lung nodule

Posted by linpvc @linpvc, Apr 24, 2024

since October, lung nodule in right mid lobe base has grown from 15 mm x 5 mm x 8 mm. to now ( April 20, 2024) 17mm x 9mm x 14mm. plus its margins are now described as questionable spiculated. it is non calcified. it is new finding was not there a gear ago.
no indication of soread, lymph nodesc are fine. when this new nodule was first discivered , i was given options of wait and see if changes, remove nodule or biopsy, i chose wait and with scabs, bkth CT aND pet now with mist fecent and fifth scan suggestion is another Oet ( would be sixth scan both Pet and CT)
ive asked doctor for biopsy. any thoughts if that is best decision? im tired if not knowing and want it out to be safe.

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thank you so much. I'll mention this to my doctor when i see him next week.

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@dtorelli

An Ion lung biopsy is a minimally invasive procedure that uses a robotic catheter to collect tissue samples from the lungs. The Ion system is designed to help diagnose lung cancer early by sampling small nodules.
How it works
A thin, flexible catheter with a camera is inserted into the patient's mouth.
The catheter navigates the patient's airways to reach the nodule.
The catheter's shape-sensing technology provides real-time guidance.
Multiple biopsies can be taken from the nodule.
Benefits
The Ion system can reach small nodules in all 18 segments of the lung.
It can biopsy nodules as small as 6 millimeters in size.
It can create a 3D roadmap of the lungs to guide the biopsy.
Applications
The Ion system can help doctors diagnose lung cancer at an early stage. It can also help reduce uncertainty and increase patient survival rates.
Procedure
The Ion procedure is performed under general anesthesia and is usually an outpatient procedure that takes less than 90 minutes.
You have to do a Full Chest CT with arms straight up and arms straight down for you surgeon to use them to guide them. It’s known to also to be able to reach hard to reach areas safely.

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thank you. i see dr next seek and will discuss possibility of a second opinion to discuss a biopsy.

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Good afternoon for all!
My wife Chest CT Scan shows something glass opaque. Her doctor told us it seems inflammation/infection. But there are a couple of 3mm and one 4mm nodules. I am highly concerned. Somebody could, please, tell me your experience about similar test results?
I really appreciate your kind attention.
God bless you all.

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the scan has shown the nodule has gotten smaller. there is no need for a biopsy. it needs to be scanned for next two years. also, I was told most nodules are non calcified. If calcified its not malignant but may be benign if non cakcified. so other features make a nodule suspicious, one biggee is growth.

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@klauswolffe

Good afternoon for all!
My wife Chest CT Scan shows something glass opaque. Her doctor told us it seems inflammation/infection. But there are a couple of 3mm and one 4mm nodules. I am highly concerned. Somebody could, please, tell me your experience about similar test results?
I really appreciate your kind attention.
God bless you all.

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The term usually used is "ground glass opacity" and means lack of clarity due to cloudiness in the area. It is often an indication of infection - mucus accumulation or "debris" making the image fuzzy, sort of like frosted glass.
Nodules are often small areas of pus or infectious matter, and will disappear with the opacity once the infection clears.
If bacterial, antibiotics can be used to clear it. If a virus, time can heal it.
If your wife having symptoms of pneumonia or bronchitis, like cough, fever, shortness of breath and fatigue?

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@klauswolffe

Good afternoon for all!
My wife Chest CT Scan shows something glass opaque. Her doctor told us it seems inflammation/infection. But there are a couple of 3mm and one 4mm nodules. I am highly concerned. Somebody could, please, tell me your experience about similar test results?
I really appreciate your kind attention.
God bless you all.

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You do not say if your wife has a pulmonologist or an infectious disease doctor . My recommendation would be to see an infectious disease doctor and go from there. Good luck. Irene5

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Hi, Irene.
I really appreciate your kind attention.
We will talk with her doctor about your advice.
Again, thanks so much.
God bless you.

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@sueinmn

The term usually used is "ground glass opacity" and means lack of clarity due to cloudiness in the area. It is often an indication of infection - mucus accumulation or "debris" making the image fuzzy, sort of like frosted glass.
Nodules are often small areas of pus or infectious matter, and will disappear with the opacity once the infection clears.
If bacterial, antibiotics can be used to clear it. If a virus, time can heal it.
If your wife having symptoms of pneumonia or bronchitis, like cough, fever, shortness of breath and fatigue?

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Hi, Sue.
Good morning!
I really appreciate your kindness.
Your words make sense. Five years ago, she got a severe bronchitis due to a dusty environment from a wall sanded with abrasive paper and a strong smell of new painting. She was treated and coughing was gone. But after she got Covid19, this coughing comes back. Now, she has a cough, though not all the time but she is coughing, has shortness of breath and fatigue. No fever.
Again, Thank you so much for your attention.

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@linpvc

the scan has shown the nodule has gotten smaller. there is no need for a biopsy. it needs to be scanned for next two years. also, I was told most nodules are non calcified. If calcified its not malignant but may be benign if non cakcified. so other features make a nodule suspicious, one biggee is growth.

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Thank you so much for taking your time to reply.

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@linpvc

the scan has shown the nodule has gotten smaller. there is no need for a biopsy. it needs to be scanned for next two years. also, I was told most nodules are non calcified. If calcified its not malignant but may be benign if non cakcified. so other features make a nodule suspicious, one biggee is growth.

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Hi linpvc, so this sounds like great news that your nodule has gotten smaller! Can you remind me how long you've had it that you know of and what size it was when you discovered it and what size it is now? Was it ground glass or solid? I think I remember you mentioned speculated? I am looking for someone to say they had theirs for awhile even after being stable for awhile there is still a chance they get smaller or better yet can still go away! I found out about mine Sept 2024, scanned again in Jan 2025 no change, waiting for next scan Sept 2025. Doing okay just trying to manage any anxiety as it pops up... Would love to hear that someone else monitored as stable and then ultimately theirs regressed or resolved, would give me hope! I'm sure there are loads of cases like that but unfortunately not many would be posting on these types of forums were that the case. Anyway great news that you are stable or regression! Hoping it continues to be the case and you can get to a point where you don't even have to worry about it again! In good heath!

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