Doctor insights on:
Cavitary Lung Lesion Differential Diagnosis
My grandfather 73/m is a cancer survivor. Recently they found he had a cavitary lesion in his right lung. Is it a sign that the cancer is back?
Deoxygenated blood enters the lungs from the right side of the heart and travels to the lungs. When you inspire, oxygen flows into the lungs, transverses the capilliares and attaches to hemoglobin down a gradient. At the same time, co2 diffuses into the capilaries and is expelled with exhalation. Oxygen rich blood then flows to the left side of the heart and into the ...Read more
73/m surgery (last month) for stage 4 lung cancer successful This week coughing, took to the doc, cavitary lesion present, did cancer came back?
Smelly sputum with 39.5 degrees c. & chest X-ray showing left basal cavitary lesion. What does this mean? What is this diagnosis?
Different causes: With infection in lungs cavitary lesions can be seen with granulomatous disease such as TB, fungi, or coccidiodomycosis (valley fever). Staph infection and other bacteria can have cavitation. Metastases and neoplasms also can have necrosis or cavitation. ...Read moreSee 1 more doctor answer
Chest X ray was done due to difficulty breathing, the only abnormality was a thin wall cavitary lesion in the right hemithroxia. What does it mean?
Examination of the tissue by a pathologist is the gold standard for diagnosis. However, an apical cavitary lesion in the lung should be treated as tuberculosis, unless proven otherwise.
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Practice safe sex, if you have sex. ...Read more
Depends: Depending on if you have any symptoms, both acute or chronic, this can be related to a number of things. A general differential can be easily Google'd however with this described finding I rec you see a pulmonologist to fully review your hx and findings. If you have an active cough, you should be wearing a mask and seek immediate evaluation to make sure you're not contagious. ...Read more
Yes: The resolution of the cxr is such that it should be able to show lesions this big. The advent of the digital xr even makes it easier to see them. It still does not give us the diagnosis, it only makes us see them so we can work them up. ...Read more
If there is a lesion or more in my lung and its too dangerous for a biopsy because of air pockets surrounding it how will they know if its cancerous?
Biopsy: The specifics of location and anatomy will have an impact. Additionally degree of disease in your lung will impact risk of biopsy. That said, if too risky for radiology guided biopsy, you may be a candidate for inreach/em-navigation bronchoscopy with biopsy. Again, risks greatly depend on your overall health, location of lesion, and conditions of lung/pulmonary status. ...Read moreSee 1 more doctor answer
The dr said I have a lung lesion from previous pneumonia.. Its white and perfectly round. Can this be cancerous. I'm worried but the dr didn't seem to b?
Possible: But not necessarily, we often find lesions on x rays and ct scans which are not cancerous and amenable to follow up with serial imaging; however, certain radiographic features and size may warrant further investigation with pet/ct or biopsy; I suggest you discuss the findings on your imaging with a pulmonary specialist. ...Read moreSee 1 more doctor answer
What to do if I got results of a 1 CM suspicious lung lesion and am scheduled for a biopsy tomorrow. Could this be cancer?
Chill: Your question is a bit confusing but as I understand you are going to have a biopsy, no? I know it's easy to say but please chill until you get the results. It may be benign. If it is malignant, make sure you get a good team of doctors from different specialties who will plan the course of therapy properly. Hope it's nothing. ...Read more
Please explain: 5 CM irregular splenic lesion. Differential diagnosis lymphoma and splenic metastasis. Could this be cancer?
Yes: Both are forms of cancer. It could also be a benign hemangioma, an epidermoid cyst, an infart (how's your overall vascular health?) or any of a number of other entities. What to do next will depend on your history and physical exam. You're in no immediate danger but this very much needs to be followed up. Many of the lymphomas especially are very curable with today's biotech. ...Read more
Likely poor/bad.: A lung cancer with a lesion in the brain is considered stage IV as this means that there is distant metastasis. This has a 5 year survival of < 5%, so you can see that the chances of successful therapy are very small. But take heart, for therapy has come a long way and depending on the type, like small cell cancer, chemotherapy can stop even extensive cases. So see your dr. B/c you never know. ...Read moreSee 1 more doctor answer
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??
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 ...Read more
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?
Iwould multiple lung lesions 2.5 CM eeavh in size located on the outer part of the right lung be detected on a chest x ray? My diagnosis is stage4 non
Ok I promise to spell proof br ca 08-10 chemoleft mastectomy. 2 weeks ago CT scan for a diff reason however found very enlarged lymphnodes in mediastatin and lung non calcified lesion. Just want to kno next step as I don't c the dr who ordered the scan n
HILAR MASS LESION IS SYMPTOMS OF LUNG CANCER? What is the best medicine to remove hilar mass lesion.
This is a tough issue. It will need the discussion of several lung specialists to find the right option. Vats bullectomy and watchful waiting with bronchodilators are options.
Stay away from er, they tend to put in chest tubes because they think this is a pneumothorax. In asymptomatic patients it is best to not perform surgery.
You must see a lung doc. ...Read more