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What Does Thyroid And Lung Nodules Of Chest Angiogram Indicate?
Question: Been having cough for ten days now. I was having chest pain especially when breathing so I went to emergency room. CT ANGIOGRAM CHEST was ordered. Thyroid nodules and lung nodule were found. What would you do if you received this report and I was your patient? Should I see any specialists?
INDICATIONS: Chest pain, recent endoscopy
Findings: There are multiple nodules of both lobes of the thyroid measuring 1.0 cm and larger. The axilla bilaterally is unremarkable. There is no mediastinal or hilar mass or adenopathy. The pericardium is intact. The thoracic aorta does not reveal evidence of aneurysm or dissection. There has been a cholecystectomy. The adrenal glands bilaterally are intact. The pulmonary arteries are well-opacified without evidence of filling defects. The central airways bilaterally are patent. The lungs are clear of infiltrates. There is no pleural effusion. There is no pneumothorax. There is an area of some thickening present in the left of the midline in the left upper lobe seen best on the axial images 39. It measures 1.9 x 0.9 cm. The bony structures of the thoracic spine are unremarkable.
Optional Information:
Person's Gender: Female
Person's Age: 49
What have you tried so far?: nothing
INDICATIONS: Chest pain, recent endoscopy
Findings: There are multiple nodules of both lobes of the thyroid measuring 1.0 cm and larger. The axilla bilaterally is unremarkable. There is no mediastinal or hilar mass or adenopathy. The pericardium is intact. The thoracic aorta does not reveal evidence of aneurysm or dissection. There has been a cholecystectomy. The adrenal glands bilaterally are intact. The pulmonary arteries are well-opacified without evidence of filling defects. The central airways bilaterally are patent. The lungs are clear of infiltrates. There is no pleural effusion. There is no pneumothorax. There is an area of some thickening present in the left of the midline in the left upper lobe seen best on the axial images 39. It measures 1.9 x 0.9 cm. The bony structures of the thoracic spine are unremarkable.
Optional Information:
Person's Gender: Female
Person's Age: 49
What have you tried so far?: nothing
Brief Answer:
Consult an endocrinologist
Detailed Answer:
Hi,
Thanks for your query.
I have gone through the report you mentioned in your post.
Everything else seems normal except thyroid nodules. These nodules can be simple or serious. You may have to get further investigated over the same. You may have to consult a Endocrinologist for the same. There may be need for Iodine 131 scan and estimation of Thyroid hormones to ascertain the thyroid health.
Also, there is an area of some thickening present in the left of the midline in the left upper lobe seen best on the axial images. This doesn't seem important, it could be due to old infections and ll never pose any problem.
Hope, I answered your query.
Wish you good health.
Regards,
Consult an endocrinologist
Detailed Answer:
Hi,
Thanks for your query.
I have gone through the report you mentioned in your post.
Everything else seems normal except thyroid nodules. These nodules can be simple or serious. You may have to get further investigated over the same. You may have to consult a Endocrinologist for the same. There may be need for Iodine 131 scan and estimation of Thyroid hormones to ascertain the thyroid health.
Also, there is an area of some thickening present in the left of the midline in the left upper lobe seen best on the axial images. This doesn't seem important, it could be due to old infections and ll never pose any problem.
Hope, I answered your query.
Wish you good health.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
In the report at the end she said there was a lung nodule 1.9 x 0.9 cm which should be evaluated for underlying mass with close post contrast ct. Why do you say the lung nodule is not important but the radiologist seemed concerned? I didn't include her suggestions as I didn't want it to bias your answer
Brief Answer:
Its area of thickening
Detailed Answer:
Hi,
Thanks for writing back.
The scan report says that there is some area of thickening. 2 Dimentional thickening usually indicate fibrotic patches. These patches of fibrosis are the result of old infections. Unless they are really big involving a major part of a lung lobe, there is no concern raised.
I would ask you to reconfirm the same, If it is a 3 dimensional nodule then it does indicate growth which could be cancers. In this case there is a need to rule out the same at the earliest.
Wish you good health.
Regards,
Its area of thickening
Detailed Answer:
Hi,
Thanks for writing back.
The scan report says that there is some area of thickening. 2 Dimentional thickening usually indicate fibrotic patches. These patches of fibrosis are the result of old infections. Unless they are really big involving a major part of a lung lobe, there is no concern raised.
I would ask you to reconfirm the same, If it is a 3 dimensional nodule then it does indicate growth which could be cancers. In this case there is a need to rule out the same at the earliest.
Wish you good health.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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