Ground Glass - Scared

Posted by scareddad46 @scareddad46, Jun 30, 2023

Hi! I am 46 year old Male.

Details - Cancer Skin (24) - Mohs Surgery
Smoked (socially - stopped 14 years ago)
Hypertension (since 23)

I am very fit and run a lot. Only issue recently is my knee not my lungs! Anyway here we go!

My Cardilogist requested a Calcium score for 6/28 and I got the results back zero calcium however they found ground glass!

REPORT - SUMMARY

Extracardiac: Patchy groundglass opacities posterior left lower lobe
image 27 through 29 of series 2 likely inflammatory. Consider follow-up
as per Fleischner guidelines. No pleural effusion. No enlarged
mediastinal lymph nodes.
IMPRESSION:
Coronary artery calcium score of 0, 25th percentile for age and gender.
Patchy clustered groundglass opacities in the left lower lobe largest 9
mm likely inflammatory. Follow-up as per Fleischner guidelines.

Background on some stuff this June… I got sick around the time of the Canadian Wildfires (3-6 days) brown and green mucus and dry cough… I got it mostly from blowing out dust and dirt from my leaf blower in my garage and it created a huge dust cloud. I can’t handle dust. Anyway by 6/15 I no longer had a cold but actually was worried I had pneumonia since my cough but the Cardiologist said my lungs sounded fine. Anyway, my cough ended around 6/17 is .. also lost my voice in that period.. took days to get back and I had my scan on 6/28… I assume I have the big C..

FYI - called my Cardiologist and could t get ahold of him but spoke to the nurse practitioner. She called back and was confused what the issue was.. said that’s a good calcium score. I said I am worried about the other thing / she asked me if I am sick or was sick. Anyway I got her to call back and speak tot he Cardiologist and he just said have him see a pulmonologist in 6 months. I said was he worried she said no never said that but she said that isn’t his speciality. I am freaking out.

I also send the report to my primary who told me to not worry she sees nothing wrong just follow up with an additional scan

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

@lls8000

Hi @maggie1955 , how are you doing? Are you still searching for another doctor? Still scheduled for a scan in November?

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Scan November 30. Don't know what to expect. I'm changing all of my doctors. I live in Douglasville not Austell anymore
Looking for PTSD psychiatrist. They don't take my insurance.

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@sueinmn

What is a ground glass opacity? Those docs sure know how to scare a person! This doesn't mean there is glass, or anything else sharp or abrasive in your lungs. On an x-ray or CT, it is an area in the lung where the tissue isn't clearly visible due to what my pcp calls a "debris field." Typically, in an otherwise healthy individual with a recent history of a lung infection, it is truly that - the remains of fluid, mucus and infection cells that has not completely cleared.

Why a six-month follow-up? The body takes several months to eliminate all the residue - some is coughed out but you may not even notice it, it is part of your typical daily breathing cycle. The rest is absorbed into the bloodstream and eliminated through body waste. A small residue may remain as scar tissue, depending n the severity of the infection.

What is the takeaway? Your docs are right - if you are otherwise healthy, this is nothing to worry about. It is just a temporary remnant of your lung infection.

What can you do? Repeated infections can lead to lung diseases later in life. You know you have sensitive lungs, so you need to protect them from further assaults. Remember those N-95 masks on the shelf since Covid subsided? Use them! When there are Air Quality alerts due to the smoke. When you are doing dusty tasks. When you are cleaning rain gutters or other wise dealing with possible mold. When you are sawing or sanding. When your are raking, blowing leaves and debris, even mowing... Yes, they are hot and annoying (but you can use the ones with a valve to make it easier to breathe.)

So now, relax, take a deep breath, mark 6 months on your calendar for the followup, and get on with your life. Stay away from Dr. Google, too.
Come on back if you have more questions.
Sue

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My daughter tells me all the time not to look. I can scare myself. I had car accident 2019. Left lung damaged and broken ribs. Left lung quit working. Right lung over worked. Both lungs are bad. I have ground glass Left lung since. Doc says not to worry. Too many other problems but not the ground glass. You can do a lot of reading but you can't fix it. Another thing to live with.

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@scareddad46

Update - Spoke with my Pulmonologist a few weeks ago regarding this issue. A Chest scan is scheduled for next week.

Originally I had a Calcium Score Test (measures cardiac risk) - CT for Heart. This test focuses on the heart, so it only has 30% - -35% of the lungs. Sure it picks up the entire lungs, but only that part is in focus.

What did the Doctor say? She took a look at the image / as stated scheduled a follow up CT. Asked her about cancer she said there is nothing in this scan that would make her think this is Cancer. She said that the formation etc. usually follows an infection or some sort of thing like that. Again, I was sick 1.5 weeks prior to the exam (green / brown mucus for days) and still had a dry cough 6 days prior to the CT scan.

She also stated that I fall under the low risk. What exactly is low risk? What % are we talking. She also said since I was asking so many questions that if for some reason it was a cancer it would be easily removed.

All the doctors etc, so GGO are for the most part non cancerous. They are really not a concern especially mine; however, if I go on other forums so many people were diagnosed with GGO's that were cancerous. Note: I did not find any that had only patchy GGO which I was told is a common formation of a past infection.

I am just having a tough time at this point.

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Hello. I am so sorry you are having such a bad time of it. I have IPF myself. I have found the best medicine is prayer. I have been to all the doc's who have
poked and prodded and every part of my body. I also had a kidney removed to the big C. I am not making light of your issues. I am only suggesting an other way of cooping with your fears. I have been there and I feel your pain. I would not be enjoying a quality of life without a higher power to talk to. I believe he or she hears my prayers and he will listen to yours. Hugs

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