胸腔內科檢查報告解析與建議-胸腔內科

醫師好，想請教醫師幫我看看檢查報告，有些疑問想請教？

因我有長期咳嗽常常覺得喉嚨有痰，看了很多診所醫生吃了很多藥都不見改善好幾年了(10年以上有過敏體質)，後來到大醫院做檢查，以下報告有一些疑問1.在斷層掃描報告中 Some remnant of thymus is noted.(注意到一些殘留的胸腺)，請問這會有什麼問題嗎?2. No active lung lesion. 無活動性肺部病變是代表肺部正常沒有事情嗎?3. X光檢查報告中，這些會造成什麼影響嗎? 需不需要追蹤檢查?，我的肺部沒有印象有受傷過，怎麼會這樣...?Mild increased interstitial markings of both lungs(雙肺間質紋理輕度增加)Thickening of bilateral apical pleura (雙側胸膜增厚)Mild increased interstitial markings of both lungs(雙肺間質紋理輕度增加)4. 另外請教驗痰報告大致上是什麼意思呢?主要症狀：不知道會不會是我長期鼻水倒流而造成的長期咳嗽症狀，咳嗽幾乎咳整天，氣管有痰的感覺，嚴重時呼吸會有咻咻聲，晚上睡覺躺著更是不舒服很難入睡，有時候咳到胸口都有點痛了，有時常常會覺得呼吸不太順暢，有點像是氣管縮起來的感覺約2年前做鼻中膈彎曲手術，鼻塞狀況是解決了，但咳嗽狀況還是一樣...麻煩醫師解說了... 很擔心身體出了狀況亞東醫院CT報告：Some remnant of thymus. No active lung lesion.CT scan of the chest from the apex of lung to the adrenal glands with the contrast enhancement was performed and the images revealed: ＞ No active lung lesion in both lungs. ＞ No significant mediastinal lymphadenopathy is noted. ＞ Some remnant of thymus is noted. ＞ Grossly normal appearance of bilateral adrenal glands. ＞ No osteolytic or osteoblastic bone lesion is identified in visible bony structure.亞東醫院胸部X光照片：https://drive.google.com/file/d/1sOod6hDtDXK7zZ7pChZs8IRpM4qjCabE/view?usp=share_link報告：＞ Normal heart size. ＞ Clear bilateral costophrenic angles ＞ Suggest clinical correlation and follow up.Standing chest PA view: ＞ The heart size is within normal limit. ＞ Apical pleural thickening at right side.聯新醫院的胸部X光：照片：https://drive.google.com/file/d/1tfM94wh6ytv7BHKMU3_iL4dn4TRlRWUO/view?usp=share_link報告：Mild increased interstitial markings of both lungs. Clear bilateral CP angle. The heart is normal in size.Thickening of bilateral apical pleura Unremarkable upper abdomen.亞東醫院驗痰報告：The specimen submitted consists of more than 10 tissue fragments measuring up to 2.8 x 1.2 x 0.3 cm in size, fixed in formalin. Grossly, they are tan to brown and soft to bony. Representative section is taken. Microscopically, it shows some fragments of cartilage tissue with focal degenerative change and mild chronic inflammatory cell infiltration in the edematous stroma. The ovrlying respiratory epithelium shows mild regenerative change. The vascular component shows congestion. The whole picture is consistent with degeneration with chronic inflammatory process. Please correlate with clinical condition and follow up.