Help with lab report

Posted By
4/30/2012 7:19pm
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Replies: 3

I have been stalking the board for 3 months now, getting much needed encouragement and info from my fellow warriors. I just received a troubling report from my last CT scans and would like some help deciphering the verbiage. a little background first: my first scan in July of 2011 showed a single 6mm nodule in my lung. Docs said probably nothing, just monitor it. October scan had no mention of it. My January scan report had no mention of nodule but found atelectasis. Now my April scan said no change in 1cm nodule, but the atelectasis had worsened and I have emphasematic changes. Here is the report:
"There is a 1 cm noncalcified soft tissue density nodule in the left lobe of the lung posteriorly with associated atelectasis. The soft tissue nodule is unchanged compared to the immediate exam on 1/17/2012, but is new since the prior PET/CT examination on 10/13/2011. The associated atelectasis has increased. I cannot exclude a metastatic deposit. No other pulmonary nodules are appreciated. There are no acute infiltrate seen. There appears be some mild emphysematous changes of the lung apices. There is no pneumothorax or pleural effusion. There is no appreciable axillary, mediastinal or hilar adenopathy. The heart is not enlarged. There is no pericardial effusion. The thoracic aorta maintains a normal caliber without aneurysm formation. The great vessel takeoffs are patent."
My research nurse said not worry about it.
With all the knowledge out here, can anyone give me an explanation. Thanks in advance for your help.
Stage 3b in Georgia. Please check out my history and profile.

RLowe

Ask for a biopsy.  It's the only way to know for sure.

Best wishes,

Harry

Too ugly to die!

rlowe - (4/30/2012 - 9:00pm)

Yea, I think that is the only way to know for sure without the agonizing wait for more scans. I don't know if the atelectasis is associated with a met or cancer. When I google lung nodules, most mention "without atelectasis". And the term emphasematic changes scares me. I'm only 47 and have never smoked.
Harry, it looks like we have head/neck in common. Mine was a raised ulcerated nodule on the top of my head with one positive node in neck. Thank you for the reply.

RLowe

I was referred to a thoracic surgeon when the nodule went from 6 mm to 1 cm.  Ask if the nodule is accessible by VATS (Video Assisted Thoracic Surgery).  Most are.  The surgery was very easy for me.  Just 3 small incisions involved.  Only 2 nights in hospital, and I was completely back to normal within a week.

Best wishes,

Harry

Too ugly to die!