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Doctor insights on: Right Lung Pleural Based Nodule

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Which is nodular pleural thickening of the right lung base?

Which is nodular pleural thickening of the right lung base?

Pleural change: Nodular pleural thickening means an abnormally thick lining of the lung. ...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

Dr. Howard Jacobs
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My sister had a uppper rt lung lobectomy last year ...Has non small cell adeonocarcinoma....Ct scans and pet scans every 3 months...Past 2 recent CT scans plus pet scan are showing an increased pleural based nodular density in the rt lower lobe anteriorly

My sister had a uppper rt lung lobectomy last year ...Has non small cell adeonocarcinoma....Ct scans and pet scans every 3 months...Past 2 recent CT scans plus pet scan are showing an increased pleural based nodular density in the rt lower lobe anteriorly

Could be recurrence: This needs to be worked up - it could be recurrent cancer, or possibly reactive, especially if radiation therapy was performed. See the oncologist and ask for specifics about this finding. Was the pet scan positive in the same area? If so, that raises the concern, but it still could be reactive. ...Read more

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Dr. Howard Jacobs
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Treating a Lung Nodule (Checklist)

Recognize that most nodules are benign scars, not malignant
Once
Remember to obtain any previous images possibly showing nodule
Once
Carefully research best options, follow vs. biopsy
Once
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What does a 7 mm right apical bleb. A 3mm subpleural right apical nodule and minimal pleural based nodularity at the left lung apex ?

What does a 7 mm right apical bleb. A 3mm subpleural right apical nodule and minimal pleural based nodularity at the left lung apex ?

Too small yet: A blel is a bubble, atype of emphysema. Could be from an infection, inhalational injury (fumes, odors or smoking) or genetic.Nodules are too small to categorized but should be follow ...Read more

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Pleural bassed nodule at posterior aspect os mid cephalad right lower lobe of lung 7 x 4 mm. Also linear atelectasis within right midlung. Age 73?

Follow up of nodule: The linear atelectasis is nothing to worry about. The pleural based nodule sounds like a potentially benign nodule. Surveillance of a nodule of this size, however, is frequently recommended, particularly if you have a smoking history. Please sure to talk to your doctor for the appropriate steps. ...Read more

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Treating a Lung Nodule (Checklist)

See Doctor for Evaluation
once
Evaluate Smoking Status
daily
Ensure Proper Follow Up of Nodule
once
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I had breast cancer a year ago and had a right mastecnomy. Now they have found pleural nodules in right and left lower lobes 5mm, 4, 8mm, 2, 4mm, 4.5mm should I be worried about lung cancer.?

I  had breast cancer  a year ago and had a right mastecnomy. Now they have found pleural nodules in right and left lower lobes 5mm, 4, 8mm, 2, 4mm, 4.5mm should I be worried about lung cancer.?

While these are: Quite tiny, this appears ominous. It would help to know the facts at dx: tumor size, nodal status; er, pr, her-2-neu status. These would influence probabilities. Some treatment, particularly taxanes, can cause pulmonary findings. Go over this with you team, primarily medical oncologist. ...Read more

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Treating a Collapsed Lung (Checklist)

Visit the emergency department for X-rays and initial treatment
Once
Use high flow oxygen
Once
Use pain medications as directed
Once
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Can vats procedure be done to remove a half inch nodule in right lung?

Potentially: Depends on the anatomic position. If not involving the airway or "wind pipe" then can be removed by either a wedge, segmentectomy or lobectomy, if indicated, via vats. ...Read more

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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

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Dr. Howard Jacobs
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