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This question was answered on Wed 27, Feb 2008 09:43am by Dr Dennis S, MD

Nodule found on Lung


    
Asked by jskuehn (Male ) on Tue 26, Feb 2008 06:15pm

This morning, during a routine x-ray to determine if I had pneumonia or bronchitis, the technician noticed what he thought might be a nodule on one of my lungs. I will be going for a "cat-scan" later this week. The result of the x-ray determined that I have bronchitis although the deep coughing makes me wonder if it isn't pneumonia. What would be the recommended treatment for removing the nodule if it should be so?

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Answer by Dr Dennis S, MD  on Wed 27, Feb 2008 09:43am:

Hi. A solitary pulmonary nodule is a common abnormality seen on radiography. Most of the time, this is an incidental finding when a chest radiograph is performed. The radiographic characteristics of the pulmonary nodule may suggest an underlying pathology. An example of this is the presence of calcification on chest radiograph which is highly suggestive of a benign condition. Pneumonia will present as consolidation on chest x-ray, and may involve the entire lobe of the lung, or only part of it. This will appear as white density in the lung as seen on the x-ray film. Benign causes include infectious and noninfectious inflammatory lesions, as well as benign tumors. Malignant causes include primary lung neoplasm and metastases from distant primary tumors. Do you have a previous chest x-ray? It will be helpful if that can be compared to your recent chest x-ray. A nodule that shows stability for more than 2 years does not require further follow-up. However, if there is a growth or increase in the size of the nodule, further diagnostic procedures need to be performed. CT scan of the chest is sensitive in detection of calcifications, multiple nodules, or presence of mediastinal adenopathy (presence of lymph nodes in the lungs). Depending on the location of the nodule, either bronchoscopy with biopsy or transthoracic needle aspiration biopsy can be performed to determine the etiology. Surgery is usually done when there is a diagnosis of malignancy after an initial biopsy, or if the initial biopsy is non-diagnostic. It would be helpful if you can provide more detailed information about you and your condition. What is your age? What are your symptoms? How long have you been experiencing these symptoms? Are you a smoker? What is your occupation? Do you have a family history of cancer?

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