"It looks a bit blurry here, like a real image." Zhao Wenhua said, "Boss Zheng, do you think it's a tumor?"

Zhao Wenhua was stunned for a moment. It was a typical imaging data. He only asked Boss Zheng for some small thoughts. Why did he hear what he meant?

It shows that the mass-like consolidation of the lung lingual lobe is related to the collapse of the lung lobe, and the lymph nodes under the left hilar and tracheal axillary veins. Zhao Wenhua looked at the film carefully again, ruled out what was missing, and then nodded after confirming again.

Hearing the word "tumour", the young man next to him was a little weak and he became panicked.

"It's not a tumor." Zheng Ren said, "Be careful... it's a pity that there is only one X-ray. The image density here is different from that of the tumor, and it's higher. Do you think it's a bit similar to bone?"

Zhao Wenhua looked at the white images and tried hard to find out the different density from it.

But he couldn't do it.

If it is normal, if you encounter similar patients in the outpatient clinic, Zhao Wenhua should ask the patient to undergo a CT scan of the lungs, then find the problem, and then do 64-row CT three-dimensional reconstruction.

After gradually increasing the intensity of the inspection, you will find the problem.

Boss Zheng's ability to read films is countless times stronger than that of Zhao Wenhua, especially the ability to rebuild is fully reflected here. Zheng Ren can see the problem from the white images, but Zhao Wenhua cannot.

"doctor……"

"Call Professor Zheng." Zhao Wenhua said a little sternly.

"Oh, oh, Professor Zheng, what did you think? My dad is not lung cancer, right?" asked the patient's son.

Zheng Ren shook his head and said, "It's not like lung cancer. Based on the medical history you mentioned, I think it's an airway stone."

"Stones? Aren't there stones in the kidneys?" the patient's son asked in a daze.

All he knew was kidney stones. If he recalled it carefully, he could think of gallstones. However, airway stones were too unfamiliar to him and he couldn't understand what Zheng Ren was saying.

"Emm, that's it." Zheng Ren used the pen in his hand to light the reader. "To be precise, it should be called bronchial stones, which are often found on the right side. But your old man is quite special, on the left side. Bronchial stone disease, also known as plorite, refers to the appearance of calcification or ossification in the bronchial lumen or the wall of the bronchial wall. It is a relatively rare clinical disease."

"Coughing stones? Coughing out the stones?" The patient's son found it difficult to imagine that kind of scene.

"Yes." Zheng Ren nodded and said, "Many people don't pay attention to the stones that cough up, nor do they think about the stones growing in the trachea. Therefore, this disease is generally found by clinical examinations."

"Uh... there are stones in the lungs. Can you understand this way? Professor Zheng." The patient's son asked.

"So that's it." Zheng Ren said.

"How did that come about? It's just like a stone?" The patient's son still refused to believe it. He used his own logic to judge it, which was impossible. If Zhao Wenhua hadn't been by his side and showed respect and trust in the young Professor Zheng, he would have been popular long ago.

"There are several sources. The first is that the airway foreign bodies attract or infect secretions constitute the core of the stone, and the outer periphery is deposited by calcium salt and gradually form stones. Simply put, it is caused by a certain foreign body entering the respiratory tract. The more typical one is the small flying insect sucking in the airway."

"The second is calcification of the hilar lymph node or calcification foci in the lung erode the bronchial and enter the bronchial lumen, which is the most common clinically. But when I look at the image, it should not be like this."

"The third more common type may be the annular cartilage loss of the trachea..."

"Professor Zheng, are you saying that the bone has fallen?" The patient's son thought about it with his own understanding, and thought about it carefully.

"It can be said that, but it's different from what you think." Zheng Ren said, pointing to a small dot in his upper left lung, "Look here, your father should have had tuberculosis in the past."

"..." The patient's son looked confused.

Tuberculosis is no longer like it is more than a hundred years ago. Many people have no idea about it and then they heal themselves.

Even the patient himself did not know that he was actually a patient with tuberculosis.

This is very common in clinical practice, and Zheng Ren doesn't think anything is true.

He briefly told the patient's family how tuberculosis bacteria act on the tracheal cartilage, causing cartilage to fall off and bronchial stones.

In fact, Zheng Ren mainly said to Zhao Wenhua.

"I won't explain in detail what's too specific." Zheng Ren said, "Go home and take your father to the nearest larger hospital."

After hesitating, Zheng Ren continued, "At least it is a municipal-level tertiary hospital. It's better to go to the provincial capital. This disease is rare in the municipal-level tertiary hospital."

What was the patient's son asking again? Zhao Wenhua hit him and swallowed the rest.

"Boss Zheng, I'll arrange that side. What examination do you think you want to do? A stone taken from a bronchoscope?" Zhao Wenhua asked.

"Well, find a doctor with more experience to get it. If bronchial stones are not properly operated, the complications will be very serious." Zheng Ren said, "Don't worry, I'm considering it's not lung cancer."

Zheng Ren's last words relieved the patient's son. He happily thanked Zhao Wenhua with the film, and then turned around and left.

Zhao Wenhua wanted to call him, but Boss Zheng, who was watching the movie, didn't say thank you. How could he be so rude?

But he reacted a little slower, and the patient's son had already left happily.

"Professor Zhao, you thought it was lung cancer at first." Zheng Ren asked with a smile.

Zhao Wenhua was already discouraged when facing Boss Zheng and could not arouse his competitive spirit. He told the truth, "Well, I saw that there were high-density shadows in the inflammation shadow in the lower left lung, irregular edges and burrs, and I thought it was lung cancer."

"Then why ask me to take a look?" Zheng Ren sat back on his seat, picked up the red thread and began to weave the red rope.

"Because of hemoptysis and blood stasis before, blood clots may cause blockage to the bronchial, forming a higher density shadow, covering up the bronchial stone shadows, and it is very easy to misdiagnose lung cancer. I couldn't take it correctly. I originally wanted my classmate to have a CT scan, but didn't you see you?" Zhao Wenhua smiled.

Zheng Ren weaves the red rope and doesn't think deeply. Zhao Wenhua always says half of it and hides half of it, and sees himself? It shouldn't be like that. He comes back from the outpatient clinic with a movie, and normally he comes for himself.

Maybe he was not sure what was going on, so he looked at himself. But these cautions made him feel so tired. Zheng Ren didn't want to think about it anymore and continued to weave a red rope.

"Oh, by the way." Zheng Ren remembered something and said to Zhao Wenhua: "Because it takes a long time and there is granulation tissue hyperplasia, it is easy to misdiagnose a new organism under the bronchoscope. At this time, a biopsy is required first, and the tumor is ruled out before stone removal treatment."

"Aren't you confirmed?" Zhao Wenhua asked in confusion.
Chapter completed!