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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is it possible to detect the progression stage of lung cancer through a chest CT scan report?

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Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6567 Questions

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Posted on Wed, 22 Aug 2018 in Cancer
Question: Contrast-enhanced Chest CT impression confirms 1. presence of a right upper lobe mass in addition to multiple noncalcified nodules scattered throughout both lungs. Findings are suspicious for metastatic disease. 2. Bullous emphysema. 3. Potential skeletal metastases. Recommend PET/CT for further evaluation. This will enable characterization of the right upper lobe mass as well as evaluation of the remainder the body for metastatic disease. There is a 2.2 cm AP x 1.6 cm transverse x 3.4 cm sagittal spiculated mass in the right upper lobe that has interstitial thickening extending from it to the pleural surface and there is at least one if not 2 or 3 tiny satellite nodules anterior to the lesion with the largest of thes measuring 5 mm. There is a 4 mm pleural based nodule in right middle lobe. There is much more. What stage of lung cancer are we in?
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Answered by Dr. Vivek Chail 1 hour later
Brief Answer:
A stage 4 disease and awaiting PET CT scan results for re-confirmation.

Detailed Answer:

Hello,

Thanks for writing in to us.

If there is mention of potential skeletal metastasis then it means that there is a possibility of cancer spread to the bones.

In a case of a lung cancer which might have spread to the bones, the staging becomes stage 4.

Confirming the bone spread is most important and we need to wait for the PET CT scan results. The PET CT scan will also tell us if there are any other areas of spread.

Keeping in mind the potential skeletal metastasis, I would give the lung cancer a stage 4 disease and awaiting PET CT scan results for re confirmation.

Take care.

Dr. Vivek Chail, Radiologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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