My pulmonologist ordered a PET Scan because of 12mm and 8mm nodules that showed on a CAT scan.
He then called and said "PET came back im going to get things together to do a ct guided biopsy " the next day calls back and said he has decided to wait and do another ct scan in 3 months. The "wait and see" aporoach. Said it could just be an infection or fungus. Ok so I asked are you going to do any type of blood test or proactive treatment while we "wait and see"? His answer was no.
This seems negligent to me. Even with my symptoms of losing weight, and exhaustion. Im waking up short of breath and my extremities tingling. My over all health is not well.
Im at a loss. Im at the mercy of this doctor at The ohio state James Cancer Center.
I live in an old Farm house that I have been remodeling ..perhaps it could be histoplasmosis? And with all that uptook on my PET I am concerned it is spreading . Why would he wait without any bloodwork or treatment to allow such spreading ?
Here is my PET results
1. Hypermetabolic nodule in the posterior segment of the right lower lobe is
concerning for underlying malignant/metastatic process. However atypical
infectious/inflammatory processes cannot be entirely excluded. Correlation
with direct tissue sampling may be diagnostic. Additional lower lobe nodules
are visualized and continued close attention on follow-up imaging is
2. Hypermetabolic subcarinal and bilateral hilar lymph nodes are also
concerning for possible malignant/metastatic involvement but atypical
inflammatory/infectious etiologies are not excluded. Again, direct tissue
sampling may be diagnostic. Indeterminant small mildly FDG avid lymph nodes in
the abdomen and pelvis as noted above. Continued close attention on follow-up
imaging is recommended.
I personally viewed and interpreted these images and I have reviewed and
approved this report.
Electronically Signed By: Chadwick Wright, MD, PhD on 1/5/2018 3