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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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What is histoplasmosis? Does it affects lungs forming very small nodule, bcz of my lung nodule. Can it be seen in ct, ?

Yes: Yes, it can show as nodules in imagines. Consult your doctor for diagnosis and treatment should it become necessary. ...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, stop 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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Is this a good sign, round lung nodule 1.4 2.7 hasn't grown since feb?

Is this a good sign, round lung nodule 1.4 2.7 hasn't grown since feb?

Good sign: A nodule that hasn't grown over that period of time is unlikely to be a cancer. ...Read more

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I have a lung nodule in which the center is calcified in a bean shape within a round shadow, could it be malignant?

Likely benign: Probably granuloma
but should be followed with x-ray or ct.
Obtain any old films for tracking purposes. ...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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What is a lung nodule?

What is a lung nodule?

X-ray spot: It can be anything from an old inactive walled-off TB of fungus infection to a benign tumor to cancer to something as exotic as a dog heartworm that went far astray. Here in kansas, most are old histoplasmosis. But a spot is lung cancer until you & your physician have a reason to think otherwise. Good luck, and be brave. ...Read more

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What is a lung nodule?

What is a lung nodule?

Solid mass in lung: A lung nodule is a soft tissue mass that is located somewhere within the lung itself. It can be a benign or malignant nodule. Following it with ct scans to see if it changes in size is one way to manage them or going directly to biopsy. ...Read more

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What are the tests for lung nodule?

What are the tests for lung nodule?

Many options: Depends on age, size of nodule, history, and smoking history. Options include do nothing (rare), pet scan if there is risk for cancer, follow up cts at intervals determined by experienced md. Biopsies and surgery can come, but generally after above steps. Most nodules (>95%) are not cancer, and therefore invasive procedures should be reserved for when suspicion (guided by above factors) is high. ...Read more

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Is a 1.4 lung nodule classed as small?

Is a 1.4 lung nodule classed as small?

1 cm nodule: Any nodule is abnormal. Nodules greater than a centimeter are considered pathological and worrisome. Certain radiological characteristics make some nodules more serious than others. Other tests like pet scans can help in differentiating malignant nodules from benign ones. ...Read more

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What is a 7 mm noncalcified lung nodule?

What is a 7 mm noncalcified lung nodule?

Anything: It means there is a little mass in your lung. It could be anything. If you are smoker it could be cancer. If you are not there are multiple other causes. You will need repeat ct scan to see whether there is any increase in size. ...Read more

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Lung nodule found, what is the next step?

Lung nodule found, what is the next step?

Many pathways: Depends on age, size of nodule, history, and smoking history. Options include do nothing (rare), pet scan if there is risk for cancer, follow up cts at intervals determined by experienced md. Biopsies and surgery can come, but generally after above steps. Most nodules (>95%) are not cancer, and therefore invasive procedures should be reserved for when suspicion (guided by above factors) is high. ...Read more

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What could cause a lung nodule to thicken?

What could cause a lung nodule to thicken?

Growth: If a lung nodule thickens, that means it is growing. Whether this is cancer, infection or anything else, you need to find out. ...Read more

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Why would a lung nodule grow from 5mm to 9mm?

Would get checked: A lung nodule is not cancer per se, but it is unusual for a noncancerous nodule to grow. In the setting of smoking, this would be worrisome and require further evaluation. ...Read more

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Please tell me what does a lung nodule indicate?

Please tell me what does a lung nodule indicate?

A Lung nodule: Depending on risk factors, a lung nodule may have higher than 50% risk of being malignant. The diagnosis of cancer can only be made by a pathologist upon microscopic examination of a tissue biopsy. ...Read more

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Is an 8mm lung nodule followed up by another scan?

Is an 8mm lung nodule followed up by another scan?

Almost always, yes: Depends on your history and the appearance/location/shape of the nodule, but most often a follow up CT scan is the most appropriate test. Occasionally, if your doctor is concerned a PET scan may be useful for 8mm, but if its negative it is less helpful than when you have a larger nodule, for which PET is more reliable at excluding the likelihood of cancer. ...Read more

Dr. Loki Skylizard
306 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. Debra Rosenblatt
1 Doctor shared a insight

Respiratory (Definition)

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