6 doctors weighed in:

Does finding a shadow on a chest X-ray always mean that the person has lung cancer?

6 doctors weighed in
Dr. Thomas Birdas
Surgery - Thoracic
2 doctors agree

In brief: Not always

But further workup with ct scan and possibly other tests is required.

In brief: Not always

But further workup with ct scan and possibly other tests is required.
Dr. Thomas Birdas
Dr. Thomas Birdas
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1 comment
Dr. Douglas Arenberg
The majority of nodules on CXR are not cancer, but proof should be sought that it is benign. How one gets this proof depends on the age, and tobacco history of the person with the nodule. Size and other features of the nodule also tell us how "concerned" to be in approaching how we evaluate the nodule.
Dr. Andrew Turrisi
Radiation Oncology
1 doctor agrees

In brief: Shadows mean

You have to find out the cause.
All we used to have were chest x-rays. Only recently has there been proof that screening older smokers are ct scans better at detecting than chest x-rays. That study looked at 32, 000 case; found 4000 shadows, but only 400 cancers for round figues, but reduced lung cancer death by 25%. So, some, even most, shadows are not cancer.

In brief: Shadows mean

You have to find out the cause.
All we used to have were chest x-rays. Only recently has there been proof that screening older smokers are ct scans better at detecting than chest x-rays. That study looked at 32, 000 case; found 4000 shadows, but only 400 cancers for round figues, but reduced lung cancer death by 25%. So, some, even most, shadows are not cancer.
Dr. Andrew Turrisi
Dr. Andrew Turrisi
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Dr. David Cooke
Surgery - Thoracic

In brief: No

A typical chest xray is not very specific.
An abnormal chest xray should be followed up with a chest ct scan. A ct scan is very good to evaluate and find chest abnormalities.

In brief: No

A typical chest xray is not very specific.
An abnormal chest xray should be followed up with a chest ct scan. A ct scan is very good to evaluate and find chest abnormalities.
Dr. David Cooke
Dr. David Cooke
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