I had an abdominal and pelvic CT for right abdominal pain (w/ a history of elevated liver enzymes; AST and ALT have returned to normal, ALP is now slightly elevated)
Besides evidence of fatty liver, and some thickening of the 2nd and 3rd portion of the duodenum for which I've been referred to a gastroenterologist, a 4.5mm nodule was "found" in the lower left lung base
Chest CT shows NO nodule in the left lung but a smaller (3X3 mm) nodule in the right lung.
I am 57 years old, I lived with heavy smokers for 18 years, I have an overlapping history of smoking from age 15 to 30 (with probably ~ 12pack years)
My father had squamous lung cancer and metastatic carcinoid cancer (intestines primarily, mets to bone) He passed away 20 yrs ago from the carcinoid not the lung cancer.
My mother had squamous lung cancer and BAC lung cancer, apparently the more aggressive type. She had two lung surgeries but then the BAC came back and they wouldn't do more surgery. She passed away 9 yrs ago.
I can have a repeat CT scan in 3 mos, 6 mos or 12mos- radiologist recommended one in 3 mos, my PCP said 6 mos, what I've been able to find on the internet says 12 mos is fine.
Given the above information, & the most current research and guidelines, which would be the better choice?
My insurance is going to be changing soon, and getting expensive diagnostics covered will become a lot more difficult.
as terrified as I am that this tiny thing could be lung cancer, it is very small.
That seems like a very good thing to me.
thank you for your time