Nodule finding? - 1289707

caledonia18
Posts:4

I had a quick question regarding a ct done without contrast

It showed the lungs are free of infiltrate or consolidation. No pulmonary edema or pleural effusion is detected.
There us a 2.5 mm pleural based nodule in the right costophrenic angle of no clinical significance. There is minimal actelectasis in the inferior lingula.
No suspicious pulmonary nodule is detected on sliding thick slab or thick sliced.

No mass or enlarged adenopathy is seen in the mediastinal or pulmonary hila.

I had this done for shortness of breath, had an echo done, and blood works normal but that nodule is not something I'd like to find? I'm anxious to know why is there a nodule in that region?

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catdander
Posts:

It's not at all unusual to have a small sub cm nodule in the lungs. Most people have them and don't grow and don't cause any problems. However when most people find out they have them because of excellent scanning techniques they worry unnecessarily. Nodules that small don't cause problems in the lungs.

I hope you find out what caused the actelectasis or that it's not likely to happen again. I'm sure your doctor has discussed this with you.

All best,
Janine

JimC
Posts: 2753

Just to add to what Janine has already said, there are characteristics of solitary pulmonary nodules which can help doctors identify which nodules are at high risk for representing cancer. Apparently your medical team has decided, based on those types of features, that this is a low-risk nodule.

Dr. West discusses the Imaging Features of Nodules in this post. He states that "...the likelihood of cancer among nodules that measured under 5 mm is generally in the 0-1% range."

JimC
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caledonia18
Posts: 4

Well I guess I trust them to a certain point because I had a chest x ray done along with the chest CTS. And what intrigues me the most about both results is, the ct scan as you see mentions a nodule in the right costophrenic angle, and the x ray mentions a patchy opacity in the right infrahilar region, again radiologist said it was normal but both scans mention right costophrenic angle on ct vs right infrahilar on an x ray,are these both regions the same area? I guess different terms like costophrenic and infrahilar are used due to different scanning methods?

caledonia18
Posts: 4

The actelectasis is mentioned on both scans, but to a minimal degree. Ct results mentioned no consolidation but x ray showed developing consolidation, and to my understanding the ct scans are apparently more accurate than xrays which just puzzles me why x ray shows more abnormality than ct scan, considering the accuracy of ct vs x ray

caledonia18
Posts: 4

The actelectasis is mentioned on both scans, but to a minimal degree. Ct results mentioned no consolidation but x ray showed developing consolidation, and to my understanding the ct scans are apparently more accurate than xrays which just puzzles me why x ray shows more abnormality than ct scan, considering the accuracy of ct vs x ray