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

@scareddad46, It is not unusual to feel scared and overwhelmed in this type of situation. The waiting is often difficult. I'm glad that your doctor is following up with a CT next week, which shows that she is taking this seriously. I would also take into account that she notes that you are low-risk for this to be cancerous. Of course, low-risk doesn't mean no-risk, and honestly sometimes no-risk people get cancer too. The only way to know more is to start with the scan next week.
Take a deep breath and try to do some things that may help take your mind off of it. Think of things that you enjoy and may be a distraction; go for a walk in nature, go to a movie, connect with a friend. Try to focus on what you know today, IE. there is something on the initial scan that needs follow up, but we don't know that it's cancer. Try to keep your mind from going to the worst-case scenario. Please keep us posted.

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Thank you! I have two little girls (4.5 and 6.5) and its hurting thinking I will not be around for them. The doctor did not seem concerned at all. She basically said you are low risk and if I were you I would not be concerned with what came up on the scan.

She said I see them a lot. According to her she said that / said of those a very high % are nothing to worry about. I do not know what to think

REPLY
@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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I had a lung ct scan because i was a former smoker-saved by the scan program--bottom of lungs had ground glass opacity, they said it could be pneumonia or covid--tested positive for covid, thought i just had a cold, 3 months later scan was redone, covid gone, scan clear no problems--so maybe something like this is an issue for you. best wishes, John.

REPLY
@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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I was diagnosed with ground glass opacity in left upper lobe. My followup changed from a year to 3 months! I have 5 lung nodules under 6 cm.
I'm a little scared. I had acute bronchitis during CT scan last week.

REPLY
@maggie1955

I was diagnosed with ground glass opacity in left upper lobe. My followup changed from a year to 3 months! I have 5 lung nodules under 6 cm.
I'm a little scared. I had acute bronchitis during CT scan last week.

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What did they say about how they looked. What exactly has been said regarding it?

REPLY
@scareddad46

What did they say about how they looked. What exactly has been said regarding it?

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Nothing basically. My GP didn't say much which pissed me off so I changed my doctor in the group. All I know is the Specialist Treatment Team changed protocol to CT scan at 3 months.

My cardiologist office called and said to take a baby aspirin every day. Lung cancer screening showed minimal calcification in my heart. I now have coronary artery disease.

I had pneumonia when I was 25. An x-ray afterwards showed a shadow on my lung. The doctor didn't say to see a pulmonologist. I'm sick of doctors.

REPLY
@maggie1955

Nothing basically. My GP didn't say much which pissed me off so I changed my doctor in the group. All I know is the Specialist Treatment Team changed protocol to CT scan at 3 months.

My cardiologist office called and said to take a baby aspirin every day. Lung cancer screening showed minimal calcification in my heart. I now have coronary artery disease.

I had pneumonia when I was 25. An x-ray afterwards showed a shadow on my lung. The doctor didn't say to see a pulmonologist. I'm sick of doctors.

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Hi! I just saw my Pulmnologist today. All of the original GGO seen on the Calcium score are gone; however, there is one or two ones that were not in focus while doing the Calcium Score (since it only captures small portions of the lungs). She believes it was probably bigger and is shrinking probably (no point of reference.

REPLY
@scareddad46

Hi! I just saw my Pulmnologist today. All of the original GGO seen on the Calcium score are gone; however, there is one or two ones that were not in focus while doing the Calcium Score (since it only captures small portions of the lungs). She believes it was probably bigger and is shrinking probably (no point of reference.

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It's all a game. Finding a great doctor is difficult. You got good news on GGO being gone. Sometimes they disappear spontaneously. I hope mine in gone when CT scan is done in November.

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@maggie1955

It's all a game. Finding a great doctor is difficult. You got good news on GGO being gone. Sometimes they disappear spontaneously. I hope mine in gone when CT scan is done in November.

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Maggie - Thank you so much! All the GGO's are not gone.

Calcium Score (Heart CT) - Incidental finding several GGO's found on 6/28. Note: the Calcium score is focusing on the heart, so it only has a 1/3 of the lungs in focus meaning when they did that scan the GGO's they saw now with the results from the new scan.

- CT CHEST SCAN (This Week) - It focused on the entire chest, so it picked up GGO's that were not in focus on the original Calcium Score (heart focus). The GGO's that were seen on the Calcium Score are gone. The doctor is very confident that the GGO's seen are inflammation and were probably much bigger and are now going away. We shall see. Good luck.

REPLY
@scareddad46

Maggie - Thank you so much! All the GGO's are not gone.

Calcium Score (Heart CT) - Incidental finding several GGO's found on 6/28. Note: the Calcium score is focusing on the heart, so it only has a 1/3 of the lungs in focus meaning when they did that scan the GGO's they saw now with the results from the new scan.

- CT CHEST SCAN (This Week) - It focused on the entire chest, so it picked up GGO's that were not in focus on the original Calcium Score (heart focus). The GGO's that were seen on the Calcium Score are gone. The doctor is very confident that the GGO's seen are inflammation and were probably much bigger and are now going away. We shall see. Good luck.

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That’s great news @scareddad46! Such a relief, hoping that the remaining sites diminish soon too!

REPLY
@scareddad46

Maggie - Thank you so much! All the GGO's are not gone.

Calcium Score (Heart CT) - Incidental finding several GGO's found on 6/28. Note: the Calcium score is focusing on the heart, so it only has a 1/3 of the lungs in focus meaning when they did that scan the GGO's they saw now with the results from the new scan.

- CT CHEST SCAN (This Week) - It focused on the entire chest, so it picked up GGO's that were not in focus on the original Calcium Score (heart focus). The GGO's that were seen on the Calcium Score are gone. The doctor is very confident that the GGO's seen are inflammation and were probably much bigger and are now going away. We shall see. Good luck.

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Such good news for you!

REPLY
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