Osseous destructive lesions from lung CT

Portal Forums Cancer Basics Imaging Issues Osseous destructive lesions from lung CT

This topic contains 2 replies, has 2 voices, and was last updated by  jean53 3 months, 1 week ago.

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May 18, 2017 at 7:47 am  #1290742    


I am a Stage IV NSCLC patient – adenocaecinoma -Kras type
Asymptomatic always
After a left pneumonectomy 4 mos subsequent to my diagnosis
In July 2015 I am being followed for 3 nodules in my right
Lung – my Stage 4 diagnosis was based on extensive disease in upper and lower left lobes
And these nodules in right lung
One nodule has doubled in size in last year from 5mm to 10mm and I have at least 2 others -ground glass appearance in my most recent CT scan on 5/8 there was no change in any of the 3 – however the reporting radiologist said the 2 smaller nodules “likely represent Osseous destructive lesions”
I can’t find anything on internet to suggest nodules can indicate potential future bone loss
What does this statement mean? And how could such a thing be determined from a Ct scan?
Thank you!
It’s caused me some worry!

May 18, 2017 at 10:57 am  #1290743    
catdander forum moderator
catdander forum moderator

Hi Jean,

I can imagine you’re worried about the statement. You will need to clarify with your oncologist or if you do see the radiologist (most radiologists read scans, write reports, and confer with doctors but don’t see patients). Radiology reports aren’t bound by specific language so you can get some rather unconventional wording in a report that isn’t necessarily wrong. Osseous refers to bone and since there is no bone in the lung it would be appropriate to question this.

As for bone and CT scans a CT scan provides detailed information about the bone tissue and bone structure so if the radiologist were reporting on bone it would be appropriate to suggest what he/she suspected. In a CT scan of the chest there would be good info about bones in the area such as spine and rib. However it appears there’s a mistake in describing a lung lesion as osseous.

A call to the your oncologist’s office should be a good start to find out what is being described. Let us know what you find out. I hope all stays stable. FYI, lesions in your lung that grow this slowly can be treated minimally and only when absolutely necessary so to outlive lung cancer. You may already know but our site has much to offer in this vein. BAC is possibly what type of cancer you have but if not the info given about minimal treatment in the BAC posts still applies to any cancer that is indolent.

All best,

May 18, 2017 at 11:55 am  #1290745    


Hello Janine
Thank you for your response. I did call my oncologist office again. His PA returned my call She read the report prior to calling me and noticed the language in the report. She showed it to a radiologist who reviewed the scan and said it was an error. She called it a .,.”typo” though it’s obviously more than that!
She said any remarks about thr ribs would be in the “skeletal” paragraph of the report which says no
Problems noted. She said it will go to the radiologist who dictated it for correction.
She said she was glad I called as am I,! I certainly appreciate your response!
The plan is that I be rescanned in 3 months.

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