Hi friends –
Hoping you all can provide some insight if you can. I really would love those in the know to interpret what some terms mean with reference to my wife’s 3-month CT scan with and without contrast.
Back story: She has multiple nodules in both lungs, found as incidentals back in the summer of 2016. Since then, VATS surgery, CT scans every 3 months, PET scan that did have hypermetabolic activity on one nodule, and 6 treatments of SBRT in the fall of 2017 as a result of a biopsy that revealed adenocarcinoma non small cell lung cancer stage 1. VATS in 09/15 with genetic testing showed everything negative except BRIP1 positive.
They did not do any genetic testing from the FNA from this latest biopsy in October of 2017.
Latest CT scan from today reveals everything is stable, no new growths or changes except this:
“A bilobed density in the left lower lobe noted previously has become more solid in appearance although the size and configuration remain stable. This is of uncertain significance. Other scattered small nodule densities bilaterally are unchanged in size and number.”
It also says the focal density noted peripherally in the left lower lobe has become more nodule-like, although unchanged in size, measuring about 1 cm.
We see the oncologist on the 30th.
1. What is bilobed density? I know bilobed means in general, but what does it mean as it pertains to the shape of this nodule? Is this a good thing?
2. It is now more solid in appearance. Everything I am reading from the American Cancer Society and other places is that solid nodules are less likely to be malignant. Thoughts? Is this a good thing? Do nodules that change to solid without any other changes raise a red flag?
3. What does it mean that the focal density has become more nodule like? Is this a good thing?
Thanks so much!