Re: 胸部X光疑問

來回報後續進度
馬上回診高醫胸腔外科李醫生
李醫生看了在高醫的照片跟我用手機的健保快易通看榮總的照片
他覺得看起來沒什麼差異性(包含結節不太像以及看起來胸膜增厚應該也不像異常)
他說榮總診斷像腫瘤或是胸膜外脂肪
只是因為只看圖片就必須給予類似的狀況都寫上去
所以不代表一定是
但他看我們父子倆有點緊張
所以就安排斷層掃描
但因為父親後續眼睛視網膜剝離需要去趴
所以安排五周後的檢查並馬上看報告

五週過後,於是照完斷層掃描後
李醫生馬上講解報告
他說看起來沒有胸膜增厚
然後肺裡面都有痰 XD
以及榮總原本說右肺有結節,但看卻沒有,反而左肺是有,
但也許一段時間就消掉了
於是開立了六個月後再回診照觀察該結節有無變化即可(醫生覺得應該還好)
所以我們就比較開心地回去了

回去看了健保快易通後續的報告(放射科的醫生報告)
寫的真的滿多的
但是除了滿多都已經知道的以外
甲狀腺有結節? 雙側有淋巴腫大?
這些我就不太了解有無風險? (我知道父親趴了一個月,肩膀是有不舒服)
報告如下:
120952 Imaging findings： CT of the chest: Clinical information; lung nodule
Comparison: chest CT, nil The high resolution axial imaging, unenhanced axialimaging and post-enhanced axial and reformatted imaging are obtained.. The
dilated bronchi, plate-like opacities, small nodule and increased linear
densities are noted in the left lower lobe of lung. Lymph nodes are noted at
the bilateral supraclavicular regions, mediastinum and bilateral axillae. Thetrachea and both main bronchi are patent. The cardiac size is normal. The
focal sclerosis is noted at T-7. Spur is noted on the cervical spine,
thoracic spine and lumbar spine. Adrenal glands show unremarkable. Impression： 1) Segmental bronchiectasis/bronchial plugging and small nodular opacities(＜6 mm) in the left lower lobe of lung. (Se/Im: 302/80, 159) 2) A small
right thyroid nodule. (＜1 cm, Se/Im: 301/22) 3) Nonspecific lymph nodes (＜
1cm in short axis) at bilateral supraclavicular regions (Se/Im: 301/25) 4)
Athersclerosis of the tortuous aorta and coronary arteries. 5)
Cholelithiasis. 6) Cysts in liver. 7) A left renal cyst. 8) Spondylosis
deformans of cervical spine, thoracic spine and lumbar spine. 9) Probably
bone island (enostosis) at T-7

希望大家未來都平平安安
知道報告上面有要提點我注意的什麼也請各位大大可以分享

※ 引述《a1010 (無言)》之銘言：
: 標題: 胸部X光疑問
: 時間: Sat Mar 16 14:37:18 2024
:
: 因父親要去開刀（視網膜剝離）
: 所以前幾天去做胸部X光（在高榮作）
:
: 報告如下：
:
: No previous chest radiograph for comparison. Left lateral pleural focal thickeni
: ng, differential diagnosis: pleural tumor, extrapleural fat hypertrophy. A nodul
: ar opacity in the right middle lung field, the nature is to be determined. Borde
: rline-sized cardiac silhouette.
:
: 怎麼看起來好像狀況不太好，
: 但因為要入院前應該不會要我再怎樣，
: 只是看了有點擔心！
:
: 我去翻去年2023年2月也有做視網膜剝離手術前做胸部X光，在高醫做的
:
: 報告如下：
:
: Imaging findings：
: Chest X-ray showed :
: There is no focal lesions appreciated within
: the mediastinum.
: There is no active lung disease noted in this CXR film.
: The heart size was within normal limit. But atherosclerotic change of aorta was
: noticed.
: The thoracic cage was unremarkable.
: No remarkable pleural effusion was noticed.
: Spondylosis and scoiliosis with osteophyte formation along thoracolumbar spine w
: as noticed.
: Impression：
: 1) No active lung lesions.
: 2) Atherosclerosis of aorta.
: 3) Spondylosis and scoliosis of spine.
: 4) Bilateral shoulder OA osteoarthritis osteophyte formation change
: 5) Gallstones
:
: 然後2021年11月也有做
: 報告跟2023年2月好像沒有落差多少
: 2021/11月報告如下，也是高醫視網膜剝離手術前的
:
: Imaging findings： Chest X-ray showed : There is no focal lesions appreciated wi
: thin
: the mediastinum. There is no active lung disease noted in this CXR film. The hea
: rt
: size was within normal limit. But atherosclerotic change of aorta was
: noticed. The thoracic cage was unremarkable. No remarkable pleural effusion was
: noticed. RUQ radio-opaque densities collection was identifed. Spondylosis and sc
: oiliosis with osteophyte formation along thoracolumbar spine was noticed. Impres
: sion：
: 1) No active lung lesions.
: 2) Atherosclerosis of aorta.
: 3) Spondylosis and scoliosis of spine.
: 4) Gallstone collection
:
: 想問大大，前幾天在高榮做的，這個有沒有很有問題，高醫大概連續前兩年都有做，但報告
:
: 差異滿大的，有點擔心
: ----
: Sent from BePTT on my iPhone 13
:
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: → a1010: 手機貼文有些英文會自己斷行跑掉，請見諒 03/16 14:38: 推 Mithra: 找間醫院掛胸腔科，從這個報告無法猜出風險高或低 03/16 19:44: 推 lalala1220: 在左胸膜有局部增厚，可能是胸膜腫瘤或是胸膜外脂肪 03/16 20:15: → lalala1220: 肥厚的情況。 03/16 20:15: → lalala1220: 在右肺有像結節的模糊區域，結節有良性或惡性，要進一 03/16 20:15: → lalala1220: 步檢查。 03/16 20:15: → lalala1220: 看醫生怎麼說吧，放寬心。 03/16 20:15: 推 carlchang: 去看胸腔內科吧！讓醫師幫你當面解讀給你聽。也可能還 03/18 09:51: → carlchang: 要排進一步檢查的。 03/18 09:51
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