After liver transplant, I have developed multiple lung nodules

Posted by alh4 @alh4, Dec 2, 2023

I had one lung nodule because of old respiratory infection before liver transplant which was 3 years ago. In 3 years the nodules have increased. The size is subcentimeter and some are tree and Bud formation. Pulmonologist does CT about every 6 months plus he has performed a bronch. No answers really just ruled out a lot of things. Test have been performed as far as aspiration
I do sleep in a cpap but Dr said not related. I have had Covid twice but not pneumonia. Has anyone experienced this? It is worrisome since the last Ct showed at least 30 nodules. Due for CT this Monday. I often wonder if anti rejection drugs could cause this or my last Covid was April 1 of 2023 and then I had CT of lungs in Apr 26. That is the scan that revealed at least 30 nodules. But I was told the Covid didn’t cause the increase in numbers. My Covid was like a sinus infection with some cough. I was on myfortic and tac the first 2 years after transplant., but Dr discontinued myfortic… I was over suppressed. Now, I take tac 2/2 AM PM. Labs ruled out viruses about year and half ago.
Just wondering if anyone had experienced this same type of issue
Thanks! O2 is usually averaging 97/98

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@alh4 congratulations on your liver transplant. I’m sure by now you know this makes you special (more than you already are anyway). You know immune suppression warrants extra precautions when avoiding illnesses. This was a special concern during the worst of the COVID years. So little was actually known about COVID and there was so much controversy. One thing most agreed upon was that COVID could result in lung troubles. You have an issue requiring CPAP, had your transplant (immune suppression began) and COVID (twice) all around the same time. I’m not saying one thing “caused” another, but they do all seem related. It is good that you have a pulmonologist staying on top of things and it is good to rule things out that you don’t have to worry about. How are you feeling?

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@alh4, lung nodules are often discussed in the Lung Health support group. Many people have lung nodules. They are very common. Luckily these abnormal growths are rarely cancerous. Respiratory illnesses and infections can cause nodules to form in the lungs. Generally they are only discovered when getting an x-ray or CT scan for some other reason. While treatment is usually not required, your pulmonologist is monitoring them carefully.

@jeanne5009 shares her experience with lung nodules while waiting for transplant and received helpful information from fellow members that might interest you here:
- What to do? Lung nodules with End Stage Cirrhosis https://connect.mayoclinic.org/discussion/lung-nodules-and-transplant-ststus/

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