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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Determine Neoplasm In A Chest X-ray Showing Adhesions?

I just had a CXR in which the radiologist identified 2 possible adhesions, but also stated that they are rounded on the frontal view and therefore cannnot rule out neoplasm. They want a comparison CXR but I don't have one. Any advice? How do you differentiate the 2??
Mon, 25 Apr 2016
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Honestly speaking, one can not diagnose neoplasm (cancer) or adhesion only on the basis of chest x ray.
Chest x ray is giving only Two dimentional (2D) picture of any lesion. It is only screening test for lung lesion.
For confirmation, you need CT scan.
CT will give you three dimentional (3D) picture.
CT will also tell you about exact size, shape and margins of lesion, association with surrounding lung, necrotic center or not, mediastinal lymphnode enlarged or not etc.
All these things are important in deferentiating between neoplasm (cancer) and adhesion (benign lesion).
So better to consult pulmonologist and get done CT scan and discuss all these.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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How To Determine Neoplasm In A Chest X-ray Showing Adhesions?

Thanks for your question on Healthcare Magic. I can understand your concern. Honestly speaking, one can not diagnose neoplasm (cancer) or adhesion only on the basis of chest x ray. Chest x ray is giving only Two dimentional (2D) picture of any lesion. It is only screening test for lung lesion. For confirmation, you need CT scan. CT will give you three dimentional (3D) picture. CT will also tell you about exact size, shape and margins of lesion, association with surrounding lung, necrotic center or not, mediastinal lymphnode enlarged or not etc. All these things are important in deferentiating between neoplasm (cancer) and adhesion (benign lesion). So better to consult pulmonologist and get done CT scan and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.