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Cancer: Lung Message Board

CT Results Please Help

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Old 09-17-2008, 02:08 PM   #1
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Join Date: Dec 2003
Posts: 140
Kaye2003 HB User
CT Results Please Help

I had a CT Scan done on March 25, 2008 and the results were:

ďA few nodular densities, which are not definitely calcified, the largest measuring roughly 6 mm in the lateral aspect of the left lower lobe, partially calcified 4 mm nodular density lateral aspect of the right lower lobe and a non calcified 3 mm nodular density anterior aspect of the right middle lobe. Recommend correlation with chest x-ray findings if these are visible on chest x-ray. Recommend continued follow up with chest x-ray to document continued stability over a two year period. If not visible on the chest x-ray, consider follow-up chest CT in six month.Ē

"Consider follow-up chest CT in 6 months".

Sept 12, 2008 had the follow-up CT done and the results are:

No pneumothorax or effusion. 4mm left lower lobe nodule image 34, static. Bilateral upper lobe and apex emphysematous bleb formation. Multiple right midlung nodular opacities image 32 are also static, largest 5mm laterally. 2mm right middle lobe nodule image 37 is static. No hilar mass.

Continued follow-up at 6 month intervals recommended to confirm two year stability. The 5mm right midlung nodule described above is static but has slightly spiculated margins.

The first CT said:
6mm left lower lobe, (under impressions says: partially calcified)
4mm right lower lobe
3mm right middle lobe

Fridays CT said:
4mm left lower lobe
5mm right midlung, being the largest of multiple
2mm right middle lobe

I don't understand how the sizes are different and how I had a 4mm in the right middle lower lobe the first CT and now a 5mm right midlung on Fridays CT. If I am getting more nodule, shouldn't the ct have picked up all the old ones as well.

And can someone please explain what "spiculated margins" means.

The Rad told my doctor that he compared the two scans and for me not to worry and he would see me again in 6 months.

Please give me your opinions and advise. Naturally, I am concerned that this could indicate lung cancer in the future.

God Bless,

PS I stopped smoking after 30 years. Am 46 yrs old and have other health problems: fibro, costro and arthritis.

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Old 09-18-2008, 06:39 AM   #2
Join Date: Sep 2005
Location: Connecticut
Posts: 377
mabent HB Usermabent HB Usermabent HB Usermabent HB User
Re: CT Results Please Help

Hi Kaye,
'spiculated' means that the nodule has an irregular border instead of a smooth one.
If I were you, I would definitely consult another specialist, taking your CT scan results with you. I don't like the fact that the radiologist told the doctor "not to worry" and wait 6 months. No matter how many times they tell you 'not to worry', of course I would continue to worry! I would find a well-known oncologist - not one recommended by your doctor or the radiologist. This would put my mind at ease, knowing that I had several opinions. However, if you have complete confidence in these doctors, then I hope that you will try to put this out of your mind so that your health won't be harmed by the stress of worry! I do know how you feel because I went through this years ago with a skin cancer. Best of luck! mabent

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