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What Does My CT Scan Report Indicate?
Question: I had a ct w contrast , it showed rt lower lobe 4.6mm nodule, I ferior to this 2.5mm, and a 3rd 2-3mm inferior rt lobe a medial rt lower lobe 3mm 2-3nodule lingual this was done in dec 2014, ct in 2006 showed nothing. another ct due in XXXXXXX should I be worried and see a pulm dr YYYY@YYYY
Brief Answer:
Consult pulmonary doctor for clinical assessment and treatment
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in details.
The following findings are present in your recent CT scan lungs.
1. Right lower lobe 4.6 mm nodule
2. Inferior to above 2.5 mm nodule
3. 2 to 3 mm nodule in ?inferior right lobe and medial right lower lobe
4. 2 to 3 nodules in lingula
Imaging guidelines are in place and follow up imaging is recommended.
The Fleischner society (group formed to do research on imaging of lung nodules) recommends the following for nodules of size 4 to 6 mm on CT scan lucgs,
(i) In a person with low risk (Minimal or absent history of smoking and of other known risk factors): Follow-up CT at 12 mo; if unchanged, no further follow-up
(ii) In a person with high risk (History of smoking or of other known risk factors): Initial follow-up CT at 6–12 mo then at 18–24 mo if no change
It is important to know why you got the CT scan done and what are your symptoms. Since the nodules were not present in your last scan in 2006, it is best to follow up after 6 months and that is what your doctors have proposed.
The nodules are very small and require followup imaging to confirm they are benign. These can also be due to an infection and require complete clinical assessment by a pulmonary doctor and treatment after making a diagnosis.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Consult pulmonary doctor for clinical assessment and treatment
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in details.
The following findings are present in your recent CT scan lungs.
1. Right lower lobe 4.6 mm nodule
2. Inferior to above 2.5 mm nodule
3. 2 to 3 mm nodule in ?inferior right lobe and medial right lower lobe
4. 2 to 3 nodules in lingula
Imaging guidelines are in place and follow up imaging is recommended.
The Fleischner society (group formed to do research on imaging of lung nodules) recommends the following for nodules of size 4 to 6 mm on CT scan lucgs,
(i) In a person with low risk (Minimal or absent history of smoking and of other known risk factors): Follow-up CT at 12 mo; if unchanged, no further follow-up
(ii) In a person with high risk (History of smoking or of other known risk factors): Initial follow-up CT at 6–12 mo then at 18–24 mo if no change
It is important to know why you got the CT scan done and what are your symptoms. Since the nodules were not present in your last scan in 2006, it is best to follow up after 6 months and that is what your doctors have proposed.
The nodules are very small and require followup imaging to confirm they are benign. These can also be due to an infection and require complete clinical assessment by a pulmonary doctor and treatment after making a diagnosis.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Not a serious concern at the moment, CT scan lungs after 6 months essential
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
Any supraclavicular (above collar bone) lump is a health concern unless it is confirmed to be benign. Since it is confirmed to be a lipoma in your case, it is no longer a concern.
In the absence of any symptoms, the next step is doing another CT scan after 6 months to know if the nodules are increasing in size. You can have a discussion with a pulmonary doctor on that, but in the absence of any symptoms, a wait and watch approach is followed in patients having CT scan lungs findings like the ones you have.
TSH levels need close dose adjustment so that there is no over treatment and to balance the levels of thyroids hormones.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Not a serious concern at the moment, CT scan lungs after 6 months essential
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
Any supraclavicular (above collar bone) lump is a health concern unless it is confirmed to be benign. Since it is confirmed to be a lipoma in your case, it is no longer a concern.
In the absence of any symptoms, the next step is doing another CT scan after 6 months to know if the nodules are increasing in size. You can have a discussion with a pulmonary doctor on that, but in the absence of any symptoms, a wait and watch approach is followed in patients having CT scan lungs findings like the ones you have.
TSH levels need close dose adjustment so that there is no over treatment and to balance the levels of thyroids hormones.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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