Doctor insights on:
Ct Scan For Pulmonary Nodules With Symptoms
6 x 8 mm stable spiculated apical plueral based nodular scarring & pulmonary nodules 4 x 6 mm. Follow up CT scan in 6 mos. Ok? Quit smoking 20 yrs ago
Lung nodules: Based on the size and the risk factors, i think a follow up approach with serial ct chest for a total period of 2 years would be recommended and is evidence-based. The second ct chest would be in 3-6 months. ...Read more
Ct uses xrays taken an 360 degrees combined with a computer to see"inside" the body. The table moves as the xray tube and detectors spin around the patient 10 times a second or more! the image shows excellent soft tissue detail, enhanced with injection of intravenous contrast or oral contrast. This way the body is shown in slices, in any plane, usually axially, but ...Read more
Bibasilar sub CM pulmonary nodules noted on CT scan.Sclerotic focus in right and left iliac,0.4cm and 0.5cm.1.7cm complex right ovarian cyst.Concerns?
Prob. not.: All those items seems relatively benign, ie, not important. If it associated with abnormal labwork, or significant symptoms, then a PET scan may be more useful to identify active disease. If this is the first time the lung nodules have been seen, then a follow up CT in 3-4 months would be recommended. ...Read more
Ct chest scan showed several small 2 mm noncalcified but stable pulmonary nodules in both lungs.Should i be concerned. What symptoms could this cause?
Probably not: 2mm nodules are quite small. If these nodules have not grown(monitored by ct) over significant period of time (months), the likelihood of malignancy is small. These are probably granulomas or scar tissue secondary to previous infection. ...Read more
I was recently told that I have a small 5 mm lung nodule. Discovered by CT scan. I am not a smoker. Never have been. Should i be worried?
Is a lung nodule which is 7cm in size not very big though described as benign by 1st CT scan with a 2nd CT in 6 mnths should I be concerned about 7cm?
Need to check: the report again. 7 cm or 7mm or 0.7 cm? If lesion really 7 cm , it needs work up now. If 7mm ( same as 0.7cm ) then 6 month follow up scan ok. ...Read more
Had a CT scan it showed a 7cm lung nodule it may be benign I'm going to have another CT scan in 6 months to see if it has grown I'm a little concerned?
Lung Nodules: are very common and fortunately most of the time are benign. Many people actually have these and are unaware. There are certain characteristics of nodules such as size and appearance that may sometimes be more worrisome. Also, a history of cigarette smoking may be a cause for concern. 6 months is a standard screening period for lung nodules. ...Read more
What's a difference between lung nodule and intrapulmonary nodule? What's smallest size in mm that can be detected on CT scan?
No difference: They are two terms for the same thing. The smallest size detectable depends on the type of CT scanner and the technical parameters of the scan. A high resolution, thin section scan could potentially detect lesions 1mm or so in size. ...Read more
My dad has a lung nodule that has been stable for 5 years. This year the CT scan showed it grew 1mm. Can CT measurements be wrong?
Yes, it is not exact: Growing lung nodules can be cancer. But the growth has to be real which means increase of more than 2-3 mm before we can get concerned. The cross sections on ct are rarely at the same level so there is one or 2 mm variation between serially done ct scans. ...Read moreSee 1 more doctor answer
Had ct scan 1.5yr ago found 5 mm lung nodule repeated ct year ago the radioligist stated no folow necessary, no changes smok free since still concrn?
Ct scan from 1 month ago showed my lung nodule grew 1 mm. Will a pet w/ CT tell me if its cancer?
Had ct scan found 6mm lung nodule radiologist says if non smoker no further follow up should I be concerned I'm a no smoker what is my best option?
Lung nodule: Lots of people have nodules, oftentimes called an "incidentaloma" found on imaging studies. Speak with your primary care doctor to determine if a follow up image is necessary. If you are concerned, a repeat image in 6-12 months can be done to evaluate for changes in the nodule. ...Read more
Can a radiologist usually tell if a lung nodule is benign or cancerous by seeing it on a ct scan?
To a certain level: There are a number of radiologic characteristics for lung nodules that provide either high or low suspicion for malignancy. However, for many lesions the patient will require a biopsy for definitive diagnosis. The pathological evaluation includes many biomarkers necessary to stratify treatment options. ...Read more
What bloodwork would be used in diagnosing pancoast tumor? I am waiting to have CT scan due to apex lung nodule.
Usually none: A pancoast tumor (name of radiologist who described it), is a tumor involving a specific site in the lung, but it does not give the specific type. Usually they are adenocarcinoma or squamous cell carcinoma, but you need a biopsy to prove this. Do you smoke? You are young for a lung cancer, even though you have thallasemia. Do not worry until a biopsy and ct have been performed. ...Read moreSee 1 more doctor answer
30 yo female, former light smoker 4-5 yrs. CT scan in 2013 with small lung nodule, but no follow up. Should I be worried? The doctor was unconcerned.
Lung Nodules: Depending on the size, there are specific criteria that have been developed called the "Fleicshner criteria" that will determine if any further testing or repeat CT scans need to be done. Discuss in further detail with your Doc to be safe, Best wishes. ...Read more
Can radiologist tell by looking at ct scan if a lung nodule is cancerous my is 6mm he does not think no follow up needed should I get a follow up scan?
Incidentaloma: There is a low likelihood of malignancy in subcentimeter nodules. To some extent there are important distinguishing factors - the benign appearance of calcification appearance, whether it is smooth, lobulated or spiculated and your personal smoking history. It is possible that the radiologist was able to make that call on features that made it likely benign, such that there was no decision needed ...Read more
Ct scan showed very small lung nodule. I've had 3 chest x-rays prior and nothing showed on them. What happens now? How to determine if it's cancer?
Depends: If the nodule is very small, it would not be seen in a plain x-ray so the fact you had 3 prior negative ones does not mean much. You may have had it undetected for years. Depending on how big it is and your clinical situation, your doc may opt to follow up with another ct scan in 6-12 months, do a pet scan, or proceed with a biopsy. Good luck and if you are a smoker, quit today. ...Read moreSee 2 more doctor answers
My two year monitor for lung nodule be over in fall 2014. Will i need monitor after that with CT scan of chest. I am concerned about the radiation.
Many factors...: Need to be looked at. Age, smoking, family and previous cancer history. Also characteristics of the mass. Radiation does have a risk. If your doctor agrees and you are low risk, then perhaps plain cxr is adequate yearly if there is no change and features are low risk. Discuss it in detail with your doctor, but don't ignore it. Stable nodules can and do change. ...Read moreSee 1 more doctor answer
Can a stable over 4 yrs lung nodule at 5mm grow to 1.6 mm in 12 months or be effected by a dental injected sedative the day before CT scan ?
Lung Nodule: An injected dental sedative has no effect on a lung tumor. A stable nodule may be a tumor, or it could be a scar from a previous localized infection. Most malignant tumors will grow considerably in 4 years; doubling in size in 12 months, however, raises the question that it is either a tumor in a growth phase or a granuloma or other form of chronic infectious process that should be followed up. ...Read moreSee 1 more doctor answer
Ct scan uses data from a beam of xrays and reconstructs a cross sectional image of your body. It is a high dose of xrays and used only when the benefits outweigh the risk. Cancer risk is 1 in 500 in children. Also using iodinated contrast might cause transient renal failure in about 5% of patients. (contrast induced nepropathy) most do not explain this to the patient as ...Read more
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