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What Do My Lab Test Reports Indicate?
Question: I am 46 female.
5"2 115 lbs
Prior smoker 1 pack /day for 14 years
Quit 18 years ago.
Otherwise healthy
No prior surgery
March 2016 Ct scan chest for unrelated purposes revieled a 4 mm noncalcified nodule in the left upper lobe.
Rec follow up was instructed at 12 months.
I have had bone pain in my left lower leg ( tibia) which started sept 2016 so I requested another ct scan at ten months because I feared the nodule metastised.
Repeat chest CT scan
1/3/17 ( 10 months from previous)
Nodule " remained stable"
There is a .09 cm pretracheal node slightly increased from last.
1)What is the chances that this 4 mm nodule is a cancer if it remained stable?
2) if it were a cancer, could a small 4 mm nodule metastises?
3) if yes, would it metasisize to the tibia?
4) should I continue to monitor the nodule with repeat ct scan or stop now , since it is stable. and if so, when and for how long?
Now to the leg ..
Sept 2016
Pain started as dull in tibia and sometimes sharp toward knee.
Shinbone feels bruised at times.
9/23/16 leg X-ray - normal
11:23/16 leg MRI without contrast showed proximal tibia stress changes without fracture and without a vascular necrosis
11/27/16 Ct scan of leg from knee to ankle was normal
1/3/17 another X-ray normal
I do not run or jog. I walk once in awhile but nothing strenuous.
1) what could the stress changes indicate?
2) Are stress changes in MRI the same as bone edema and pereosteal edema?
3) what role does that have to do with cancer?
4) would the abovectrsts absolutely rule out cancer/ metastasis ?
I guess I am concerned that this lung nodule , at 4mm spread to the bone.
Thank you
5"2 115 lbs
Prior smoker 1 pack /day for 14 years
Quit 18 years ago.
Otherwise healthy
No prior surgery
March 2016 Ct scan chest for unrelated purposes revieled a 4 mm noncalcified nodule in the left upper lobe.
Rec follow up was instructed at 12 months.
I have had bone pain in my left lower leg ( tibia) which started sept 2016 so I requested another ct scan at ten months because I feared the nodule metastised.
Repeat chest CT scan
1/3/17 ( 10 months from previous)
Nodule " remained stable"
There is a .09 cm pretracheal node slightly increased from last.
1)What is the chances that this 4 mm nodule is a cancer if it remained stable?
2) if it were a cancer, could a small 4 mm nodule metastises?
3) if yes, would it metasisize to the tibia?
4) should I continue to monitor the nodule with repeat ct scan or stop now , since it is stable. and if so, when and for how long?
Now to the leg ..
Sept 2016
Pain started as dull in tibia and sometimes sharp toward knee.
Shinbone feels bruised at times.
9/23/16 leg X-ray - normal
11:23/16 leg MRI without contrast showed proximal tibia stress changes without fracture and without a vascular necrosis
11/27/16 Ct scan of leg from knee to ankle was normal
1/3/17 another X-ray normal
I do not run or jog. I walk once in awhile but nothing strenuous.
1) what could the stress changes indicate?
2) Are stress changes in MRI the same as bone edema and pereosteal edema?
3) what role does that have to do with cancer?
4) would the abovectrsts absolutely rule out cancer/ metastasis ?
I guess I am concerned that this lung nodule , at 4mm spread to the bone.
Thank you
Brief Answer:
Cancer ruled out
Detailed Answer:
Hi
Thanks for your query.
I understand your concerns. However, in both sites, cancer has been ruled out.
The lung nodule is tiny, no change over time and hence not at all likely to be cancer. Thus there is no chance of it metastasizing to tibia. Another follow up after a year and then stopping further follow up seems reasonable.
As for the tibial lesion, it is just edema in bone, probably due to stress. This stress could come from daily activities, not necessarily running or sports, especially if bone density is suboptimal. There is no evidence of cancer in X-ray, MRI or CT.
Overall, there is nothing much to worry. Follow up with orthopedician is desirable.
Hope this helps.
Regards
Cancer ruled out
Detailed Answer:
Hi
Thanks for your query.
I understand your concerns. However, in both sites, cancer has been ruled out.
The lung nodule is tiny, no change over time and hence not at all likely to be cancer. Thus there is no chance of it metastasizing to tibia. Another follow up after a year and then stopping further follow up seems reasonable.
As for the tibial lesion, it is just edema in bone, probably due to stress. This stress could come from daily activities, not necessarily running or sports, especially if bone density is suboptimal. There is no evidence of cancer in X-ray, MRI or CT.
Overall, there is nothing much to worry. Follow up with orthopedician is desirable.
Hope this helps.
Regards
Above answer was peer-reviewed by :
Dr. Raju A.T
Thabk you
Bone debsity is good.
1) so a 4mm nodule on lung cannot metastisis?
Bone debsity is good.
1) so a 4mm nodule on lung cannot metastisis?
Brief Answer:
Then it's fine
Detailed Answer:
No a 4 mm nodule can't metastasize and the MRI of tibia is not suggestive of metastasis.
Then it's fine
Detailed Answer:
No a 4 mm nodule can't metastasize and the MRI of tibia is not suggestive of metastasis.
Above answer was peer-reviewed by :
Dr. Raju A.T
Thank you!
Just one more question please
Does this apply to non a calcified nodule the upper lobe?
Thank you
Just one more question please
Does this apply to non a calcified nodule the upper lobe?
Thank you
Brief Answer:
Yes
Detailed Answer:
This is for that nodule only
Yes
Detailed Answer:
This is for that nodule only
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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