Understanding the Anxiety of Low-Dose CT Scans for Lung Cancer Detection
Patients with severe anxiety disorder experience heightened anxiety during low-dose computed tomography (CT) scans? Hello Doctor, I have two questions I would like to ask, and I hope you can help clarify them for me. Thank you. I have generalized anxiety disorder, obsessive-compu...
Dr. Zhou Ziguang Reply:
Hello: 1. The presence or absence of a disease will not change the results of the report, regardless of whether you review the report. Please return for a follow-up to discuss the report with your physician. 2. Different populations cannot be directly compared in data.[Read More] Understanding the Anxiety of Low-Dose CT Scans for Lung Cancer Detection
Understanding Left Lower Lung Nodule: Next Steps After Abnormal X-Ray
Bilateral calcified nodule in the left lower lobe (size not specified)? The health check X-ray results are abnormal, indicating a calcified nodule in the left lower lobe (size not specified). Should I go directly to a large hospital for further examination or first consult a smal...
Dr. Zhou Ziguang Reply:
Hello: Please return for a follow-up with the pulmonology department.[Read More] Understanding Left Lower Lung Nodule: Next Steps After Abnormal X-Ray
Understanding Lung Nodules: Management and Treatment Options
Pulmonary nodules I would like to ask the doctor, after a CT scan, a 1 cm pulmonary nodule was found in the left upper lung, which has increased by 0.2 cm compared to two years ago. I have seen a surgeon who believes it is a benign hamartoma. What would the doctor recommend for m...
Dr. Huang Yiwen Reply:
Dear Xiaomei: It is recommended to undergo another CT scan in 6 to 12 months. If you are still concerned, minimally invasive thoracic surgery is very advanced now and can directly remove the issue. Changhua Hospital cares about you.[Read More] Understanding Lung Nodules: Management and Treatment Options
Understanding Lung Nodules: What You Need to Know About Early Detection
Discovery of pulmonary nodules? Hello, doctor! During a company health check, a shadow was found in my right lung, and after follow-up at the hospital, a 0.6 cm nodule was confirmed in the right lower lung. The doctor immediately mentioned that if this is removed now, it would be...
Dr. Yang Wenda Reply:
Hello: It is not possible to determine whether a lesion is benign or malignant based solely on imaging without a pathological biopsy report. Clinicians will consider the patient's age, the quantity of smoking history both past and present, family history of lung malignancies...[Read More] Understanding Lung Nodules: What You Need to Know About Early Detection
Understanding a 0.6cm Lung Nodule: What You Need to Know
Pulmonary nodule measuring 0.6 cm? Hello, doctor! Recently, a health check at my company revealed a shadow in my lungs, and a CT scan at a major hospital confirmed a 0.6 cm nodule in my right lung. The doctor suggested that I observe it for three months and then have another CT s...
Dr. Jian Shuntian Reply:
Hello: The described 0.6 cm nodule could be benign or an early-stage lung cancer. Please follow up with a CT scan in 3 months and discuss the details further with your attending physician.[Read More] Understanding a 0.6cm Lung Nodule: What You Need to Know
Understanding Low-Dose CT Results: Lung Collapse and Fibrotic Bands Explained
Low-dose computed tomography results? Hello, doctor. Two years ago, I underwent a low-dose computed tomography (CT) scan, which showed no visible lung nodules, but there were areas of atelectasis or fibrotic bands in the right middle lobe, left lower lobe, and lingula. No obvious...
Dr. Huang Yiwen Reply:
Dear Mr. Long: The report from the computed tomography scan indicates old changes consistent with atelectasis, which in medical terms is interpreted as incomplete expansion. This is mostly caused by poor function of the local bronchial wall's fibrous tissue. There is no sign...[Read More] Understanding Low-Dose CT Results: Lung Collapse and Fibrotic Bands Explained
Understanding Lung Nodules: When to Consider Surgical Removal?
The concerns of pulmonary nodules? Hello, Director Huang. I was diagnosed with stage I nasopharyngeal carcinoma in January 2022. A PET scan showed normal lungs, but during a follow-up CT in December 2022, a 0.8 x 1.3 mm oval non-solid nodule was found in the right lung. A broncho...
Dr. Huang Yiwen Reply:
Dear Xia: It is recommended to proceed with direct excision. Currently, thoracoscopic surgery is very convenient and safe. A 1.3 mm excision would provide more peace of mind. Changhua Hospital cares about you.[Read More] Understanding Lung Nodules: When to Consider Surgical Removal?
Understanding Lung Nodules: Importance of Follow-Up CT Scans
Computed Tomography (CT) Scan for Pulmonary Nodules Hello, Doctor. In May 2021, I had a CT scan. Summary: All information from the patient. Past medical history: Hypertension - , Diabetes Mellitus - , Coronary Artery Disease - , Asthma - , Surgical history - Personal history: Bet...
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 management options with the attending physician at the hospital where the examination was performed. Thank you.[Read More] Understanding Lung Nodules: Importance of Follow-Up CT Scans
Monitoring Lung Nodules: When to Worry and Treatment Options
Lung nodule follow-up Hello Doctor: Eight years ago, my mother was found to have three pulmonary nodules during a chest X-ray screening. One of them increased from 0.4 cm to 0.8 cm during a follow-up CT scan six months later. Due to the rapid growth, the physician recommended sur...
Dr. Wang Lanfeng Reply:
Hello: Since your mother has already undergone surgery for early-stage lung cancer, and there are currently signs of proliferation in other lung nodules, it is recommended that you return to her original treating physician for a follow-up consultation to discuss the most appropri...[Read More] Monitoring Lung Nodules: When to Worry and Treatment Options
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
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
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 Suspicious Lung Nodules: What Your X-Ray Results Mean
Suspected pulmonary nodule or pseudolesion in the left upper lung? Health check report: The X-ray shows abnormalities, with a suspected lung nodule or artifact in the left upper lung. Follow-up is recommended in 6 months. What does this mean? Is it serious?
Dr. Jian Shuntian Reply:
Hello: It is suspected that there may be a nodule, but it is not yet confirmed. It is recommended to undergo a chest computed tomography (CT) scan. Thank you, Jian Shun Tian.[Read More] Understanding Suspicious Lung Nodules: What Your X-Ray Results Mean
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 a 0.35 cm Lung Nodule: Diagnosis and Follow-Up Care
0.35 cm pulmonary nodule Hello, the physician noted that the chest X-ray showed an abnormality, leading to further examination at Kaohsiung Medical University Hospital, where another X-ray was taken. The doctor explained that there is a 0.35 cm nodule in the lung, which was asses...
Dr. Wang Lanfeng Reply:
Hello: Generally speaking, due to the numerous blood vessels and airway structures in the lungs, it is difficult for a chest X-ray to clearly distinguish nodules smaller than 0.5 centimeters. This may be a misunderstanding in communication. If you still have questions, it is reco...[Read More] Understanding a 0.35 cm Lung Nodule: Diagnosis and Follow-Up Care
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 Lung Nodules: What Your X-Ray Results Mean
X-ray pulmonary nodule issues Hello, doctor. Today, while checking my health records, I found that in August of last year, I had an X-ray of my right side due to back pain, and the report indicated a nodule in the right upper lung (PA view of chest shows: Nodule over RUL is seen....
Dr. Zhang Ziyan Reply:
Hello Mr. Huang, here is a summary: In 2018, you underwent a thoracoscopic surgery for right pleural effusion infection. By April 2021, your chest X-ray was normal. In August 2021, the chest X-ray showed a right upper lung nodule and blunting of the costophrenic angle, along with...[Read More] Understanding Lung Nodules: What Your X-Ray Results Mean
Understanding the Risks of Ignoring Lung Nodule Follow-ups
Pulmonary nodules are not being monitored regularly? Hello Doctor, the following is a chest CT report from June 2019. I read online that lung nodules are mostly benign, so I did not follow the doctor's advice to have a follow-up once a year. Until this year, I started to fee...
Dr. Huang Yiwen Reply:
Dear Rui: Hello, the CT report indicates that there are nodules in both lower lung lobes (size not specified) and mild fibrotic changes. Additionally, there are lymph nodes in the mediastinum and axilla, while the rest appears normal. It is personally recommended that you should ...[Read More] Understanding the Risks of Ignoring Lung Nodule Follow-ups