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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Cavitating Nodular Lesion In Chest X-ray Mean?

Hi, My Mummy went for a chest xray and found there was a patch, she was recomended for a CT Scan and they found that there was a "Cavitating nodular lesion seen in the perihery of the left lower lobe. It displays irregular margins. It is approx 3.2 x 2.1 x 2.1 cm, Rest of the lung is clear". Now we had gone for a CT guided Biopsy, now it is 14 days and still the report is not clear. The doctor is telling us to wait for the report, does it take so long to detect Cancer :(
Fri, 20 May 2016
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Cavitory lung lesion with irregular margin is commonly seen with
1. Tuberculosis
2. Cavitory pneumonia
3. Lung abscess.
4. Cavitory carcinoma (lung cancer).
So bronchoscopy with BAL (bronchoalveolar lavage) and lung Biopsy are needed for confirmation of the diagnosis.
Usually 3-4 days are needed for Biopsy report.
I don't know why they are taking so much time for report.
In my opinion, you should consult different pulmonologist and recheck Biopsy report. 14 days time is too much for this.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your your mother. Thanks.
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What Does Cavitating Nodular Lesion In Chest X-ray Mean?

Thanks for your question on Healthcare Magic. I can understand your concern. Cavitory lung lesion with irregular margin is commonly seen with 1. Tuberculosis 2. Cavitory pneumonia 3. Lung abscess. 4. Cavitory carcinoma (lung cancer). So bronchoscopy with BAL (bronchoalveolar lavage) and lung Biopsy are needed for confirmation of the diagnosis. Usually 3-4 days are needed for Biopsy report. I don t know why they are taking so much time for report. In my opinion, you should consult different pulmonologist and recheck Biopsy report. 14 days time is too much for this. Hope I have solved your query. I will be happy to help you further. Wishing good health to your your mother. Thanks.