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Doctor insights on: Infection Apex Left Lung Nodule Infiltrate

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Back in 1972-74, I was on a U.S Navy shift aircraft carrier, which was full of asbestos. In 2005, I was diagnosed with that left lung nodule, which was removed in 2008. In your personal opinion, do you think that may have caused my lung nodule? If so, ple

Back in 1972-74, I was on a U.S Navy shift aircraft carrier, which was full of asbestos. In 2005, I was diagnosed with that left lung nodule, which was removed in 2008. In your personal opinion, do you think that may have caused my lung nodule? If so, ple

Many types of tumor: If a lung lesion was noted as solitary and no previous history of underlying disease with bx of mesothelioma then Asbestos has been associated with such lung lesions. Squamous Ca usually derived from smoking and adenoCa from a viral source. At this time worth while to get PET/CAT to assure all path absent from lung or metastatic foci. ...Read more

Lung (Definition)

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


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Hi Dr. I am 34 years old male, non smoker I took chest radiograph before 2 weeks I found that I have lung nodule 6*6mm In my left lung, thanks?

Hi Dr. I am 34 years old male, non smoker I took chest radiograph before 2 weeks I found that I have lung nodule 6*6mm In my left lung, thanks?

CT follow-up: Get a CT scan if not done yet. Isolated lung nodule of 6.6 mm is too small to be detected by PET-CT, and also too small to biopsy at this time. Your risk for primary lung cancer is relatively low given your young age and nonsmoker status. But I suggest you to see a lung doctor for opinion and CT follow-up. In addition, what did your MRI abd show? ...Read more

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In 72'-74', I was on a U.S Navy ship, which was full of asbestos. In 05', I was diagnosed with that left lung nodule. May this have caused my nodule?

In 72'-74', I was on a U.S Navy ship, which was full of asbestos. In 05', I was diagnosed with that left lung nodule. May this have caused my nodule?

You're still alive: If the nodule was found ten years ago, and you had no illness as a result, then this is not cancer. If it were cancer, you might have a pretty good case. I'm glad it's not. Asbestosis itself presents as diffuse thickening of the lung texture, or of the pleural surfaces. Most lung nodules in non-smokers (hope that's you) are old histoplasmosis, which is harmless. Thanks for your service. ...Read more

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Truthful answer please, can an suv 2.7 be caused by an infection in a lung nodule?

Truthful answer please, can an suv 2.7 be caused by an infection in a lung nodule?

Yes: I know I have answered a number of your questions about this nodule and I hope you are well! Don't forget we are not really treating you. My best advice is to find a non-virtual doctor with whom you have good rapport, and decide together with that doctor what to do in real life. ...Read more

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If a size of lung nodule increases from 8mm to 20 mm, is it always cancer, or could it stil be an infection causing increase in size, thanks?

If a size of lung nodule increases from 8mm to 20 mm, is it always cancer, or could it stil be an infection causing increase in size, thanks?

No: A lung "nodule" is a term for small abnormalities seen on xray and ct scans. Most are found to be non-cancer. If larger, 2.5 - 3cm or bigger, call it a "mass". All lung nodules and masses should be evaluated and followed by referral to a comprehensive thoracic surgical cancer program. Integration into a comprehensive program saves lives and decreases unnecessary morbidity. ...Read more

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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 more

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I have a 4mm lung nodule on my right lung 2 on my left could it be cancer?

I have a 4mm lung nodule on my right lung 2 on my left could it be cancer?

Maybe....: ...maybe not. If they are all less than 5-6 mm, there is usually not a whole lot to do other than observation and follow up. PET scans are usually not too sensitive for very tiny nodules. I would defer, however, to the judgement of your physician who knows your situation better and can determine if there is anything else to do now. If you smoke, please stop. Best to you. ...Read more

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2mm lung nodule lower left lobe - unrelated CT found it - on 1yr fu it's now 4mm. Any reason other than cancer it would grow? I just quit smoking.

2mm lung nodule lower left lobe - unrelated CT found it - on 1yr fu it's now 4mm. Any reason other than cancer it would grow? I just quit smoking.

Benign possibilities: There are many benign causes of a solitary pulmonary nodule. However, with a smoking history, you probably ought to have it biopsied, if possible, or even removed. This is to be certain that this isn't due to an early malignancy whose removal would likely be curative. Kudos to you for smoking cessation; keep up the good work. Good luck! See a cardiothoracic surgeon for evaluation. ...Read more

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My father was diagnosed with lung nodule. Should I be worried for him?

My father was diagnosed with lung nodule. Should I be worried for him?

Needs investigation: Lung nodule needs to be investigated to ascertain the underlying pathology. It may a residua of an old infection, an easily treatable infection or lung cancer. Worrying would not address the issue. Your father should see an internist or a pulmonary specialist. ...Read more

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I try to avoid toxic drugs and treatments. What can I try before I go for traditional medical care for lung nodule?

I try to avoid toxic drugs and treatments. What can I try before I go for traditional medical care for lung nodule?

Nothing: 50% of lung nodules may be neoplastic. The only way to establish tissue diagnosis of a non calcified lung nodule is to remove it, and give it to a pathologist to examine under a microscope. The diagnosis of cancer is done under the microscope by a pathologist. Needle biopsy will miss the diagnosis of cancer in a large percent of biopsies. So a negative needle biopsy does not rule out cancer. ...Read more

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Had a second opinion by a pulmonologist, who told me that I should not worry about a 2cm calcified lung nodule, is this a safe approach?

Had a second opinion by a pulmonologist, who told me that I should not worry about a 2cm calcified lung nodule, is this a safe approach?

Pulmonary nodules: If the nodule has not changed over time, less than 3cm no smoking or previous history of malignancy, age less than 35 it is likely a benign process. ...Read more

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Found 6mm lung nodule radiologist says no follow up if non smoker I've never smoked but work as plumber don't want to ignore this please advise?

Found 6mm lung nodule radiologist says no follow up if non smoker I've never smoked but work as plumber don't want to ignore this please advise?

F/up CT 1yr: This is a difficult request to provide an answer in this format. Subcentimeter nodules are rarely malignant. It is suggest that nodules of 4-6mm in size have a 0.8% risk of being malignant in one study to up to a 5% risk in another series. Risk factors, e.g. smoking, etc may alter the risk. It is generally felt that it would be wise to perform a follow-up CT scan in 1 year with a nodule 4-6mm. ...Read more

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Pulmonologist said a lung nodule I have is benign, I still feel uneasy about his answer, should I seek a second opinion? Nodule is 2 CM calcified

Pulmonologist said a lung nodule I have is benign, I still feel uneasy about his answer, should I seek a second opinion? Nodule is 2 CM calcified

Biopsy: A calcified nodule is likley benign. You need to compare thx xray with an old film of your chest if you have. Ct of the chest is helpful. If any doubt tissue biopsy will confirm the nature of this nodule. If you are not comfortable with the response nothing is wrong with getting another opinion. ...Read more

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What do you recommend if I have a 13 mm lung nodule, is that big?

What do you recommend if I have a 13 mm lung nodule, is that big?

Big enough: A 13 mm lung nodule warrants a pet/ct scan. This will identify things like calcifications seen in benign nodules and will determine if sugar uptake is high as seen in infection or tumor or low indicating scar. Depending on the likelihood of cancer, a ct guided biopsy is possible in most peripheral nodules greater than 9mm. Lung cancer is increasing in nonsmokers, women and the young in u. S. ...Read more

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Lung nodule grew 6mm, could I have cancer?

Lung nodule grew 6mm, could I have cancer?

50%: A non calcified lung nodule has a 50%risk of being cancer. Diagnosis of cancer is made by pathologist on a microscopic slide of a significant biopsy size. Removal of the whole nodule provides the pathologist with adecuate specimen. Needle biopsy of a lung cancer will miss the diagnosis half the time. So if it is cancer by needle bx it is. Otherwise undiagnostic. ...Read more

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I was wondering what are the odds that a 2cmx3cm lung nodule is cancer?

I was wondering what are the odds that a 2cmx3cm lung nodule is cancer?

Tissue biopsy: At least 50% if non smoker over that if smoker. Need to perform excisional or incisional biopsy and cultures for the pathologist to determine what is it. ...Read more

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Dr. Andrew Berry
9 Doctors shared insights

Infection (Definition)

Infections are invasions of some other organism (fungus, bacteria, parasite) or viruses into places where they do not belong. For instance, we have normal gut bacteria that live within us without causing problems; however, when those penetrate the bowel wall and enter the bloodstream, ...Read more


Nodule (Definition)

Any growth or deposit in the body or on its surface may be casually termed a nodule until its character is determined by the familiarity of the physician with it or by the results of a biopsy if it is not so obvious. The term is casual ...Read more