Understanding Lung CT Findings: Ground-Glass Nodules and Next Steps
CT report of pulmonary issues? Imaging findings: The MDCT of the chest was performed without intravenous contrast medium enhancement and revealed the following: The lung parenchyma is well demonstrated with some ground-glass opacities in both lungs. The bilateral mainstem bronchi...
Dr. Huang Yiwen Reply:
Dear Lu: A 2.2 cm tumor that is indeed removed is a good thing; the absence of lymph node involvement is a positive sign, indicating that there has been no metastasis. To rule out distant metastasis, a PET scan can be performed for early detection, which can be managed effectivel...[Read More] Understanding Lung CT Findings: Ground-Glass Nodules and Next Steps
Understanding Low-Dose Lung CT Findings: Endobronchial Nodules Explained
Questions regarding low-dose lung CT report? Dear Director, Recently, a low-dose lung CT report indicated a suspicious pneumonia-related mass measuring over 2 cm. Upon follow-up with another low-dose lung CT two months later, it was found that the original mass had nearly resolv...
Dr. Yang Wenda Reply:
Hello: The size of the bronchial nodules was not mentioned, and it is uncertain whether the scanning angle may have caused artifacts. It would be best to discuss this further with the attending physician, ideally waiting at least two months since the last outpatient visit to bett...[Read More] Understanding Low-Dose Lung CT Findings: Endobronchial Nodules Explained
Understanding Long-Term Effects of Pleural Adhesions After Pneumonia
Lung issues? At the age of 12, the child was hospitalized due to pneumonia caused by Mycoplasma, requiring chest tube drainage for pleural effusion. The hospitalization lasted over a month. Later, at 17, during a health check while working, it was noted that there was pleural adh...
Dr. Zhang Ziyan Reply:
Hello Candy, in adults, pleuritis often results in pleural thickening or adhesions (which may appear similar to fluid accumulation) or calcified nodules, even after drainage. Typically, these conditions only require monitoring, and it is essential to compare the initial imaging w...[Read More] Understanding Long-Term Effects of Pleural Adhesions After Pneumonia
Choking Hazards: Understanding Aspiration Pneumonia Risks in Seniors
Choking, wheezing, coughing, and respiratory issues? An elderly person who accidentally ingests a large amount of lotion and subsequently experiences coughing, vomiting, and difficulty breathing may be at risk for aspiration pneumonia. Thank you.
Dr. Wu Yingxun Reply:
Hello: It is advisable to seek medical attention from a pulmonologist for possible aspiration pneumonia.[Read More] Choking Hazards: Understanding Aspiration Pneumonia Risks in Seniors
Understanding Low-Dose CT Scan Reports: What Do Findings Mean?
Questions about Low-Dose CT Lung Report Hello, Director: I recently received a report from a low-dose lung CT screening stating "multiple areas of consolidation in the right middle lobe, suspicious for pneumonia or mass." I would like to ask if this refers to a solid sh...
Dr. Huang Yiwen Reply:
DEAR Jason: There are multiple areas of consolidation in the right middle lobe, suspected pneumonia or mass. Please return to Changhua Hospital for a follow-up examination as soon as possible. We care about you.[Read More] Understanding Low-Dose CT Scan Reports: What Do Findings Mean?
Understanding Low-Dose CT Lung Reports: What Do Findings Mean?
Questions about Low-Dose CT Lung Report Hello, Director: I recently received a report from a low-dose lung CT screening stating "multiple areas of consolidation in the right middle lobe, suspected pneumonia or mass." I would like to ask if this refers to a solid shadow ...
Dr. Huang Yiwen Reply:
Dear Jason: The report indicates multiple areas of consolidation in the right middle lobe, suspected pneumonia or mass. It is advised to seek medical attention at Changhua Hospital as soon as possible. We care about your health.[Read More] Understanding Low-Dose CT Lung Reports: What Do Findings Mean?
Managing Excessive Sputum After Tracheostomy: What to Do?
What should be done if there is excessive sputum after tracheostomy? Hello Doctor: My father has had a tracheostomy for over a year. Since the tracheostomy, he has been producing a lot of sputum, and it seems that we haven't been suctioning deeply enough, which led to a seco...
Dr. Wu Yingxun Reply:
Hello: To examine the lung structure for any issues through X-rays, in addition to sputum collection, it may still be necessary to perform a sputum culture, as there could be an infection that warrants the use of antibiotics.[Read More] Managing Excessive Sputum After Tracheostomy: What to Do?
Understanding Blood-tinged Phlegm and Nasal Discharge After COVID-19
Hemoptysis and epistaxis? Hello Doctor, I am currently 23 years old, do not smoke, and have no history of asthma (although I had acute bronchitis several years ago). Since being diagnosed with COVID-19 early last year, I have frequently felt a buildup of thick phlegm in my chest ...
Dr. Shen Bochan Reply:
Hello, it is recommended to seek medical attention at our hospital to clarify your condition. Indeed, most mycoplasma infections can resolve on their own without medication due to the immune response; however, if it progresses to pneumonia, specific pharmacological treatment is n...[Read More] Understanding Blood-tinged Phlegm and Nasal Discharge After COVID-19
Chest Pain After Choking: Is Aspiration Pneumonia Possible?
Chest pain after choking? Hello, doctor! I would like to ask about an incident that occurred on January 3rd. I choked while drinking a health supplement containing propolis in the morning. I coughed forcefully, even to the point of vomiting. Since then, I have been experiencing m...
Dr. Wu Yingxun Reply:
Hello: It is still advisable to visit a pulmonologist for a chest X-ray to confirm.[Read More] Chest Pain After Choking: Is Aspiration Pneumonia Possible?
Understanding CT Scan Reports for Pneumonia: Key Insights
CT report of pneumonia I would like to ask the doctor if there are any issues with this report, or if it is normal. The CT scan of the chest without IV contrast enhancement shows: - minor or non-specific lung parenchymal changes. - no definite pleural effusion. - no definite medi...
Dr. Guo Hongyi Reply:
Dear public, hello. CT imaging should still be corroborated with clinical symptoms and the patient's history for a more accurate assessment. It is advisable to discuss and inquire with your primary physician. Thank you for your inquiry.[Read More] Understanding CT Scan Reports for Pneumonia: Key Insights
Understanding Your Chest CT Scan Results: What Do They Mean?
Abnormal findings on computed tomography (CT) scan? I would like to ask the doctor if my report from the CT scan I had in mid-August is normal or if there is pneumonia. What does this report mean? The CT scan of the chest without IV contrast enhancement shows: - minor or non-spec...
Dr. Cai Zongwei Reply:
Hello: The literal translation is: Mild or nonspecific pulmonary parenchymal changes. There is only a written report without imaging; it is recommended to return to the original hospital for confirmation and follow-up.[Read More] Understanding Your Chest CT Scan Results: What Do They Mean?
Persistent Mild Cough and Shortness of Breath: When to Seek Chest Specialist?
Persistent mild dry cough with slight shortness of breath? Hello Doctor: Due to family members exhibiting cold symptoms, I began experiencing throat discomfort in mid-October. On October 17, I visited an ENT specialist after my family members had already shown symptoms. After thr...
Dr. Yang Wenda Reply:
Hello: If respiratory symptoms persist, it is recommended to visit the thoracic medicine clinic for a chest X-ray for further evaluation![Read More] Persistent Mild Cough and Shortness of Breath: When to Seek Chest Specialist?
Understanding Aspiration Pneumonia: Symptoms and Concerns
Aspiration pneumonia Hello Doctor: After having dinner on August 15, I experienced coughing with phlegm about an hour later, but I did not have severe coughing during the meal. On August 16, I coughed with phlegm occasionally throughout the day, with my body temperature ranging f...
Dr. Cai Zongwei Reply:
Hello: A hospital examination is necessary to determine if there is pneumonia.[Read More] Understanding Aspiration Pneumonia: Symptoms and Concerns
Understanding DNR Orders and Prognosis for COVID-19 Patients with Pneumonia
A family member has tested positive for COVID-19 and has a history of chronic pneumonia? An elderly family member (68 years old) tested positive for COVID-19. The clinic physician prescribed the antiviral medication Paxlovid. After three days of treatment, the patient was urgentl...
Dr. Shen Bochan Reply:
Hello, regarding your question, it involves too many professional and medical ethics considerations to answer online. The mortality rate of severe COVID-19 in the elderly is not low, and it is appropriate for the physician to explain this to you and your family. The treatment pro...[Read More] Understanding DNR Orders and Prognosis for COVID-19 Patients with Pneumonia
Understanding Post-Pneumonia Complications: AB Bacterial Infection and Lung Fibrosis
Pneumonia ➔ AB bacterial infection ➔ Pulmonary fibrosis Hello, Doctor: My grandfather was hospitalized recently due to pneumonia. Later, the medical staff noticed that he was experiencing severe shortness of breath and he was transferred to the intensive care unit for intubation ...
Dr. Shen Bochan Reply:
Hello! Regarding the question you raised, I recommend consulting your grandfather's attending physician, as a complete assessment cannot be conducted online. The treatment and recovery from critical illness cannot be summarized in a few words online. Based on your descriptio...[Read More] Understanding Post-Pneumonia Complications: AB Bacterial Infection and Lung Fibrosis
Can a Cold Affect LDCT Results? Important Considerations for Patients
Is it safe to undergo LDCT while having a cold? Hello, doctor. I have been experiencing a long-term cough with blood, and I have scheduled a low-dose computed tomography (LDCT) scan for next Monday, May 22. However, I currently have a cold and a sore throat. Will having a cold af...
Dr. Zhou Ziguang Reply:
Hello: Generally, low-dose computed tomography (LDCT) is used for lung cancer screening. If there are acute symptoms, there may be pneumonia or other pulmonary infiltrates, which could present additional abnormal shadows on the imaging. However, if the purpose is to perform a che...[Read More] Can a Cold Affect LDCT Results? Important Considerations for Patients
Effective Uses of Pefloxacin and Norfloxacin in Treating Infections
Medication Consultation Hello, doctor. Could you please explain the effective uses of the antibiotics Pelvicillin 750 mg and Norfloxacin 625 mg for different symptoms? Thank you.
Dr. Huang Yiwen Reply:
Dear Mr. Hsiao: The indications for Pefloxacin 750 mg enteric-coated tablets are community-acquired pneumonia and complicated urethritis, compared to Norfloxacin. Additionally, Pefloxacin has fewer side effects or drug allergies. Norfloxacin is also suitable for mild pneumonia an...[Read More] Effective Uses of Pefloxacin and Norfloxacin in Treating Infections
Navigating Critical Care: A Father's Battle with Pneumonia and Ventilation
Dad is intubated in the intensive care unit? Hello, doctor. My father went to the emergency room in early March due to physical discomfort, which was diagnosed as a urinary tract infection (after chest X-ray and CT scan) leading to fever and sepsis (with a white blood cell count ...
Dr. Huang Yiwen Reply:
Dear Ms. Tsai: It is advisable to perform a tracheostomy if you cannot be weaned off the ventilator in the short term. Keeping a chopstick in your mouth continuously is quite uncomfortable. After the tracheostomy, you can still train to wean off the ventilator. If it is truly imp...[Read More] Navigating Critical Care: A Father's Battle with Pneumonia and Ventilation
Post-Surgery Follow-Up for Lung Adenocarcinoma: Key Considerations
Follow-up for Lung Adenocarcinoma Hello Dr. Huang, I underwent a thoracoscopic surgery this month to remove a 0.6 cm ground-glass nodule, which was diagnosed as lung adenocarcinoma (Acinar type). The doctor recommended some follow-up: 1. Schedule an MRI with contrast for the brai...
Dr. Huang Yiwen Reply:
Dear Jay: After undergoing a PET scan, if the findings are limited to the lungs, there is no need for frequent follow-up chest X-rays. For the first two years, a CT scan should be performed every six months, and thereafter, further imaging will be based on necessity. Changhua Hos...[Read More] Post-Surgery Follow-Up for Lung Adenocarcinoma: Key Considerations
Duration, Causes, and Treatments for Pleural Effusion and Kidney Inflammation
Pleural effusion and kidney inflammation treatment duration, causes, and treatment methods. Thank you, doctor? Hello, doctor! I have a few questions I would like to ask. I have a classmate who is the same age as me and is experiencing health issues. Out of curiosity, I want to in...
Dr. Jian Shuntian Reply:
Hello: 1. Fever may indicate pneumonia with pleural effusion. Treatment duration: uncomplicated pneumonia with pleural effusion is typically 7-14 days; complicated pneumonia with pleural effusion may require 14-28 days or even 42 days. 2. It is important to identify the underlyin...[Read More] Duration, Causes, and Treatments for Pleural Effusion and Kidney Inflammation