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Why Is A CT Scan Repeated For Findings Of Lung Nodules?

Posted on Sat, 26 Jul 2014

Question: Hi,

I had a follow up CT Scan after 6 moths for 3 small lung nodules and a small nodule on near my distal esophagus. Everything came back stable with no change and the radiologist stated that the "lung nodules are compatible with scars" and "The small 0.6 x 0.6 nodule adjacent to distal esophagus is stable since prior exam and likely a small lymph node or structure related to the diaphragm."

Seems good news, but my doctor still said she want me to have one more CT scan in one years time to just check on the small nodule on the diaphragm/distal esophagus.

My questions are:

1. Why would she feel the need to follow up on that stable nodule?
2. She said she just wants to make sure it doesn't change, but why is she not worried about the lung nodules changing?
3. What is she concerned about with this nodule? The radiologist didn't suggest any follow-up.
4. What other things could this small nodule be if it were to change?
5. would you also suggest another CT to check and why?

Thanks very much for your help in advance.

Thx,

XXXX

Answered by Dr. Ajit Naniksingh Kukreja (16 days later)

Brief Answer:
Reassure yourself

Detailed Answer:
Hi XXXXXXX

Thanks for writing in

I can understand your concern, when a doctor asks a patient to get a repeated radiological examination even after he/she feels it to be stable

It is tough reading the mind of another doctor, but with my experience

Here is my impression on the queries raised

1] Just to be on a safer side, though I would prefer keep a watch on any clinical observation that is abnormal and then plan for radiological evaluation

2] I would not be worried for either if there are no symptoms

3] May be for reasons known to her only ? I would again keep a clinical watch

4] Anything, infected node or a malignant/metastatic node ? Very remote with the current scenario

5] Again no if there are no clinical symptoms

Hope this helps
Do write back in case of concern

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Ajit Naniksingh Kukreja (5 hours later)

Thank you for your reply.

Do you mean that it would be very remote that the node is malignant/metastatic node given the current scenario?

Answered by Dr. Ajit Naniksingh Kukreja (15 hours later)

Brief Answer:
Exactly

Detailed Answer:
Hi

Thanks for writing in again

I would again reassure you that the chances are very very remote

Just relax and do get back to me in case you need further assistance

Wishing you a healthy life ahead

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Raju A.T