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RUL nodule of 4mm, 6 months later it was 9mm and speculated.
I had a low dose CT lung screening . Former smoker for 30yrs. It showed some scaring and a 4mm nodule in RUL. Recommended a follow up in one year. I didn’t want to wait a year so I had another CT six months later and it showed “9mm spiculated nodule” and another nodule in the LUL, 10 x 6mm. My pulmonologist repeated the CT 2 months later, which was yesterday and he said the nodule in the right had not changed in size, and nodule in the Left has gone, so we will wait and Recheck in a year. The radiologist report from 2 months ago is the one that mentioned “spiculated” in his report but my pulmonologist did not . Radiology report also recommended a pet scan, which my pulmonologist no longer thinks I need one . Should I request a pet scan through my general practioner to be safe? Would make me feel better to know. To grow from 4mm to 9mm in 6months, although still considered tiny, it tells me it has grown. Thanks for any advice and opinions .
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What size was the lesion when he ordered a pet scan? My Dr said it was too small to show anything on a pet scan. Which makes sense, he measured it at 6mm, but the radiologist read it “spiculated .9cm “ I realize that is still small but the pulmonologist report didn’t mention “spiculated”. I believe like you , “I’ve heard too many people I know who have dealt with cancer , say “they want to keep an eye on it and make sure it doesn’t grow”. Only to be told later “we can’t do anything” thank you for your advice. Hope you are doing well.
The radiologist actually was the one that made the recommendation, however mine was a "solid 11mm nodule." He rec: PET scan then follow-up with CT Scan in three months until stable. To me, there is nothing to lose by doing a PET. However, I have been in the Medical Arena for >40 years and have seen enough to feel that caution is the better part of valor. One of my physicians missed a diagnosis of a parathyroid tumor for 5 years with hallmark signs & symptoms which reeked havoc.....paid for it with severe osteoporosis! So yes, I am overly cautious and question everything and do my own research. And still seem to maintain a good working rapport with my physicians.