Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
125 Doctors are Online

Chest pain, tightness, stabbing pain. Chest X-ray done, shows pulmonary nodule. Wants to do CT. Can benign nodule cause pain?

User rating for this question
Very Good
Answered by

Practicing since : 2003
Answered : 588 Questions
I am 28 year old, non-smoker female with new onset chest pain for several weeks. Chest pain is felt during inspiration (cramping/tightness) and terrible stabbing that wakes me in the night. I have been diagnosed with a pulmonary nodule through 2 chest xrays. I now have a CT scheduled. I'm worried and my doctor has provided no assistance to my questions. Honestly, can a benign nodule cause pain? What is a likely outcome to the chest CT examining the nodule?
Posted Tue, 1 May 2012 in Lung and Chest disorders
Answered by Dr. Gyanshankar Mishra 35 minutes later

Thanks for posting your query.

From your history, I understand that you have been diagnosed with pulmonary nodule and you also have associated chest pain.

I would like to comment the following:

1. A pulmonary nodule needs to be followed up with a chest CT scan to identify the exact cause of the nodule. There are many causes of nodule on chest CT - right from artifacts, infections, Infarct, benign lesions to malignancy.

2. History of associated chest pain could be due to - associated muscle spasm, Pleuritis (inflammation of the pleura) or maybe nodule pushing on other adjacent structures.

3. The CT thorax will bring a clear picture forward of the coin lesion and the associated chest pain.

4. You might be ordered to do some blood tests to rule out certain etiology.

5. Your age, non smoking status and absence of any other symptoms make malignancy very unlikely.

6. After the CT report, further line of management will be decided as per the nature of the nodule. If the nodule shows some suspicious characteristics then a CT guided FNAC (Fine needle aspiration cytology) may be required from the nodule.
If the nodule is benign than it may left alone and observed for a minimum of 2 years. If the nodule is infective like lung abscess, it may be treated with antibiotics. It may even be a fibrotic nodule which has resulted from some previous respiratory infection. Thus the nodule may be managed depending on the etiology of nodule.

Hope I answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if there are no further questions.

Wish you a speedy recovery.

Take care.


Dr. Gyanshankar Mishra
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Lab Tests

The user accepted the expert's answer

Ask a Pulmonologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor