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Are Lesions In The Lower Left Part Of The Lungs According To A CT Scan Dangerous In A Smoker?
Posted on
Tue, 4 Sep 2018
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 4 Sep 2018
Answered on
Mon, 25 Sep 2023
Last reviewed on
Question : Hello Doctor,
I want to ask about my dad.
He is 69 years Old. He was a Smoker (stopped from past 3-4 months).
1 month back in a CT Scan report we came to know he is having a 'Lesion' in his lungs.
Size - 2.8 x 1.9 x 1.2 cm
Location - Left, lower part of the lung.
We under went for a Biopsy of it. (Report attached)
The doctor said No need to worry about it.
I'm here for a second opinion. Is this Lesion dangers? Please advice.
Attached Reports - CT scan and Biopsy
I want to ask about my dad.
He is 69 years Old. He was a Smoker (stopped from past 3-4 months).
1 month back in a CT Scan report we came to know he is having a 'Lesion' in his lungs.
Size - 2.8 x 1.9 x 1.2 cm
Location - Left, lower part of the lung.
We under went for a Biopsy of it. (Report attached)
The doctor said No need to worry about it.
I'm here for a second opinion. Is this Lesion dangers? Please advice.
Attached Reports - CT scan and Biopsy
Brief Answer:
Get done repeat biopsy.
Detailed Answer:
Hi,
Negative biopsy report does not 100% rule out malignancy.
If biopsy material is not from core of lesion, this can gives false negative results. This is very common when lesion is less than 3 cm in size.
In my opinion, you have 2 options.
1. Get done repeat biopsy now. Also get done bronchoscopy and BAL (bronchoalveolar lavage) for cytology examination.
2. Wait and watch for six - eight months. Get done repeat CT thorax. Compare the size of nodule. If worsening then get done biopsy.
Please let me know
1. What are his symptoms?
2. Do you have any previous chest x ray?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your father. Thanks.
Regards
Get done repeat biopsy.
Detailed Answer:
Hi,
Negative biopsy report does not 100% rule out malignancy.
If biopsy material is not from core of lesion, this can gives false negative results. This is very common when lesion is less than 3 cm in size.
In my opinion, you have 2 options.
1. Get done repeat biopsy now. Also get done bronchoscopy and BAL (bronchoalveolar lavage) for cytology examination.
2. Wait and watch for six - eight months. Get done repeat CT thorax. Compare the size of nodule. If worsening then get done biopsy.
Please let me know
1. What are his symptoms?
2. Do you have any previous chest x ray?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your father. Thanks.
Regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
He does not have any symptoms like fever, cough etc ..
He had weight loss, doctor said it is because of uncontrolled sugar (450-500). Last month before treating to sugar he weight was 56kgs, now he is 59kgs.
Can you refer me to any doctor in Bangalore?
He had weight loss, doctor said it is because of uncontrolled sugar (450-500). Last month before treating to sugar he weight was 56kgs, now he is 59kgs.
Can you refer me to any doctor in Bangalore?
Brief Answer:
Better to consult pulmonologist if not consulted previously.
Detailed Answer:
Hi,
Since he is having uncontrolled diabetes, we should also need to rule out tuberculosis. Smoking history is in favor of malignancy while diabetic history is in favor of infective etiology more.
May I know:
1. Which doctor have you consulted?
2. Is he pulmonologist?
I will be happy to help you further. Wishing good health to your father. Thanks.
Regards
Better to consult pulmonologist if not consulted previously.
Detailed Answer:
Hi,
Since he is having uncontrolled diabetes, we should also need to rule out tuberculosis. Smoking history is in favor of malignancy while diabetic history is in favor of infective etiology more.
May I know:
1. Which doctor have you consulted?
2. Is he pulmonologist?
I will be happy to help you further. Wishing good health to your father. Thanks.
Regards
Above answer was peer-reviewed by :
Dr. Kampana
We consulted with a Dr. (Internal Medicine) at Hospital.
Brief Answer:
Better to consult a pulmonologist.
Detailed Answer:
Hi,
In my opinion, you should definitely consult a pulmonologist. You can get a reference of another pulmonologist from your doctor. Hasn't he talked about bronchoscopy?
Do you have any previous chest X-ray?
I will be happy to help you further. Wishing good health to your father. Thanks.
Regards
Better to consult a pulmonologist.
Detailed Answer:
Hi,
In my opinion, you should definitely consult a pulmonologist. You can get a reference of another pulmonologist from your doctor. Hasn't he talked about bronchoscopy?
Do you have any previous chest X-ray?
I will be happy to help you further. Wishing good health to your father. Thanks.
Regards
Above answer was peer-reviewed by :
Dr. Kampana
They had done ECHO. Report was Normal.
Bronchoscopy - He did not talk about it.
Also, my dad had Altered Bowel habits. So, OGD, Colonoscopy were done - reports were normal.
We went for follow up check up on 2-sep-2018, he did not talk about it. He just changed Diabetics tablets and asked to check for every 3 days.
Bronchoscopy - He did not talk about it.
Also, my dad had Altered Bowel habits. So, OGD, Colonoscopy were done - reports were normal.
We went for follow up check up on 2-sep-2018, he did not talk about it. He just changed Diabetics tablets and asked to check for every 3 days.
Brief Answer:
You, should definitely consult pulmonologist.
Detailed Answer:
Hi,
In my opinion, you should definitely consult pulmonologist first. If I am his treating pulmonologist then I would go for:
1. Repeat biopsy to rule out or confirm malignancy and tuberculosis.
2. If repeat biopsy is not conclusive then bronchoscopy and BAL should be done.
3. If this is also inconclusive then better to start anti tubercular drugs and get done repeat CT thorax after 6 months.
Is he having any family history of malignancy?
Is he have any work place exposure to TB patient?
I will be happy to help you further. Wishing good health to your father. Thanks.
Regards
You, should definitely consult pulmonologist.
Detailed Answer:
Hi,
In my opinion, you should definitely consult pulmonologist first. If I am his treating pulmonologist then I would go for:
1. Repeat biopsy to rule out or confirm malignancy and tuberculosis.
2. If repeat biopsy is not conclusive then bronchoscopy and BAL should be done.
3. If this is also inconclusive then better to start anti tubercular drugs and get done repeat CT thorax after 6 months.
Is he having any family history of malignancy?
Is he have any work place exposure to TB patient?
I will be happy to help you further. Wishing good health to your father. Thanks.
Regards
Above answer was peer-reviewed by :
Dr. Prasad
Is he having any family history of malignancy? - NO
Is he have any work place exposure to TB patient? - NO
What should I do now? Please advice.
Is he have any work place exposure to TB patient? - NO
What should I do now? Please advice.
Brief Answer:
First consult pulmonologist.
Detailed Answer:
Hi,
You should first consult pulmonologist. Bronchoscopy and BAL are next step. Repeat biopsy can also be think of first. Prophylactic anti tubercular drugs should be started if both (bronchoscopy and CT guided biopsy) are negative for malignancy. Review CT thorax after 6 months.
Can you send me picture of CT thorax film? This gives better idea.
I will be happy to help you further. Wishing good health to your father. Thanks.
Regards
First consult pulmonologist.
Detailed Answer:
Hi,
You should first consult pulmonologist. Bronchoscopy and BAL are next step. Repeat biopsy can also be think of first. Prophylactic anti tubercular drugs should be started if both (bronchoscopy and CT guided biopsy) are negative for malignancy. Review CT thorax after 6 months.
Can you send me picture of CT thorax film? This gives better idea.
I will be happy to help you further. Wishing good health to your father. Thanks.
Regards
Above answer was peer-reviewed by :
Dr. Prasad
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