and Follow-Up Care
Understanding Increased Lung Shadows: What It Means for Your Health
Increased parenchymal shadows on both sides of the trachea? Participating in a community adult health screening with X-rays, the results showed abnormalities—there is an increase in the solid shadows on both sides of the trachea, suspected mediastinal lesions. What does this mean...
Dr. Jian Shuntian Reply:
Hello: It may indicate possible mediastinal enlargement. The chest X-ray is only a suspicion and a CT scan is required for confirmation. Thank you. Sincerely, Jian Shun Tian.[Read More] Understanding Increased Lung Shadows: What It Means for Your Health
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 CT Scan Reports for Lung Cysts and Cancer Staging
Computed Tomography Report Hello Doctor, my mother has been monitoring a lung cyst. On July 10, 2017, she underwent a CT scan, which reported the cyst size as 2.6 cm, and she was referred to Kaohsiung Chang Gung Memorial Hospital, where it was determined that there were no issues...
Dr. Zhou Ziguang Reply:
Hello: 1. This is a preliminary imaging report. The diagnosis of stage III can only be established if the left upper lung shadow is confirmed to be lung cancer; further examinations are necessary for confirmation before determining if it is indeed lung cancer, which will allow fo...[Read More] Understanding CT Scan Reports for Lung Cysts and Cancer Staging
Is It Normal to Experience Chest Pain After Pneumothorax Recovery?
Pain persists even with deep breathing in cases of pneumothorax? I have experienced recurrent pneumothorax three times over the past six years. The first two times involved drainage tubes and surgery on the left side, but this time it occurred on the right side, requiring another...
Dr. Zhou Ziguang Reply:
Hello: 1. If the follow-up X-ray shows no recurrent pneumothorax, it may just be neuromuscular pain. 2. Additionally, consider discussing with your physician whether a chest CT scan is necessary for further evaluation.[Read More] Is It Normal to Experience Chest Pain After Pneumothorax Recovery?
Understanding the Links Between Emphysema, Lung Nodules, and Blood Pressure Spikes
Is there a connection between emphysema, pulmonary nodules, latent tuberculosis, and waking up at night with high blood pressure? Hello Dr. Chen, I just had a CT scan, and the result shows Moderate Bilateral Centrilobular Emphysema (I am currently abroad). I would like to ask you...
Dr. Chen Junwei Reply:
Hello: Allow me to answer your questions in a simple bullet-point format. 1. Is moderate significantly more severe than mild? (I do not smoke, but I have used strong chemical solvents to clean stubborn adhesives.) Answer: From an imaging perspective, moderate is indeed more ...[Read More] Understanding the Links Between Emphysema, Lung Nodules, and Blood Pressure Spikes