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What Does My CT Scan Report Indicate?

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Posted on Wed, 10 Feb 2016
Question: I have a question about lung nodules. I had one chest CT in 2012 that picked up two lung nodules by accident. I went to pulmonologist and he said do a follow up so I did one a year later in 2013 and went to have an abdominal one a year after that and the nodules were visualized. You can see the radiologist report attached. Is it safe to say that 23 months of watching that there not need be anymore follow up with these?
doctor
Answered by Dr. Drkaushal85 (2 hours later)
Brief Answer:
No need to worry for malignant nodule.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern. I have gone through the report you have attached.
Your nodules are unchanged for over 24 months.
So these nodules are benign only.
No need to worry for malignant nodules.
So if you are nonsmoker and not having any symptoms then no follow ups are needed.
These are benign only.
But if you are smoker and having symptoms then you need to quit smoking and get done repeat CT after 1 year.
So please let me know
1. Do you smoke?
2. Do you have any symptoms?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (37 minutes later)
I am 38 years of age and never smoked ever before. No family members smoke. What symptoms do you speak of?


Is this proper protocol to watch newly discovered lung nodules?
doctor
Answered by Dr. Drkaushal85 (25 minutes later)
Brief Answer:
Yes, this protocol is perfect for newly discovered lung nodules.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Yes, this protocol is perfect for newly discovered lung nodules.
Symptoms include chronic dry cough, hemoptysis (blood in sputum), weight loss, decreased appetite, shortness of breath etc.
Please let me know if you have any of these symptoms.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (1 hour later)
No none of those symptoms.

So if you discovered someone with my age with a nodule or two one in each lung like me, would you follow up CT scans for 24 months? If no change then what would you tell your patient?
doctor
Answered by Dr. Drkaushal85 (14 minutes later)
Brief Answer:
No further follow up needed.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
No need to worry because you are asymptomatic and nonsmoker.
If I encounter such patient then I tell him/her that no fear of malignancy in your case because your nodules are unchanged over 2 years.
Please let me know
1. What was the need of CT scan at first (before 24 months)?
2. Were you symptomatic at that time?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (11 minutes later)
I had something wrong with espohagaues. Something was caught so they did a chest CT. Then they seen the 2 lung nodules incindentally. So I went to pulmonoligst. He said lets do a low dose CT scan of my chest a year later in 2013 and I did. No change. Incidentally I had to get a CT of my abdomen and pelvis because my internal med doc thought I had apendicitis. I went. Instead of having to do another low dose Chest CT they were able to visualize my lung nodules because the nodules were in the lower lobe.


This is what an old report said:
There is 7 mm subpleural calcified nodule in the lateral segment of the right lower lobe (image 48, series 3). There is 8 mm non calcified subpleural nodule in the lateral segment of the left lower lobe


There is slight difference in the measurement but my pulmonolgist said it could have been the CT machine or the person reading it. But the new Abdominal CT showed them and the radiologist read it and its around the same size.
(image 48, series 3)
doctor
Answered by Dr. Drkaushal85 (15 minutes later)
Brief Answer:
Do you have chronic chemical exposure?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
You are having calcified nodule.
And calcification is marker of benign disease.
It is commonly present in previous lung infection or chemical or other noxious particle inhalation.
So please let me know
1. Where do you work?
2. Do you have any past history of lung infection like pneumonia or pleural effusion or tuberculosis?3. Do you have chronic chemical exposure?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (6 minutes later)
Nope none of that
doctor
Answered by Dr. Drkaushal85 (5 minutes later)
Brief Answer:
No need to worry for this nodules.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
So in my opinion, you are not requiring further follow up with CT scan if you remain asymptomatic because your nodules are not malignant.
In future if you have chest symptoms then we need to look at a fresh CT scan at that time to compare the size of nodule.
But at present, relax about these nodules on CT. They are not malignant.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15006 Questions

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What Does My CT Scan Report Indicate?

Brief Answer: No need to worry for malignant nodule. Detailed Answer: Thanks for your question on Health Care Magic. I can understand your concern. I have gone through the report you have attached. Your nodules are unchanged for over 24 months. So these nodules are benign only. No need to worry for malignant nodules. So if you are nonsmoker and not having any symptoms then no follow ups are needed. These are benign only. But if you are smoker and having symptoms then you need to quit smoking and get done repeat CT after 1 year. So please let me know 1. Do you smoke? 2. Do you have any symptoms? Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.