Doctor insights on:
Round Or Ovoid Pulmonary Nodule
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
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
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 moreSee 1 more doctor answer
Pulmonary nodule appears to be benign. Seeing pulmonologist. Should i bring up the emphysema at the same time?
I have an irregular 5mm pulmonary nodule in right lung apex and a subpleural 4mm nodule there as well. what does this mean?
Pulmonary nodule : Need to see pulmonilogist. Get CT chest with IV contrast , especially if h/o smoking ...Read more
What is histoplasmosis?Does it affects lungs forming very small nodule, bcz of my lung nodule.Can it be seen in ct, ?
How is a 5mm non-calcified lower lobe pulmonary nodule in a non-smoker managed? Was found incidentally on a contrast CT of abdomen.
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
+ 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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
I have a lung nodule in which the center is calcified in a bean shape within a round shadow, could it be malignant?
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 moreSee 1 more doctor answer
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 moreSee 3 more doctor answers
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 moreSee 2 more doctor answers
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