Lung nodule found on CT during Echocardiagram

Portal Forums Lung/Thoracic Cancer Imaging in Lung Cancer Lung nodule found on CT during Echocardiagram

This topic contains 3 replies, has 3 voices, and was last updated by  atrooper 1 week, 3 days ago.

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May 13, 2018 at 11:51 am  #1294404    

atrooper

Recently I was hospitalized for A-fib, and a nodule was seen on the myocardial perfusion scan CT. It was in the right middle lobe, and 0.9 x 0.5 cm in size.

I was due for my 4-month, initial post VATs wedge, CT a couple days later. This was done with contrast, and was clear. The PA said they couldn’t find the nodule mentioned. I am grateful, but wonder how the Echo could have shown a nodule that was not there two days later.

Do CT scans sometimes show nodules that don’t really exist? The Squamous nsclc had been in my right lower lung.

May 13, 2018 at 5:18 pm  #1294407    

onthemark

I’d also be wondering about the same question if I were in your shoes, atrooper. Do you have a copy of the ct scan reports? Does the second report mention the results of the previous report and make a comparison? If so, then I would tend to trust the results of the second report. If not, I would ask for an addendum to the report to specifically address the question of this nodule.


10/2015 Chest xray found a nodule as part of a physical (no symptoms).
01/2016 Upper left lobe lingula preserving lobectomy stage 2b for 1.9 cm invasive adenocarcinoma with additional 2 mm AIS nodule found in pathology.
03-05/2016 Sixteen weeks of adjuvant cisplatin/vinorelbine.
07/2016 Durvalumab adjuvant clinical trial discontinued after 1st dose knocked out thyroid.
12/2016 Revised to stage 1b (due to VPI) after new guidelines for multifocal lepidic lung cancer.
07/2018 Next scan.

May 13, 2018 at 6:38 pm  #1294408    
JimC Forum Moderator
JimC Forum Moderator

Hi atrooper,

Welcome to GRACE. Although it would be good to seek clarification regarding whether the nodule was seen on the second CT and left off the report in error, digital imaging does at times show what are called “artifacts”, which can be loosely defined as digital “noise” on an image. In such a case, there really isn’t anything there.

Hopefully, that’s all this is.

JimC
Forum moderator


Jul 2008 Wife Liz (51/never smoker) Dx Stage IV NSCLC EGFR exon 19
4 cycles Carbo/alimta, 65% shrinkage
Tarceva maintenance
Mar 2010 progression, added Alimta, stable
Sep 2010 multiple brain mets, WBR
Oct 2010 large pericardial effusion, tamponade
Jan 2011 progression, start abraxane
Jun 2011-New liver, brain mets, add Tarceva
Oct 2011-Dx Leptomeningeal carcinomatosis; pulsed Tarceva
At rest Nov 4 2011
Since then: http://cancergrace.org/blog/jim-and-lisa

May 13, 2018 at 7:59 pm  #1294411    

atrooper

I appreciate your comments. The CT follow-up mentions it’s compared to the lung screening CT of 12/5/2017 when the lung cancer was first discovered. When I was told the scan was clear, the PA said they couldn’t find the nodule mentioned. I’m hoping it was just “noise”.

Squamous, poorly differentiated nsclc, RLL, Wedge Resection

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