Question 1

pulmonary lesion. what are they and should i be worried?

Accepted Answer

Vary: Pulmonary lesion is a nos specific term, it can be a very benign old calcified lymph node with no potential significance to a serious lesion that needs to be addressed . Best one to find out is your doctor who knows you best. Seek his help.

Question 2

why would surgeon a say coin lesion and surgeon b say carciniod, when doctors on this sight say they are different?

Accepted Answer

Boys & Boy Scouts: Remember, "all boy scouts are boys, but not all boys are boy scouts". A coin lesion means the spot on the xray looks very round, so a variety of different things can be coin lesions. Looking at it that way, all round-looking carcinoid tumors on xrays are coin lesions, but not all coin lesions are carcinoids. Carcinoids can also be small or overlap with other organs, and not look like coin lesions.

Question 3

x-ray chest result :
ill defined soft opacities seen in both middle and rt. lower zones.
impression:
infective process both lungs.
note: marked regression in the lesion noted as compared to previous x-ray chest.

can you please explain what it means?

Accepted Answer

Getting better: The lung is usually full of air which is not dense. A density implies something other than air fills the space. This description suggests the thing filling that space is not very dense as would be fluid accumulated during infection. (bone or thick tissue is denser) It is in more than one place. The regression means it is getting less dense or better.

Question 4

is a coin lesion and a carcinoid the same thing?

Accepted Answer

No , not the same: A coin lesion is just a description of a lesion that is round like a coin. It will not tell you about what kind of lesion is that- cancer or not cancer. Carcinoid is a distict entity- is a cancer. It is generally applied to neuroendocrine tumors (nets) that is  originating in the digestive tract, lungs, or sometimes in other rare primary sites such as kidneys or ovaries.

Question 5

what is the best treatment for pulmonary inflammatory lesion?

Accepted Answer

Lung inflammation: There is no way to answer your question accurately since there are many things that can cause inflammation. Each of these separate disorders has a healing projectory so long as you were placed on the correct path.

Question 6

i just found out i have a lesion on 2 lungs a 9 & 12 mm, spot on  rib,  spot 7 x 9 cm in my liver. found out i had a fatty liver, is it cancer ??

Accepted Answer

I always: follow the rule..when clinical situations such as yours  arise NEVER make a DIAGNOSIS until a piece of TISSUE is analyzed and a Pathological Diagnosis is made by a Specialist!

Hope this is helpful!
Dr Z

Question 7

i have a lung lesion that is too dangerous to take a biospy of because of air pockets. will the mri of my complete spine and neck also show my lungs?

Accepted Answer

MRI: Mri is not the first choice for evaluation of lung.

Question 8

had tb 15 yrs back. routine xray shows chest markings & parenchymal lesion in both lungs.is it because i had tb .should i consult a doctor?

Accepted Answer

Yes: 15 years back did you have prophylaxis treatment or  regular triple med treatment? You should periodically see your doctor if you start having TB symptoms again.. Also parenchymal lesion in both lungs means latent tb. Please see infectious disease doctor in your area.

Question 9

surely, a thoracic surgeon must know if a round spot is a lung nodule, carcinoid or a coin lesion by looking at pet, ct and x-rays. yes or no?

Accepted Answer

Pathology specimen: The pathologist makes the diagnosis with the microscopic exam of a piece of the lesion. Even then, it can be challenging to get diagnosis. So the answer to your question is no. Stay with your thoracic surgeon, get your follow up exams, stop nicotine if you have that addiction. Ok to go for a second opinion. Take a friend with you and don't be surprised if you get same answer.

Question 10

can a high gastrin cause small lesions in the lungs my level is about 1,600.

Accepted Answer

Whoa: Gastrin itself will not do this, but let’s look at the big picture. High gastrin can be due to a range of things from taking antacids to having a rare pancreatic cancer. Lung nodules can be anything from the banal lesions of histoplasmosis that are almost the norm in much of the US to metastatic cancer. Telling the difference is the radiologist’s and clinicians job. I hope it’s nothing.

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Doctor answers about:

Coin lesion pulmonary

A member asked:

Pulmonary lesion. what are they and should i be worried?

A member asked:

Why would surgeon a say coin lesion and surgeon b say carciniod, when doctors on this sight say they are different?

A member asked:

X-ray chest result : ill defined soft opacities seen in both middle and rt. lower zones. impression: infective process both lungs. note: marked regression in the lesion noted as compared to previous x-ray chest. can you please explain what it means?

A member asked:

Is a coin lesion and a carcinoid the same thing?

A member asked:

What is the best treatment for pulmonary inflammatory lesion?

A member asked:

I just found out i have a lesion on 2 lungs a 9 & 12 mm, spot on rib, spot 7 x 9 cm in my liver. found out i had a fatty liver, is it cancer ??

A member asked:

I have a lung lesion that is too dangerous to take a biospy of because of air pockets. will the mri of my complete spine and neck also show my lungs?

A member asked:

Had tb 15 yrs back. routine xray shows chest markings & parenchymal lesion in both lungs.is it because i had tb .should i consult a doctor?

A member asked:

Surely, a thoracic surgeon must know if a round spot is a lung nodule, carcinoid or a coin lesion by looking at pet, ct and x-rays. yes or no?

A member asked:

Can a high gastrin cause small lesions in the lungs my level is about 1,600.

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