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
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
Interpreting Venous Blood Gas Analysis in Heart Failure Patients
Interpretation of Venous Blood Gas Analysis Report Issues Hello Doctor: My father has heart failure complicated by lung edema, pleural effusion, and lung collapse. His oxygen saturation measured with a pulse oximeter is only 74%. An arterial blood gas analysis showed: pH: 7.31, P...
Dr. Zhou Ziguang Reply:
Hello: The issue you raised involves clinical judgment and management of a specific case. Please discuss it with your attending physician.[Read More] Interpreting Venous Blood Gas Analysis in Heart Failure Patients
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
Left Side Rib Pain: Causes and When to Seek Medical Advice
Pain in the left lower rib cage? Hello Doctor, I would like to ask about a pain I am experiencing on the left side of my abdomen (the left side of my stomach). I feel a dull pain when I breathe or take a deep breath, and it is more noticeable during deep inhalation. It feels simi...
Dr. Yang Wenda Reply:
Hello: If the chest X-ray is normal, common lung diseases such as pneumonia, pleural effusion, or pneumothorax can generally be ruled out. Based on your symptoms, it is possible that you are experiencing neuralgia, which may be related to stress or consuming excessively cold food...[Read More] Left Side Rib Pain: Causes and When to Seek Medical Advice
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 Lung Health: Evaluating an 86-Year-Old's Chest X-Ray Findings
Grandmother's health check report? Dear Dr. Yang, My grandmother, who is 86 years old, has the following findings from her health check-up report: Both lungs show clear vascular markings. In the left lower lobe, near the hilum, there is a soft tissue mass measuring approxim...
Dr. Yang Wenda Reply:
Hello: To determine whether it is a malignant tumor, a pathological report from a tissue biopsy is required. For older patients, a biopsy (puncture) may be less distressing.[Read More] Understanding Lung Health: Evaluating an 86-Year-Old's Chest X-Ray Findings
Chest CT Report: Analysis of a 3cm Heterogeneous Mass and Findings
Chest CT examination report Results: The contrast-enhanced chest CT shows: > A heterogeneous mass measuring 3 cm located in the posterior basal segment of the left lower lobe (LLL), adjacent to the descending thoracic aorta, with malignancy not excluded. > Focal fibrosis in...
Dr. Lu Mingzhi Reply:
Hello: The meaning of this written report in Chinese is not very clear. It is recommended that you return to the physician who originally scheduled the examination for a detailed evaluation.[Read More] Chest CT Report: Analysis of a 3cm Heterogeneous Mass and Findings
How Long for Strong Antibiotics to Work on Lung Infections?
The effectiveness of the strongest antibiotics for treating severe pneumonia caused by abdominal bacterial infections can vary depending on several factors, including the specific bacteria involved, the patient's overall health, and the presence of any underlying conditions....
Dr. Huang Yiwen Reply:
Dear Lin: Postoperative lung adenocarcinoma complicated by pulmonary infection and pleural effusion is indeed challenging to manage. Generally, we assess the effectiveness of medications, taking into account not only the types of drugs selected but also the patient's immune ...[Read More] How Long for Strong Antibiotics to Work on Lung Infections?
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 Your Chest X-Ray: Emphysema and Bronchial Changes
Lung issues Hello, Doctor: I have a history of bronchiectasis. Could you please help me assess the severity of the following X-ray report? Thank you! Chest: * Emphysematous changes in both lungs with increased markings * Bronchial wall thickening in both lower lungs * No def...
Dr. Yang Wenda Reply:
Hello: It seems to describe bronchiectasis combined with some degree of emphysema. The severity depends on how serious your cough or wheezing symptoms are. If you have respiratory symptoms, it is recommended to follow up with a pulmonology clinic.[Read More] Understanding Your Chest X-Ray: Emphysema and Bronchial Changes
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?
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
Understanding Pleural Effusion: Ultrasound Accuracy and Related Symptoms
Pleural effusion During a previous echocardiogram (performed from the anterior chest), the doctor mentioned that I have pleural effusion in the left thoracic cavity and advised me to see a pulmonologist. After consulting the pulmonologist, the doctor first arranged for an X-ray, ...
Dr. Yang Wenda Reply:
Hello: It is possible for a small amount of pleural effusion to be present only in the anterior part and not in the posterior part, although this situation is relatively rare. It is also possible for the pleural effusion to resolve on its own (for example, if cardiac function imp...[Read More] Understanding Pleural Effusion: Ultrasound Accuracy and Related Symptoms
Understanding Mild Fibrotic Changes and Pleural Thickening in Lung Health
Bilateral upper lobe fibrosis with pleural thickening at both apices? Hello Dr. Yang, I have received my chest X-ray results from my health check-up, which indicate no definite active pulmonary infiltration or consolidation in this study. However, there are mild fibrotic change...
Dr. Yang Wenda Reply:
Hello: Based on the description, it seems more like a scar left from a previous inflammatory lesion. It should be monitored once a year.[Read More] Understanding Mild Fibrotic Changes and Pleural Thickening in Lung Health
Understanding Thoracentesis: Risks and Procedures for Pleural Effusion Drainage
The fluid drained from pleural effusion is extracted from the pleural space surrounding the lungs. Unfortunately, I cannot provide images, but you can find diagrams of the pleural cavity and pleural effusion in medical textbooks or reputable medical websites? 1. As per the title,...
Dr. Zhou Ziguang Reply:
Hello: 1. Pleural effusion cannot be aspirated with a needle; the correct term is pleural cavity effusion. 2. The pleural cavity is the space between the lung and the chest wall, which normally contains only a thin layer of fluid that is not visible to the naked eye. When fluid a...[Read More] Understanding Thoracentesis: Risks and Procedures for Pleural Effusion Drainage
Understanding Persistent Pleural Effusion: Causes and Concerns
Pleural effusion has been persistent? I consulted with the doctor regarding my father, who had a stent placed on July 17, 2018, and was discharged on July 18. On July 19, he went to the emergency room for evaluation of pleural effusion, where 400-500 cc of fluid was immediately d...
Dr. Jian Shuntian Reply:
Hello: It is not possible to determine the cause of your father's pleural effusion based on your description. Please discuss this in detail with your father's attending physician. Thank you. Sincerely, Jian Shun Tian.[Read More] Understanding Persistent Pleural Effusion: Causes and Concerns
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 Pleural Effusion: Causes, Diagnosis, and Treatment Options
Pleural effusion condition? Hello Dr. Jian, I would like to consult you regarding my father. He was hospitalized two weeks ago due to pleural effusion (unilateral) and had occasional low-grade fevers (around 37.6 degrees Celsius) along with a dry cough (non-productive) the previ...
Dr. Jian Shuntian Reply:
There are many causes of pleural effusion, not just lung cancer. It is essential to first review the results of the thoracentesis. If the fluid is exudative, it is related to tumors and inflammation. We must also examine the lymphocyte percentage in the fluid; if lymphocytes are ...[Read More] Understanding Pleural Effusion: Causes, Diagnosis, and Treatment Options
Understanding the Connection Between Pleural Effusion and Tuberculosis
Lung issues In the past, someone in the class was diagnosed with tuberculosis, so the health department issued a notice for us to get checked. Last year, my test results were normal, but this year, it was found that there is a "suspected pleural effusion in the left lower lu...
Dr. Wu Yingxun Reply:
Hello: The statement "suspected pleural effusion in the left lower lung" refers to either pulmonary infiltration or pleural effusion, and it may be necessary to perform an ultrasound to check for pleural effusion.[Read More] Understanding the Connection Between Pleural Effusion and Tuberculosis