[ 會員#28043 ] Wong Chi Ming
Suspicious of malignancy
病患者男 - 63歲
CT Throax Findings :
1. An irregular heterogeneously enhancing mass with spiculations is noted at the anterior segment of left upper lobe. Measuring 2.2x1.9x1.6cm in size. No intralesional calcification or cavitation is noted. Findings are highly suspicious of malignancy.
2. Irregular nodular thickening of the left oblique fissure is noted, suggestive of metastatic pleural deposits.
3. Interlobular septal thickening with irregularity is noted at the apico-posterior segment of left upper lobe, lymphangitis carcinomatosis cannot be excluded in current clinical context.
4. Several soft tissue nodules; up to 0.5cm are scattered at right middle and left lower lobes, could be intrapulmonary metastases.
5. Moderate left pleural effusion is evident. There is no right pleural effusion. Trachea is not deviated. Major airways are patent.
6. Mediastinal lymph nodes are not significantly enlarged.
7. A few subcentimeter hypoenhancing foci are noted in the liver, they are too small to be characterised.
病人於7月19日，進行電腦掃描得出上述結果，因要排期等候見公立醫院醫生。
請問醫生可否代為解釋上述報告。
如屬肺癌應該怎樣跟進？謝謝！
CT Throax Findings :
1. An irregular heterogeneously enhancing mass with spiculations is noted at the anterior segment of left upper lobe. Measuring 2.2x1.9x1.6cm in size. No intralesional calcification or cavitation is noted. Findings are highly suspicious of malignancy.
2. Irregular nodular thickening of the left oblique fissure is noted, suggestive of metastatic pleural deposits.
3. Interlobular septal thickening with irregularity is noted at the apico-posterior segment of left upper lobe, lymphangitis carcinomatosis cannot be excluded in current clinical context.
4. Several soft tissue nodules; up to 0.5cm are scattered at right middle and left lower lobes, could be intrapulmonary metastases.
5. Moderate left pleural effusion is evident. There is no right pleural effusion. Trachea is not deviated. Major airways are patent.
6. Mediastinal lymph nodes are not significantly enlarged.
7. A few subcentimeter hypoenhancing foci are noted in the liver, they are too small to be characterised.
病人於7月19日，進行電腦掃描得出上述結果，因要排期等候見公立醫院醫生。
請問醫生可否代為解釋上述報告。
如屬肺癌應該怎樣跟進？謝謝！
陳焯雄醫生回覆: [ 7/23/2022 ]
明向同情你的情況
應該儘快安排在左肺考慮抽肺膜積水
應該儘快安排在左肺考慮抽肺膜積水
Roger : covid
病患者男 - 37歲 本人5月21號感染新冠病毒之後1日發燒，跟住退咗燒，而家5月31日(第10日)仍然.......Summer : 快測結果顯示奇怪
病患者男 - 34歲 確診左幾日，依一兩日快測的C淺色，T是深色，想問係好番定仲確診？.......Annie leung : 雀仔菌
病患者女 - 63歲 我妹妹肺X光片花了，QE診断為非結核分支杆菌感染。差不多一年了，医患双方都沒太大心.......Yoyo : 咳嗽或打噴嚏是頭痛
病患者女 - 30歲 醫生您好，我每次咳嗽，打噴嚏或情緒激動時，都會頭痛非常嚴重，要立刻躺下才會有緩解。.......cindy : 懷疑藥物敏感
病患者女 懷疑藥物敏感： PEPCIDINE 20MG Voltaren 50mg Parace.......Jeffrey Ko : 喉嚨兩邊腫脹，條頸無端端有雙下巴
病患者男 - 38歲 近呢半年成日半夜口乾醒 老婆發現我好似有雙下巴，但係個人又唔係肥咗好多 喺冇喉.......jackyyy : 脷苔甩皮情況
病患者男 - 45歲 涮牙發現舌頭出現類似甩皮情況 脷胎面正常會有白色 而家會部份無左 睇家庭醫生話發炎.......MC : 問証
病患者男 - 31歲 本人發燒已長達十天以上，每次打完針就退燒，藥力過了又發燒，一直反覆不好，昨天照過肺部C.......朱先生 : 醫健通
陳醫生你好，病人已住院近3個月，早前已申請醫健通，登入醫健通後，只顯示現在住院內科，沒有住院期間病歷資料，請問.......wa : 心肺有问题吗?
病患者女 自从中了两次肺炎 气短了 呼吸比之前快 平时正常呼吸时并没有感觉 但在大力吸气 之后呼到尽头.......
發出提問使用細則
致陳焯雄醫生 提問
即時提問 ?
