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What Does My CT Scan Report Indicate?

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Posted on Wed, 21 Jun 2017
Question: On 6/2/17 , I had a CT chest w/contrast. Impression: There is an approximately 2.8 cm in diameter speculated mass present In the right upper lobe worrisome for primary bronchogenic carcinoma. Further evaluation with PET scan is recommended. Biopsymay be necessary for complete evaluation .Thereis a a 4 mm no calcified nodule present in the left lower lobe , too small for characterization with PET scan. Follow-up with CT may be helpful .The examination is otherwise unremarkable.
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Answered by Dr. Indranil Ghosh (37 minutes later)
Brief Answer:
Biopsy will be necessary to diagnose cancer

Detailed Answer:
Hi
Thanks for your query.

Just going by this report (without looking at the films), it is hughy suspicious for lung cancer. Because of the size and spiculated borders.

So we need two things, one is the biopsy to arrive at the diagnosis. However suspicious we may become on CT, the confirmation is only on Biopsy. Sometimes, benign tumor can also have this kind of appearance on CT. We also need the PET scan to see the stage, if at all it turns out to be a cancer. Sometimes, if CT scan is doubtful, we do the PET before biopsy, to see if biopsy is required, or not.

Hope this helps. I will be available for further follow up.
Regards
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Indranil Ghosh (11 hours later)
What does Hugley suspicious for lung cancer mean and Also what is a PET scan?
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Answered by Dr. Indranil Ghosh (43 minutes later)
Brief Answer:
Means the probability of cancer is more than 50%

Detailed Answer:
I am sorry the typo, it should be 'highly' suspicious. So we should not delay further investigations.

PET scan or positron emission tomography is done by injecting a XXXXXXX called flurodeoxyglucose, which concentrates in tumors, especially in cancer. So helps to differentiate between benign or malignant (cancer) tumor.
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Remy Koshy
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Answered by
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Dr. Indranil Ghosh

Oncologist

Practicing since :2004

Answered : 1712 Questions

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What Does My CT Scan Report Indicate?

Brief Answer: Biopsy will be necessary to diagnose cancer Detailed Answer: Hi Thanks for your query. Just going by this report (without looking at the films), it is hughy suspicious for lung cancer. Because of the size and spiculated borders. So we need two things, one is the biopsy to arrive at the diagnosis. However suspicious we may become on CT, the confirmation is only on Biopsy. Sometimes, benign tumor can also have this kind of appearance on CT. We also need the PET scan to see the stage, if at all it turns out to be a cancer. Sometimes, if CT scan is doubtful, we do the PET before biopsy, to see if biopsy is required, or not. Hope this helps. I will be available for further follow up. Regards