Noticed 3 nodules on my right lung (scared to death)

Posted by joe88 @joe88, Sep 12 3:04pm

Hi everyone! First and foremost, thank you all for your support! I recently had a low dose CT scan of the chest and found 3 nodules on my right lung. I have about 19 years of smoking. I am extremely terrified with the findings and after reading several medical journals, I am convinced that I have lung cancer. Right now, my nodules are less then 6 mm. What is freaking me out more is that on the report it says benign but just today, I got a referral to the Oncology department at the City of Hope. I have been crying my eyes out to be honest. My family has turned their backs on me and dont want to help. Please, help me. Im so paralyzed with fear about having cancer and have no one to talk to. I attached my CT findings down below. Please, please help and any advice would be grateful and having a freind(s) would be awesome. Thank you all.

EXAM: CT LUNG SCREENING

HISTORY: Patient is 44 years old with long-term history of smoking
FINDINGS:
PULMONARY NODULES: 5 mm solid posterior right upper lobe nodule (3/78), 4 mm solid subpleural inferior right upper lobe nodule (3/111), and 2 mm solid subpleural anterior right middle lobe nodule (3/125).

LUNGS/AIRWAYS/PLEURA: There is no focal consolidation. Mild paraseptal emphysema. The trachea and main segmental bronchi are patent without endobronchial filling defects. Bronchial wall thickening, suggestive of chronic airway disease. There is no pleural effusion.

LOWER NECK/CHEST WALL/AXILLA: The visualized lower neck and chest wall appear grossly unremarkable. There is no axillary lymphadenopathy.

MEDIASTINUM/HILA: No pathologically enlarged mediastinal or hilar lymph nodes are seen.

CARDIOVASCULAR: There is no pericardial effusion. Mild coronary artery calcification. The thoracic aorta is within normal limits of caliber. The pulmonary trunk and arteries are within normal limits of caliber.

UPPER ABDOMEN: Given the low dose technique, images of the upper abdomen are extremely limited for diagnostic purposes, however appear grossly unremarkable.

OSSEOUS STRUCTURES: There are no acute osseous abnormalities.

IMPRESSION:

1. Pulmonary nodules measuring less than 6 mm

2. Mild coronary artery calcification.
LUNG-RADS Category 2: Benign.

MANAGEMENT: Recommend screening low-dose chest CT in 12 months.

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

Profile picture for cmcguire10 @cmcguire10

@joe88 - I also am not comfortable with that person telling you they are 98% certain it’s cancer, especially over the phone! 2 tiny to small size solid nodules, even in the upper lung, do not necessarily point to cancer. How long have you had them? Have you had any flu, pneumonia, or colds before your scan? Usually solid nodules are actually a scar from a previous infection. Again, it’s NOT cancer until it is PROVEN to be. I don’t think I would talk to that other provider again. Remember, you are ALWAYS allowed to get a second opinion. Glad to hear you got your appointment moved up. I’m hoping it’s the sooner you get GOOD news!

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@cmcguire10 thanks for this post…many people have nodules in their lungs from things like bad bronchitis…docs watch them closely, looking for changes, as many cancers can spread to lungs….when one first reads radiology reports, it can seem scary—you really need your oncologist to interpret them….the only way to be sure if the ones that change are actually cancerous, is biopsy.

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Profile picture for sanmarcos @sanmarcos

It is a scary time when you learn there are nodules. Your nodules are small. I imagine that your doctor will want you to have CT scans every few months to see if they change. Your history of smoking put you into a higher risk category, so they will want to make sure that you are okay.

For now, deep breath. I don't understand the word "benign" since that couldn't be determined at a small size with a low-dose CT. It was most likely just an opinion.

The important thing is the suggestion to follow up with another CT scan to see if the nodules change. Many good thoughts coming your way that they stay small and unremarkable. Hugs.

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hi @sanmarcos - welcome to the lung cancer group at Mayo Connect.

the "benign" wording is part of a scoring system that radiologists use called LUNG RADS (Lung Reporting And Data System). it doesn't mean the nodule is benign, it means it was scored that way (category 2) based on how it appeared on the CT scan. it's confusing for patients and it would be helpful if the categories had non diagnostic names.

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Profile picture for sanmarcos @sanmarcos

It is a scary time when you learn there are nodules. Your nodules are small. I imagine that your doctor will want you to have CT scans every few months to see if they change. Your history of smoking put you into a higher risk category, so they will want to make sure that you are okay.

For now, deep breath. I don't understand the word "benign" since that couldn't be determined at a small size with a low-dose CT. It was most likely just an opinion.

The important thing is the suggestion to follow up with another CT scan to see if the nodules change. Many good thoughts coming your way that they stay small and unremarkable. Hugs.

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Welcome @sanmarcos. This is great advice. Deep calming breath.
Have you or a family member/friend been diagnosed with lung cancer?

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Thanks for the welcome. I had a upper left lobectomy a little over a month ago - early-stage squamous nodule.

I noticed after answering the above that it was an older post - I'm new to this. I am still in the emotional wreck stage of recovery. Reading what people are writing has been very helpful.

I am perhaps cancer-free at the moment, but know that can change with a scan.

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Profile picture for sanmarcos @sanmarcos

Thanks for the welcome. I had a upper left lobectomy a little over a month ago - early-stage squamous nodule.

I noticed after answering the above that it was an older post - I'm new to this. I am still in the emotional wreck stage of recovery. Reading what people are writing has been very helpful.

I am perhaps cancer-free at the moment, but know that can change with a scan.

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@sanmarcos we're glad you're here. it's good they found your nodule at an early stage. how is your surgical recovery going? has your team planned any further treatment?

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@mamajite I am pretty much navigating the journey on my own. My care team is not very communicative. I have to check my online reports to get any information. I am supposed to be referred to an oncologist soon, but I'm thinking about changing my care team. I imagine that with as many people who get cancer that I am probably not by myself in feeling alone going through treatment.

The squamous diagnosis is frightening, since I know little is known about targeting these cells. I'm just hoping it doesn't recur. One day at a time.

Life is slowly getting back to normal.

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Profile picture for sanmarcos @sanmarcos

@mamajite I am pretty much navigating the journey on my own. My care team is not very communicative. I have to check my online reports to get any information. I am supposed to be referred to an oncologist soon, but I'm thinking about changing my care team. I imagine that with as many people who get cancer that I am probably not by myself in feeling alone going through treatment.

The squamous diagnosis is frightening, since I know little is known about targeting these cells. I'm just hoping it doesn't recur. One day at a time.

Life is slowly getting back to normal.

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@sanmarcos it's good to have an oncologist - I find they are like the quarterbacks of cancer care and do a better job of managing the entire treatment process. I'm glad you're doing well post surgery. the unknowns with cancer are scary - try to stay in the present as much as you can. let us know how your oncology appointment goes. hugs!

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Profile picture for sanmarcos @sanmarcos

@mamajite I am pretty much navigating the journey on my own. My care team is not very communicative. I have to check my online reports to get any information. I am supposed to be referred to an oncologist soon, but I'm thinking about changing my care team. I imagine that with as many people who get cancer that I am probably not by myself in feeling alone going through treatment.

The squamous diagnosis is frightening, since I know little is known about targeting these cells. I'm just hoping it doesn't recur. One day at a time.

Life is slowly getting back to normal.

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Hi @sanmarcos
Sorry your only link to info is through the portal but that’s medicine today. That’s my situation also- it’s how the world communicates now. I remember as a child the Dr. made house calls!! Hang in there!💕

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Profile picture for friend777 @friend777

Hi everyone! First and foremost, thank you all for your support! I recently had a low dose CT scan of the chest and found 3 nodules on my right lung. I have about 19 years of smoking. I am extremely terrified with the findings and after reading several medical journals, I am convinced that I have lung cancer. Right now, my nodules are less then 6 mm. What is really causing me more fear is that 2 of the nodules are on the upper lobe and from my research, having nodules on the upper lobe is a high change of malignancy. Please, help me. Im so paralyzed with fear about having cancer and have no one to talk to. I attached my CT findings down below. Please, please help and any advice would be grateful and having a freind(s) would be awesome. Thank you all. I really need friends, please be a friend. I really would love develop a friendship with those of us fighting this battle with cancer or the possibility of cancer. I love you all, please get in contact with me. I would love to have an advocate with me when I see the pulmonologist on Nov 13th. Thank you all again.

EXAM: CT LUNG SCREENING

HISTORY: Patient is 44 years old with long-term history of smoking
FINDINGS:
PULMONARY NODULES: 5 mm solid posterior right upper lobe nodule (3/78), 4 mm solid subpleural inferior right upper lobe nodule (3/111), and 2 mm solid subpleural anterior right middle lobe nodule (3/125).

LUNGS/AIRWAYS/PLEURA: There is no focal consolidation. Mild paraseptal emphysema. The trachea and main segmental bronchi are patent without endobronchial filling defects. Bronchial wall thickening, suggestive of chronic airway disease. There is no pleural effusion.

LOWER NECK/CHEST WALL/AXILLA: The visualized lower neck and chest wall appear grossly unremarkable. There is no axillary lymphadenopathy.

MEDIASTINUM/HILA: No pathologically enlarged mediastinal or hilar lymph nodes are seen.

CARDIOVASCULAR: There is no pericardial effusion. Mild coronary artery calcification. The thoracic aorta is within normal limits of caliber. The pulmonary trunk and arteries are within normal limits of caliber.

UPPER ABDOMEN: Given the low dose technique, images of the upper abdomen are extremely limited for diagnostic purposes, however appear grossly unremarkable.

OSSEOUS STRUCTURES: There are no acute osseous abnormalities.

IMPRESSION:

1. Pulmonary nodules measuring less than 6 mm

2. Mild coronary artery calcification.
LUNG-RADS Category 2: Benign.

MANAGEMENT: Recommend screening low-dose chest CT in 12 months.

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@friend777 Sounds like good news! Nodules appear benign. I would quit smoking, though, to save whatever lung capacity you still have. The nicotine patches and gum work well. See if your ordering physician wants to do a biopsy on the nodules. Other than that, it seems like good news.

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Profile picture for mamajite @mamajite

@sanmarcos it's good to have an oncologist - I find they are like the quarterbacks of cancer care and do a better job of managing the entire treatment process. I'm glad you're doing well post surgery. the unknowns with cancer are scary - try to stay in the present as much as you can. let us know how your oncology appointment goes. hugs!

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@mamajite yes, quarterbacks !!..and the frequent tests help us keep track of a lot about our overall health- a great NP taught me to keep watch, very helpful.

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