Large right pulmonary mass: What do these results mean?

Can I have ask an idea about the results of the CT scan of may daughter? please help me to understand this result.
IMPRESSION:
1. Large right pulmonary mass
2. Left suprahilar mass with mediastinal and pulmonary involvement, encasement of the left pulmonary artery and left mainstem bronchus, and surrounding subcentimeter satellite pulmonary nodules
3. Pleural-based nodules
4. Above finding may be taken apart or together be suggestive of a neoplastic process. Infectious/inflammatory etiology is less likely. Tissue correlation is suggested for further evaluation.
5. Mediastinal and supraclavicular lymphadenopathy, worrisome for metastasis if above is proven malignant.

@eepslaner, as patient advocates, all we can do is share our experiences. You need to talk with your daughter's doctor for the answers to these medical questions. Please do not believe Drs: Google, TikTok, Instagram, or any other social media site, as studies have shown they have extremely low fact content.

I can tell you that lung nodes and nodules are not uncommon and not all cancerous. Lung nodules are fairly common and can be caused by almost any accident that involves a blow to the chest. My younger brother had a CT scan every year for 8 years as his doctors were monitoring lung nodes. As he put it, "The doctors finally got tired of looking at pictures of my chest." The pleura is the area outside of the lung.

Have her doctors scheduled a follow-up PET scan? That test will have a better chance of showing whether what they see is due to inflammation, infection, or metastasis. If they have not scheduled a PET scan, I would take that to mean they are not overly concerned. But, again, I'd call and ask. If you're very concerned, then get a second opinion. I've gotten a second opinion following each of my diagnoses.

Most importantly, stay calm. I know it can be a challenge, but trust me, as a 6-year lung cancer survivor, 4 of them at stage 4, I don't even think about it until my doctors tell me they know I have a recurrence. Life is too short to worry about what might be.

You can look up the definitions of various words ...that is a start to understand what is going on with one's health.
I went through this. I always tell people to check the background of their doctor to be sure one has the opinion of a qualified speicalist. Be aware that specialists have subspecialties. If you are afraid of lung cancer be sure to have the opinion of a pulmonolgist who specilializes in that area and not in asthma.

Hi @epplansar , welcome to Mayo Connect. None of us here are medical professionals, but most of us in the lung cancer group have had many CT scans. You and your family are likely scared after reading the report. It tells us that there are areas of concern, and the only way to determine what is causing this is to do some additional investigation (the radiologist recommends 'tissue correlation'). If her doctor agrees, this will mean that she will have a biopsy.
When is her appointment with the doctor? They will be able to outline the next steps and better interpret the report.
Was your daughter experiencing any symptoms? Cough?
How is she handling the results of the report?

We are careful and cautious because we are patients. I suspect they will order a needle biopsy soon. If this turns out to be a malignancy, they will order a PET scan to see if it has spread anywhere else and an MRI of the brain to look for mets there.

To learn more about the process of getting a diagnosis, the information on the educational pages here is excellent and there are several Lung Cancer Foundations that will supply you with great info:

Go2 Lung Cancer Foundation go2.org

Lungevity Foundation Lungevity.org

Lungcancerresearchfoundation.org

LiveLung Foundation LiveLung.org

Lung Cancer Foundation of America lcfamerica.org