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Doctor insights on: What Is A Pleural Based Nodule

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What is a 15 mm pleural-based nodule?

A nodule on pleura: This is what is says. A 15 mm nodule or mass seen to be on or closely associate withe the pleura or lining of the lung or chest wall. Ie it is not with in the lung itself. ...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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14mmx8mmx13 mm smooth bordered pleural based nodule anterior left upper lobe demonstrates intermediate grade activity. SUV max 1.3g/ml. Treatment?

Time: The nodule should be watched carefully. If you are a smoker then may need much closer workup. If you have cancer you then may need a closer workup. If this has been there then tincture of time may be the answer. Get an opinion from a lung doctor as to the best way to work this up from here.
Best wishes ...Read more

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Right pulmonary pleural based nodules suspicious for metastasesnsive hepatic metastases means?

Right pulmonary pleural based nodules suspicious for metastasesnsive hepatic metastases means?

See details: Please ask this question to the doctor who ordered the tests. That doctor is the only one who can put this result in context for you. The reading, unfortunately, suggests the underlying cause is a malignancy. However, there are other possible causes. That is why your own doctor will be the best one to provide an answer. ...Read more

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Explain a finding of 3 mm pleural=based nodule right middle lobe from a CT scan?

It is a: Small incidental lung nodule. It's significance depends on your clinical history and risk factors for lung cancer. If you are a low risk patient it may require no follow up. See http://radiopaedia.org/articles/fleischner-society-pulmonary-nodule-recommendations ...Read more

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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 followed ...Read more

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Minimal atelectatic medically rt middle lobe and lingular area on lt with multiple small nodules with subpleural density and pleural-based no pleural effusion or pneumothorax what does this mean?

Bronchoscopy: First you will need a diagnosis of what these nodules are. The atelectases in both lungs should be evaluated by looking at the airways to make sure there is no nodule in the airways causing collapse and in addition the bronchoscopy may just give all the diagnosis.
Good luck. ...Read more

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Please explain what these CT findings mean and thank you so much ahead of time. Pleural based nodule in right upper chest size-2x6mm. A slightly asymmetric biapical plueroparenchymal scarring. Also, small calcific densities measuring 3.5 mm in the right l

Please explain what these CT findings mean and thank you so much ahead of time. Pleural based nodule in right upper chest size-2x6mm. A slightly asymmetric biapical plueroparenchymal scarring.  Also, small calcific densities measuring 3.5 mm in the right l

Most likely OK: Small pleural based nodule is most likely a granuloma (left over from prior infection) but could conceivably be a small cancer. You will most likely be followed with ct, especially if you are a smoker. If there is no growth it is probably just a small granuloma and no biopsy is necessary. Biapical pleural parenchymal scarring is very common, but may also be followed. Calcific densities r likely ok. ...Read more

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

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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In ur opinion, when should someone be worried about a pleural-based nodular? I have one that is 1cm and not happy with it, its claimed to be nothing

In ur opinion, when should someone be worried about a pleural-based nodular?  I have one that is 1cm and not happy with it, its claimed to be nothing

?Lung nodule: Lung nodules are very common, and can be very stress causing, as certainly you want to be sure it is not a cancerous lesion. In 2005, the Fleishner Society published recomendations for the mangament of certain nodules under a certain size. The attached link has the criteria that should be followed to monitor the area. Best wishes.
http://www.med.umich.edu/rad/res/Fleischner-nodule.htm ...Read more

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My sister had an 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

My sister had an 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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6 x 8 mm stable spiculated apical plueral based nodular scarring & pulmonary nodules 4 x 6 mm. Follow up CT scan in 6 mos. Ok? Quit smoking 20 yrs ago

6 x 8 mm stable spiculated apical plueral based nodular scarring & pulmonary nodules 4 x 6 mm. Follow up CT scan in 6 mos. Ok? Quit smoking 20 yrs ago

Lung nodules: Based on the size and the risk factors, I think a follow up approach with serial ct chest for a total period of 2 years would be recommended and is evidence-based. The second ct chest would be in 3-6 months. ...Read more

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What can b survival Duration for mcrc patient with a liver met, node and sub pleural nodule?primAry removed

What can b survival
Duration for mcrc patient with a liver met, node and sub pleural nodule?primAry removed

2nd opinion: Marilyn, your situation is too complex to answer in 400 characters or fewer. I would recommend a second opinion from an oncologist in England at a referral center. Also, if you'd like, you can get a consult from an oncologist on HealthTap Concierge. You can go to this link to find an oncologist here in the US who can do an online consult for you. Good luck. https://www.healthtap.com/experts ...Read more

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Multiple parenchymal nodules less than 4mm & multiple pleural nodules less than 5mm with a dominant nodule 6.4mm all solid in lower lobes next action?

Mgt: The cause of the nodules can be further assessed by a biopsy, screening of washings for infections and malignancy. Are you a smoker? Do you have a family history of lung cancer? At your age without risk factors, lung cancer is not likely. I would suggest an appointment with your pulmonary specialist. ...Read more

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At present 1 liver met — small, 1 node small and under 1cm sub pleural nodule ... All blood work normal. Approx what can be survival duration?

At present 1 liver met — small, 1 node small and under 1cm sub pleural nodule ... All blood work normal. Approx what can be survival duration?

Can't tell: Where's the primary? Depending on what else is going on, death can occur in a few days (if there's a large lung cancer and it blocks an airway, causing pneumonia) to not-for-many-years if this is one of those lung cancers that response to today's chemotherapy, or there's a new molecular-biology breakthrough. Enjoy each day. Best wishes. ...Read more

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What is the difference between lung nodule on pleural surface vs subpleural?

What is the difference between lung nodule on pleural surface vs subpleural?

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

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What can approx survival length me for mcrc pt with 1 liver met, 1 lymph node met and 1 sub pleural nodule? All under 2 cm. but chemo not responding

What can approx survival length me for mcrc pt with 1 liver met, 1 lymph node met and 1 sub pleural nodule? All under 2 cm. but chemo not responding

1 day - 5+ years: There's no predicting, Marilyn. This person may die tomorrow of a pulmonary thromboembolus related to the presence of cancer, or may prove a candidate for a new medication in the pipeline that brings about a long remission. Take each day as it comes. ...Read more

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Is nano knife a good option to remove mets from Colon cancer? Mets are- 1 in liver, 1 node,1 sub pleural nodule. All small and chemo Not Worked.

Is nano knife a good option to remove mets from Colon cancer? Mets are- 1 in liver, 1 node,1 sub pleural nodule. All small and chemo
Not
Worked.

Only certain lesions: Mets from colon cancer when smaller than 5 cm and exta hepatic in orign are good targets for nano knofe therapy. In the liver when there is no response to chemo one has many options including chemoembolization, isotope infusion or infusion with rasiolabelled microspheres. When chemo fails one can also add the newer immunotherapeutic agents. ...Read more

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I am a pt with stage 3 COPD emphysema. Extensive Bullous on lungs. Question a 9mm sub pleural nodule present in upper lobe something to worry about?

I am a pt with stage 3 COPD emphysema. Extensive Bullous on lungs. Question a 9mm sub pleural nodule present in upper lobe something to worry about?

Obsrervation: Continue current treatment.& pulmonologist's rec.

Avoid cough- use liberal amount of cough meds whichever works for you.

Supplements- visit drhoffman.com may help you. ...Read more

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Colon cancer pt with 1 met in liver, 1 node, 1 sub pleural nodule. Chemo resistence. Tried Xeloda (capecitabine) and irinotecan both. Can anyting be done?

Colon cancer pt with 1 met in liver, 1 node, 1 sub pleural nodule. Chemo resistence. Tried Xeloda (capecitabine) and irinotecan both. Can anyting be done?

Try HT Concierge: Marilyn, given your situation, you need more advice that can be given in short answers like this. I would recommend a second opinion in England, In whatever regional center is best. In addition, consider health top concierge. Several excellent oncologists are available by searching. Hang in there! ...Read more

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CT scan showed 0.7cm sub pleural noncalcified nodule along left hemidiaphragm. Should I monitor with normal CTs in 2-3 months or PET scan now?

CT scan showed 0.7cm sub pleural noncalcified nodule along left hemidiaphragm. Should I monitor with normal CTs in 2-3 months or PET scan now?

PET/CT: I favor a PET/CT in view of its sensitivity. The nodule is large enough for modern scanners to detect any increase in activity. Also, the entire body can be checked for any abnormal activity. Best wishes ...Read more

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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?

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?

Follow up of nodule: The linear atelectasis is nothing to worry about. The pleural based nodule sounds like a potentially benign nodule. Surveillance of a nodule of this size, however, is frequently recommended, particularly if you have a smoking history. Please sure to talk to your doctor for the appropriate steps. ...Read more

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CT scan Several pleural tags in bilateral upper lobes & 7mm groundglass nodule lower. What are Pleural tags? Common? Can tags be Cancer? From Radon?

Ask your PCP: The CT scan was done for a reason, and ordered by a practitioner. I hope you are following up with them. As you will find on most search engines, pleural tags are often associated with cancer, and ground glass nodules may be. Regarding radon, and your other very appropriate questions, best to query your own doctors. ...Read more

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An ER visit and CT noted a 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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Have lung nodules that are growing &massive chest pain(heart is fine) could this be a pleural effusion? Should i be worried? Worse when I breathe deeply

Have lung nodules that are growing &massive chest pain(heart is fine) could this be a pleural effusion? Should i be worried? Worse when I breathe deeply

Yes, go to the DR.: Yes, that does not sound good, you need to be seen right away. You could have a pleural effusion, but that does not explain the nodules. I assume you had a chest x-ray? Someone sent you in for that, right?.... Better go back and get fully evaluated. ...Read more

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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.?

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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My mom age 60yrs had severe cough with expectorant since 6yrs, CT lungs shows small calification nodule in sub pleural region in rt basal lung?

My mom age 60yrs had severe cough with expectorant since 6yrs, CT lungs shows small calification nodule in sub pleural region in rt basal lung?

Calcified: The cough and the nodule may not be related. A calcified nodule is frequently benign. If it is the only abnormality on scan, commonly recommended is another scan 3-6 months later to be certain it's not growing. If no growth in 3-6 months, another scan at 1 year might be suggested. ...Read more

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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.?

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