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Doctor insights on: Round Or Ovoid Pulmonary Nodule

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I have a pulmonary nodule that was 5 mm in 07/2013. As of 09/2014 it is 6 mm. Would you recommend a follow up next year? I haven't smoked in 30 years

Work-up now: The nature of the nodule needs to be established now rather than waiting for a year. You may wish to discuss with your doctor other diagnostic modalities, e.g., Pet scan and consultation with a pulmonary specialist. ...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


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Is a solitary pulmonary nodule if calcified , a glanuloma?

Not necessarily: Central calcification, laminated or stippled calcification (popcorn) calcified nodules are benign. However, calcifications on the edge or periphery of a nodule could still be malignant and need further evaluation with followup ct scan, pet scan and/or biopsy. ...Read more

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What is a noncalcified pulmonary nodule? Is it treatable?

It is a small: lung mass. There are benign and potentially malignant causes. Whether it needs workup depends on its imaging features and your clinical history. Sometimes a biopsy is necessary to determine what it is, other times it can be safely followed or ignored. The presence of calcification is important because most of the time a calcified nodule is benign. ...Read more

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Is a 6mm pulmonary nodule in the right upper lobe too small to biopsy?

Is a 6mm pulmonary nodule in the right upper lobe too small to biopsy?

Probably so: Biopsy of a lung nodule depends on the size and location. A nodule smaller than 1 cm is difficult to biopsy. A nodule located too close to the heart or main blood vessels is difficult to biopsy. A nodule too adjacent to the ribs may also be difficult to biopsy. In your case ct follow up at intervals by established guidelines may be considered. ...Read more

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What is the definition or description of: pet-ct pulmonary nodule?

What is the definition or description of: pet-ct pulmonary nodule?

Lung mass: If a lung mass is seen on chest xray or ct scan and the patient has a moderate risk of malignancy, often the next test is a positron emission tomography (pet scan). This test detects masses with high metabolic rates. Around 95% of patients with a malignant nodule will have a positive pet scan. It is falsely positive in about 21% of patients, meaning that it will suggest cancer when it is not. ...Read more

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I have a 7mm pulmonary nodule in my left lung and 9 mm hypodensity in my kidney. Should I be concerned or even speak to my doctor?

Talk to doctor: How did you find out about the nodule and hypodensity? Did your doctor not review the results of the imaging study with you? Why was imaging done? Please have a discussion with your doctor. ...Read more

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How is a 5mm non-calcified lower lobe pulmonary nodule in a non-smoker managed? Was found incidentally on a contrast CT of abdomen.

How is a 5mm non-calcified lower lobe pulmonary nodule in  a non-smoker managed? Was  found incidentally on a contrast CT of abdomen.

Recommendation: Fleischner society recommendation for nodule this size is follow up ct at 12 months and, if no change, no further follow up for low risk(e.g. Nonsmoker etc..) patient. For high risk patient, follow up CT at 6-12 months and then at 18-24 months if no change. ...Read more

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Fell on my back , had cat scan , revealed (2 ) 4mm lung nodule pulmonary doctor says I should have nothing to worry about, follow cat scan in 6 mnth?

Probably overkill: For nonsmokers, with nodules in that size range, we recommend no further follow-up. If you are smoker stopped smoking. If any follow-up is necessary, 12 months is probably all you need. ...Read more

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Had a CT abd/pelvis w iv/contrast, findings;4.6mm pulmonary nodule in right lower lobe wout mineralization.Diff diag inc benign & malignant etiologies ?

Had a CT abd/pelvis w iv/contrast, findings;4.6mm pulmonary nodule in right lower lobe wout mineralization.Diff diag inc benign & malignant etiologies ?

CT SURVEILLANCE: Accp guidelines recommend 2 years of low dose ct surveillance. Repeat ct 3 months x 2 then 6 months x 3 for a total of 2 years. Probably nothing. ...Read more

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+ PPD test, CT scan solitary pulmonary nodule. 5mos after nodule stable/slight increase pet2.9suv bronchoscopy inflammatory no cough doc said remov?

+ PPD test, CT scan solitary pulmonary nodule. 5mos after nodule stable/slight increase pet2.9suv bronchoscopy inflammatory no cough doc said remov?

Curious: More information is required. The pet uptake (measured in standard uptake value or suv), is low level, but not low enough to guarantee benignity. Given age and + ppd, i would suspect this could be an active granuloma. Given your age, i would encourage consultation with a pulmonologist and full review of all your records first. Lung surgery is serious business. ...Read more

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Positive PPD test, x-ray, CT scan shows solitary pulmonary nodule. 5 mos after nodule stable/slight increase. Doc said to remove. No cough not smoking?

Positive PPD test, x-ray, CT scan shows solitary pulmonary nodule. 5 mos after nodule stable/slight increase. Doc said to remove. No cough not smoking?

Depends: Ppd positive, work-up details (quantiferon assay?), characteristics on chest x-ray, on ct-scan and/or treatment would be important. Depending complete work-up, risk factors, size, rate of growth/increase in size, etc. Location may be amenable to tran-sthoracic ct-biopsy or bronchoscopy transbronchial biopsy (flouro guided, inreach/em-nav guided, or ultrasound guided). ...Read more

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Good day! last aug i got allergies sneezing and colds but no fever and cough. Positive PPD test and X-ray and CT scan shows solitary pulmonary nodule.

TB treatment: Since you have a positive PPD skin test and lung imaging that has a solitary nodule, I would suggest that you have airway fluid cultures sent to a microbiology lab. Your physician will order follow up imaging and prescribe treatment for you. Your household members should also be tested. ...Read more

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Would you operate at once if lung nodule went from 14, 2x10, 9mm-14, 2x 11, 6mm in a 2 month period, round , non smoker 55yo. Thoractomy 2 days later.

Would you operate at once if lung nodule went from 14, 2x10, 9mm-14, 2x 11, 6mm in a 2 month period, round , non smoker 55yo. Thoractomy 2 days later.

Choices: Follow for another few month since this may not be a change. Full history, and review of all xrays and ct scans is appropriate. If followed for some time already, and no other histoplasmosis or TB history, one might remove it. The benign ones will stay about the same, and calcify over time. Fear of delay diagnosing cancer is the issue since early removal has best survival. ...Read more

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Why would a thoracic surgeon's assistant say he didn't understand why i was going to get my round lung nodule operated on? Should i go ahead with surgery?

Why would a thoracic surgeon's assistant say he didn't understand why i was going to get my round lung nodule operated on? Should i go ahead with surgery?

First ask: Your question raises concerns of inadequate communication between thoracic surgeon and you. You should first discuss with your surgeon the mixed message and your confusion on goals of surgery. To properly consent, you need to have reasonable understanding of indication (why), risks, benefits, and medically reasonable alternatives. ...Read more

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Surely, a thoracic surgeon must know if a round spot is a lung nodule, carcinoid or a coin lesion by looking at pet, CT and x-rays. Yes or no?

Surely, a thoracic surgeon must know if a round spot is a lung nodule, carcinoid or a coin lesion by looking at pet, CT and x-rays. Yes or no?

Pathology specimen: The pathologist makes the diagnosis with the microscopic exam of a piece of the lesion. Even then, it can be challenging to get diagnosis. So the answer to your question is no. Stay with your thoracic surgeon, get your follow up exams, stop nicotine if you have that addiction. Ok to go for a second opinion. Take a friend with you and don't be surprised if you get same answer. ...Read more

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Dr. Loki Skylizard
299 doctors shared insights

Lung Nodule (Definition)

A lung nodule is a round area that is more solid than normal lung tissue. It is a nonspecific finding and can ...Read more


Dr. Jan Lei Iwata
1 doctor shared a insight

Respiratory (Definition)

Pertaining to the work of breathing done by the chest ...Read more