Doctor insights on:
What Is A Lung Subpleural Nodule
Pleural/subpleural: A pleura is a serous membrane which folds back onto itself to form a two-layered membrane structure. The thin space between the two pleural layers is known as the pleural cavity and normally contains a small amount of pleural fluid. The outer pleura (parietal pleura) is attached to the chest wall. The inner pleura (visceral pleura) covers the lungs and adjoining structures. The subpleura is below it ...Read more
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
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
I have a subpleural solitary lung nodule in the peripheral of the lung base. 2mm. I am 28/f. Smoked for 9 years, but quit 4 years ago. Cancer? Scared!
If I've had a CT scan of mu lungs and there was a subpleural nodule found 6mm should I get a pet scan? And could this be cancerous?
What do you recommend if I had a cat scan with IV dye and doctors found a 2.8 mm subpleural upper lobe nodule on my lung- just wondering what does that mean?
Incidental nodule: According to the Fleischner Society guidelines, if you are a low risk patient (nonsmoker etc.), no follow up is necessary for a nodule this size. The risk of malignancy is miniscule. If you are a higher risk patient, follow up CT in 12 months, and if no change, no further follow up. ...Read more
Ct lungs-small calcified subpleural nodule in rt base. Symptoms nagging cough with expectorant since 6yrs. Is it dangerous?
See details: The major issue to be ruled out in india is tuberculosis. Have you been evaluated for this issue? ...Read more
Ct chest adrenal nodule 1.9 CM right. Lungs demonstrate babisalar dependent atelectasis small subpleural bullae noted right up lobe trace pericardial?
Adrenal eval: Hi. The adrenal nodule needs to be evaluated. What were the Hounsfield units on the non-contrast scan of the nodule? Your endocrinologist will determine: 1) if it's producing any hormones, and 2) if it's growing. If high Hounsfield units, it needs sooner evaluation. Any hirsutism, amenorrhea, diabetes, serious high blood pressure, sweating, headache, palpitations, etc? Good luck! ...Read more
Chest CT report "Tiny subpleural nodule right lung base" doc says rescan 3-6 mths. Anxiety is getting me down. Anything else I can do?
Mgt: An inbox consultation may help and the report and images uploaded. ...Read more
CT 'Tiny subpleural nodule right lung base laterally' (no measurement) age 34 smoked 8 pack yrs Doc says rescan 6mths but I am terrified its cancer?
CT scan "Tiny nodule in subpleural right lung base" 34f smoked 13 yrs quit 2 wks doc says rescan in few mths. I can't stop worrying it's lung cancer?
Follow up scan: What are the size of the tiny nodules to be precise here? If they are so small like a few mm only, there is nothing much you can do at this time anyway as biopsy would likely not be able to be done due to the limited size. No need to worry at this time. People can have scarring or granuloma which can be presented as small lung nodules. You definitely need to get a follow up CT scan to compare them ...Read more
I had BC 5 years ago stage 1 no lymph nodes/blood vessels (5mm) GR1. A CT shows now 3 nodules RT lower lung subpleural 1.5, 2, 3.6 mm. Metastasis?
I am 57, 60 pd. Wt loss. Have had severe pain in chest. Ct scan shows a 5mm subpleural nodule in lll, 5mm in rul, 8mm higher in rul. What should I do?
FOLLOW ADVICE OF MD:
We can not advice you as we don't have complete information about these three nodules.
Most common cause of multiple nodules is cancer in other parts of body that has spread to the lungs. But there are many benign causes of multiple nodules like hemartomas, sarcoidosis, rhematoid nodules and wrgners granulomas, tuberculosis, nocardiosis
fungal infections like aspergilosis, histoplasmosis, ;hydrated cysts. ...Read more
Cyst? Cancer?: You are a young woman very unlikely to have cancer but still a slight risk, but high risk if smoke, do you smoke?? if so stop now before too late, your health will come back, if not great. Get a pulmonologist to review your cat scan or whatever found this nodule, needs to be found out. Pray it is ok ...Read more
No, almost NEVER: A 5 mm lung nodule, even in a high risk person (heavy long time smoker) has a (much) less than 1% chance of being cancer as opposed to a benign scar or 'granuloma'. Nobody should be doing surgery to remove a 5 mm nodule except in the rarest of circumstances, too complicated to discuss in 400 characters. ...Read more
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
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
Lung nodules: Are densities or white areas, roundish usually that are seen in xr of the lungs which are not usually seen in normal, or regular chest x-rays. When we see them we do have to make decisions if pathologic to work them up to make sure they are not cancers or infections. When seen they don't always mean disease. ...Read more
Yes: But there are very few truly benign solid tumors that occur in the lung. The only type seen with any frequency are hamartomas. Lung nodules that are made of scar do not generally grow except when they form, granulomas are burnt out infections that also don't grow. Any solid lung nodule that is increasing in size needs to be proven not to be cancer with biopsy ...Read more
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
Not enough space to: There are numerous reasons for nodules. The most concerning would be cancer. Your age alone makes cancer less likely unless you are having many other symptoms (weight loss, night sweats, etc). If they are calcified nodules, the risk for cancer is very low. If they are not calcified, then you should see a lung specialist to see if you need biopsies or not. ...Read more
It depends: Not all lung nodules are alike. The odds that a nodule is cancer depends in the appearance and size of the nodule, the medical history of the patient, the smoking history of the patient, and how the nodule changes over time. Radiologists, pulmonary physicians and thoracic surgeons are best qualified to determine the risk that a particular nodule is cancer. ...Read more
Many possibilities: This is a "spot" in the lung where there's a concentration of solid tissue. The spot may represent a focus of past or present immune activity against a particular germ such as TB or histoplasmosis, or a growth of some type. Most turn out to be harmless, but listen carefully to your doctor (s) re the best and safest way to evaluate the nodule. ...Read more
Possibly: A 1.5 cm spiculated lung nodule should be further evaluated, especially if the patient is a current / former smoker. Pet scan study might help to determine the metabolic activity of the lesion (higher suv more likely to be a malignancy while lower suv more likely to be benign / reactive). Biopsy may also be indicated. Close radiologic and clinical follow up at very minimum. ...Read more
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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