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More Lung Nodules & They are Growing?!

So I have been on a watch since November 2022 due to lung nodules…really just one of several they worried about. Had a clean biopsy on the one in July 2023. However, I had to have a 6 month CT repeat. Received the report and many new nodules since June and some have grown since June. However, the radiology did not give an impression like others have such as do a repeat or they had characteristics of both benign and malignant so get with doctor. I’ve never heard of the terminology he used on this. Any ideas from you ladies on what this means? My doctor may not be able to see me until another week or so to go over results.

1/19/2024 RESULTS

Visualized neck: Within normal limits. Lungs: Scattered pulmonary nodules are present in both lungs with index nodules outlined below:

3 mm juxtapleural pulmonary nodule in the anterior right upper lobe (image 56), newly appreciated from the previous exam.

6 x 5 mm pulmonary nodule in the right upper lobe (image 77), new from the previous exam.

4 x 4 mm nodule in the right upper lobe (image 114), previously measured 3 mm

3 mm pulmonary nodule in the right middle lobe (image 147), previously measured 2 mm.

8 mm groundglass nodule in the right lower lobe (image 177), new from the previous exam.

5 x 4 mm juxtapleural pulmonary nodule in the medial right lower lobe (image 217), new from the previous exam.

3 mm pulmonary nodule in the left upper lobe (image 42), previously measure 1 mm.

6 mm pulmonary nodule in the left upper lobe (image 67), previously measured 4 mm.

3 mm adjacent pulmonary nodule (image 72), new from the previous exam.

15 x 8 mm pulmonary nodule in the anterior left lower lobe (image 175), previously measured 16 mm.

16 x 6 mm juxtapleural discoid interstitial opacity in the superior segment left lower lobe (image 128), new from the previous exam.

Airway: The trachea and central bronchial tree appear normal.

Pleura: There is no pleural effusion. There is no pneumothorax

IMPRESSION:

1. Scattered soft tissue pulmonary nodules in both lungs slightly increased in size and number from the previous exam.

2. Unchanged 11 mm soft tissue nodule in the anterior superior mediastinum.

Comments

  • maggie15
    maggie15 Member Posts: 766
    edited January 20

    Hi bookworm14, It’s good to hear that your biopsy was benign. @cookie54 might be able to evaluate this report better than I can. The radiologist probably did not interpret what he saw or make recommendations since he is leaving that to your pulmonologist who is the expert as far as lung disease goes.

    There seems to be some medical judgement that goes into CT interpretation. My nodules are growing very slowly; my pulmo thinks this is due to inflammation from RIPF. While he keeps ordering six month interval scans he is more focused on the increase in fibrosis and watching out for a lung cancer mass (more likely because of the radiation damage.) Your pulmonologist will be able to compare this CT to your prior scans, decide on its significance and recommend follow-up.

  • bookworm14
    bookworm14 Member Posts: 71

    Maggie15,

    I hope she can just call me to let me know rather than waiting for an appointment as those can take a bit to set up. I’m thinking she will probably have me scan again at 3 months to see if there are any changes and then make a decision. Thanks for posting!

  • bookworm14
    bookworm14 Member Posts: 71

    back on a 3 month CT follow up for now. Luckily, nothing screamed cancer, but we have a few spots we have to watch.

  • maggie15
    maggie15 Member Posts: 766

    Good news! Watching lung nodules certainly cultivates patience.

  • bookworm14
    bookworm14 Member Posts: 71

    Maggie15,

    It definitely does! Just going to hope for the best and enjoy the time between scans.