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Doctor insights on: Right Lung Pleural Based Nodule

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Dr. Ken Levin
Board Certified, Radiology
39 years in practice
26K people helped
1

1
An ER visit and CT noted an 8mm sub pleural nodule on low/right lung. Said to retake CT in 3 mos. Should I see a pulmonologist sooner? or wait?

Dr. Ken Levin
Board Certified, Radiology
39 years in practice
26K people helped
An ER visit and CT noted an 8mm sub pleural nodule on low/right lung. Said to retake CT in 3 mos. Should I see a pulmonologist sooner? or wait?

Wait: That nodule is too small to characterize. Following up according to guidelines is probably what the pulmonologist will tell you. Other, considerations include family history and your personal smoking history. ...Read more

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Dr. Christopher Crosby
Board Certified
11 years in practice
93K people helped
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Dr. Christopher Crosby
Board Certified
11 years in practice
93K people helped
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Dr. Barry Sheppard
Board Certified, Thoracic Surgery
29 years in practice
146K people helped
2

2
Which is nodular pleural thickening of the right lung base?

Dr. Barry Sheppard
Board Certified, Thoracic Surgery
29 years in practice
146K people helped
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

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Dr. Christopher Crosby
Board Certified
11 years in practice
93K people helped
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Dr. Christopher Crosby
Board Certified
11 years in practice
93K people helped
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Dr. Alvaro Aranda
Board Certified, Pulmonology
30 years in practice
484K people helped
3

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

Dr. Alvaro Aranda
Board Certified, Pulmonology
30 years in practice
484K people helped
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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Dr. Carlos Encarnacion
Board Certified, Medical Oncology
30 years in practice
2M people helped
4

4
History of ca breast in 2008. Found multiple ill defined nodules in bilateral lungs which are pleural based. Can it be metastatic lymphadenopathy ?

Dr. Carlos Encarnacion
Board Certified, Medical Oncology
30 years in practice
2M people helped
History of ca breast in 2008. Found multiple ill defined nodules in bilateral lungs which are pleural based. Can it be metastatic lymphadenopathy ?

Hope not: Contrary to popular belief, breast cancer can relapse 5 years or more after diagnosis. Your oncologist will decide based on your clinical picture and old x-rays if those lesions should be biopsied or followed up in a short interval. I truly hope it is nothing of concern. Best to you. ...Read more

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Dr. Christopher Crosby
Board Certified
11 years in practice
93K people helped
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Dr. Joseph Accurso
Board Certified, Radiology
24 years in practice
1M people helped
5

5
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

Dr. Joseph Accurso
Board Certified, Radiology
24 years in practice
1M people helped
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. Amrita Dosanjh
Board Certified, Pediatric Pulmonology
31 years in practice
2M people helped
6

6
Lung CT. Several pleural tags bilateral upper lobes. 7mm nodule peripheral right lower lobe. What are causes for pleural tags not related to nodule?

Dr. Amrita Dosanjh
Board Certified, Pediatric Pulmonology
31 years in practice
2M people helped
Lung CT.  Several pleural tags bilateral upper lobes. 7mm nodule peripheral right lower lobe. What are causes for pleural tags not related to nodule?

Mgt: Pleural tags may be caused by a number of conditions related to infection, inflammation and scarring. If you have risk factors for lung cancer please have an appointment with a Pulmonologist. ...Read more

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Dr. Aaron Milstone
Board Certified, Pulmonology
22 years in practice
1M people helped
7

7
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?

Dr. Aaron Milstone
Board Certified, Pulmonology
22 years in practice
1M people helped
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?

Future evaluation: Nodules can be very common in the chest. A lot of the decision of what to do with your nodule depends on your smoking history. If you have never smoked then the likelihood that this represents an early cancer is low. There is a national guideline in the United States for repeating a series of ct scans to ensure that the nodule does not grow. Your doctor will plan this out with you. ...Read more

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Dr. Andrew Turrisi
Board Certified, Radiation Oncology
42 years in practice
10M people helped
8

8
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.?

Dr. Andrew Turrisi
Board Certified, Radiation Oncology
42 years in practice
10M people helped
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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Dr. Keith Diaz
Board Certified, Internal Medicine
12 years in practice
25K people helped
9

9
6mm nodule left lung base pleural surface and faint 6mm nodule on left lower sub pleural lobe found from CT. Enlarged heart found on right side. Also very slight alveolitis found in right upper lobe. ?

Dr. Keith Diaz
Board Certified, Internal Medicine
12 years in practice
25K people helped

Nodule: A 6mm nodule is a relatively common finding. Many times these are benign resulting from old infections or exposures. It becomes more worrisome in a smoker, and regardless should have a follow up cat scan in 3-6 months. ...Read more

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Dr. Loki Skylizard
Board Certified, Thoracic Surgery
15 years in practice
1M people helped
10

10
Fluid in lining of right lung & nodule, dr scheduling bronchoscopy or super dimensional CT scan. Does prednisone make fluid dissipate? Taking 1/28/13

Dr. Loki Skylizard
Board Certified, Thoracic Surgery
15 years in practice
1M people helped
Fluid in lining of right lung & nodule, dr scheduling bronchoscopy or super dimensional CT scan. Does prednisone make fluid dissipate? Taking 1/28/13

Unclear: Sounds like physician is planning electro-magnetic navigation bronchoscopy (i.e. Em-nav/inreach bronchoscopy) to obtain biopsy. Fluid in lining of lung? You might mean pleural effusion? Pleural effusion is generally not relieved with prednisone. More details needed to better answer question. Be well. ...Read more

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Dr. Christopher Crosby
Board Certified,
11 years in practice
93K people helped
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