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Does CT Scan For Examination Of Ground Glass Pertain To Me?
Question: Hi, I'm a 44 year old female, ex-smoker and have diagnosed Sjogren's Syndrome.
I presented to my doctor several months ago with night sweats (yes, change bedclothes type), low grade fever (avg. 100 f), and scant hemoptysis. I had a chest CT which revealed 6 pulmonary nodules (pretty evenly distributed) 4 were solid several mm. Two were sub-solid, 6mm. The radiologist and pulmonologist both said to be rescanned in 6 months according to Fleichner Society's recommendations. I have read since that FS published an addendum specifically to address sub-solid pulmonary nodules. (( http://www.healthimaging.com/topics/oncology-imaging/fleischner-society-takes-aim-incidental-subsolid-pulmonary-nodules ))
If I'm reading this correctly, sub-solid nodules greater than 5 mm should be rescanned in 3 months due to increased risk of cancer. , (I smoked a pack a day from 88-97 and then again from 2012-2013 before quitting a second time. No coughing. I have continued with the fever, sweats, fatigue, and malaise for about 4 months.
My question is the addendum mentions sub-solid and ground glass as being interchangeable. My ct scan didn't specifically say "ground glass" just "sub-solid". Does this addendum recommendation of ct scan f/u in 3 months pertain to me? Thank you.
I presented to my doctor several months ago with night sweats (yes, change bedclothes type), low grade fever (avg. 100 f), and scant hemoptysis. I had a chest CT which revealed 6 pulmonary nodules (pretty evenly distributed) 4 were solid several mm. Two were sub-solid, 6mm. The radiologist and pulmonologist both said to be rescanned in 6 months according to Fleichner Society's recommendations. I have read since that FS published an addendum specifically to address sub-solid pulmonary nodules. (( http://www.healthimaging.com/topics/oncology-imaging/fleischner-society-takes-aim-incidental-subsolid-pulmonary-nodules ))
If I'm reading this correctly, sub-solid nodules greater than 5 mm should be rescanned in 3 months due to increased risk of cancer. , (I smoked a pack a day from 88-97 and then again from 2012-2013 before quitting a second time. No coughing. I have continued with the fever, sweats, fatigue, and malaise for about 4 months.
My question is the addendum mentions sub-solid and ground glass as being interchangeable. My ct scan didn't specifically say "ground glass" just "sub-solid". Does this addendum recommendation of ct scan f/u in 3 months pertain to me? Thank you.
Brief Answer:
CT scan after 3 months
Detailed Answer:
Hi
Since you are having fever, sweats, fatigue, and malaise for about 4 months and your CT chest reveal 6 pulmonary nodules i will advise for sub solid nodules greater than 5 mm to be rescanned after 3 months and you should do a follow up CT scan after 3 months.
If the nodules goes on increasing in size then you need to undergo a Pet scan follwed by biopsy tset to rule out malignancy.
Regards
DR DE
CT scan after 3 months
Detailed Answer:
Hi
Since you are having fever, sweats, fatigue, and malaise for about 4 months and your CT chest reveal 6 pulmonary nodules i will advise for sub solid nodules greater than 5 mm to be rescanned after 3 months and you should do a follow up CT scan after 3 months.
If the nodules goes on increasing in size then you need to undergo a Pet scan follwed by biopsy tset to rule out malignancy.
Regards
DR DE
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi, I appreciate your answer, but my question was about the Fleschner Society's addendum of recommended follow up on subsolid lung nodules. I have an HMO and so I need to be able to go to my doctor with this rationale for screening before 6 months or he won't approve it and neither will my insurance. Can you please read the addendum linked to above and let me know if that pertains to sub-solid nodules that aren't specifically listed as "ground glass". Thanks
Brief Answer:
Follow up CT scan after 3 months followed by yearly for 3 years
Detailed Answer:
Hi
Subsolid nodules that are not specifically listed as ground glass and is larger than 5 mm requires follow up CT scan examination after 3 months followed by CT exam yearly for 3 years if the lesion is persistant and unchanged according to Fleschner Society's addendum of recommendation.
In your CT chest you are having 6 pulmonary nodules 4 solid several mm and 2 were sub solid measuring 6 mm.
Since one of the size of lesion is more than 5 mm with 6 mm in your case it will also pertain to sub solid nodules that are not listed as ground glass and you have to do a CT scan after 3 months.This will help you to eliminate unnecessary surgery.
If you have no more clarifications then please rate the answer and close the thread.
Regards
DR DE
Follow up CT scan after 3 months followed by yearly for 3 years
Detailed Answer:
Hi
Subsolid nodules that are not specifically listed as ground glass and is larger than 5 mm requires follow up CT scan examination after 3 months followed by CT exam yearly for 3 years if the lesion is persistant and unchanged according to Fleschner Society's addendum of recommendation.
In your CT chest you are having 6 pulmonary nodules 4 solid several mm and 2 were sub solid measuring 6 mm.
Since one of the size of lesion is more than 5 mm with 6 mm in your case it will also pertain to sub solid nodules that are not listed as ground glass and you have to do a CT scan after 3 months.This will help you to eliminate unnecessary surgery.
If you have no more clarifications then please rate the answer and close the thread.
Regards
DR DE
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you so much.
Brief Answer:
Disease detected at early stage
Detailed Answer:
Hi
I will advise you to do a follow up CT scan chest after 3 months so that your disease is detected in early stage and you can be cured fully.
Wishing you best of health.
If you have no more clarifications then please rate the answer and close the thread.
Regards
DR DE
Disease detected at early stage
Detailed Answer:
Hi
I will advise you to do a follow up CT scan chest after 3 months so that your disease is detected in early stage and you can be cured fully.
Wishing you best of health.
If you have no more clarifications then please rate the answer and close the thread.
Regards
DR DE
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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