Multiple Ground Glass Lung Nodules

Posted by hercules @hercules, Sep 24, 2024

Hello all, I just had my first LDCT lung scan, age 52, former smoker. Quit 15 years ago age 37. The findings were shocking to me.
Nodule 1 - upper left lobe 7mm round, ground glass density, indistinct margin
Nodule 2 - middle right lobe 5-6mm round, part solid, indistinct margin
Nodule 3 - middle right lobe 4-5mm round, ground glass density, indistinct margin
Nodule 4 - lower left lobe 5-6mm round, ground glass density, indistinct margin.
According to the LUNGRADS category they list these as category 2 nodules and recommend follow up CT scan at 12 months. I feel like that is a long time to wait. I understand that many people have nodules and some just go away but I guess I am concerned because if this were an inflammatory process for me it would indicate recent illness. I have not been sick or had any cough or congestion in a very very long time. Does anyone have any experience with ground glass nodules that appeared suddenly and went away or stayed stable over a long time? Also, I had a CT scan for calcium scoring on my heart 2 years ago and on that report it clearly says NO SUSPICIOUS PULMONARY NODULES. So I wonder are these new and developed to this size already in 2 years? Or could it be perhaps they were missed or not visualized because it was a heart scan? So many questions and I do have an appointment with a pulmonologist on November 1st who can hopefully look at both of these scans and help me figure out what may be going on but I would really love to hear from as many of you as possible regarding lung nodules, ground glass nodules, and your experiences with them. I think it would help me feel not so alone and maybe help me to understand this a little better in my own mind until I can get more information from the pulmonologist. Thank you all!

Like Helpful Hug

Interested in more discussions like this? Go to the Lung Health Support Group.

Profile picture for irene5 Irene Estes @irene5

@hercules For your peace of mind I’d go with six months. The fact that some are gone indicates an infection like MAC or other, but peace of mind is important ( in my professional opinion):). Irene5

Jump to this post

@irene5 thanks Irene.. I agree about peace of mind during the watching waiting game. It does appear as if two are just gone (because they were not mentioned on the second scan) and it also appears as if one is now being described as a nodule and on the first scan was described as a calcified granuloma. The good news i take from it… always looking for the positives… it doesn’t appear as if anything has grown. Really it’s just the word spiculated that has my concern at the moment. I will talk to my pulmonologist about it in six months when I return to her office and see what her thoughts are about scanning at that time vs waiting until one year. Thanks for your input. Wishing you good health!

REPLY
Profile picture for Lisa, Volunteer Mentor @lls8000

@hercules , Thanks for sharing this update. These decisions about when to scan are tough. You need to be comfortable with the plan and comfortable with the doctor making the decisions. Watching and waiting is very common in the lung nodule world, especially when the nodules are under 10mm. You've talked to your doctor about the results already. What do you think about waiting 4-5 months, and if this is still weighing on your mind, call the doctor's office and relay your concern? They may be willing to move up the scan.

Jump to this post

@lls8000 thank you I agree, when I return to my pulmonologist in six months I will address my concerns with her and see what her thoughts are about an earlier scan or just sticking with the recommendation. Wishing you good health!

REPLY
Profile picture for hercules @hercules

@irene5 thanks Irene.. I agree about peace of mind during the watching waiting game. It does appear as if two are just gone (because they were not mentioned on the second scan) and it also appears as if one is now being described as a nodule and on the first scan was described as a calcified granuloma. The good news i take from it… always looking for the positives… it doesn’t appear as if anything has grown. Really it’s just the word spiculated that has my concern at the moment. I will talk to my pulmonologist about it in six months when I return to her office and see what her thoughts are about scanning at that time vs waiting until one year. Thanks for your input. Wishing you good health!

Jump to this post

@hercules Ditto that!!

REPLY
Please sign in or register to post a reply.