Lung Nodules: Comparing CT Scan Results for Clarity - Pulmonology

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Inquiry about lung nodules on CT scan?


Hello Dr.
Zhou: This year during my health check-up, a nodule was found in my left lung.
I compared it with previous imaging studies and would like to confirm whether this nodule has been present before.
Below are the images from this time (the leftmost is the current scan, with a CT slice thickness of 3mm) compared with the previous two scans from another hospital, which had a thickness of 5mm.
Could you please let me know if the areas marked in red represent the same nodule? Thank you!

A-Jie, 60~69 year old female. Ask Date: 2018/07/01

Dr. Zhou Ziguang reply Pulmonology


Hello: Please discuss clinical judgment with a physician in the department of pulmonary medicine or thoracic surgery.

Reply Date: 2018/07/01

More Info


Dear Patient,
Thank you for your inquiry regarding the lung nodules observed in your recent CT scan and how they compare to previous imaging studies. Understanding lung nodules can be quite complex, and it's essential to interpret these findings accurately to determine the best course of action.

From your description, it appears that you have a lung nodule in your left lung that was identified during your recent health check. You are concerned about whether this nodule has been present in previous scans. The comparison of imaging studies is crucial in assessing the nature of lung nodules.
When evaluating lung nodules, radiologists typically look for several key factors: size, shape, margins, and changes over time. A nodule that has been stable in size over a period of time is generally less concerning than one that has grown or changed in appearance. The fact that you have previous scans with different slice thicknesses (3mm vs. 5mm) is also important. Thinner slices (like the 3mm CT scan) can provide more detailed images, potentially revealing smaller nodules that might not be visible on thicker slices.

Regarding the red boxes in your images, if they encompass the same area and the size and characteristics of the nodules are consistent across the scans, it is possible that they represent the same nodule. However, without the ability to view the images directly, I cannot provide a definitive answer. It is best to consult with your radiologist or the physician who ordered the scans for a detailed comparison. They can assess the images side by side and provide insights into whether the nodules are indeed the same or if there are any new developments.

In terms of follow-up, if the nodule is new or has changed in size or characteristics, your physician may recommend further imaging or monitoring. This could include repeat CT scans at intervals to observe any changes. If the nodule is stable and small (typically less than 1 cm), it may be monitored with periodic imaging rather than immediate intervention.

It's also important to consider the context of your overall health and any risk factors you may have for lung disease, including smoking history, exposure to environmental toxins, or family history of lung cancer. These factors can influence the management of lung nodules.

In summary, the assessment of lung nodules requires careful consideration of imaging characteristics and changes over time. If you have concerns about the nodules or the recommendations for follow-up, I encourage you to discuss these with your healthcare provider. They can provide personalized advice based on your specific situation and help alleviate any anxiety you may have regarding your health.

Thank you for reaching out, and I wish you the best in your health journey.

Sincerely,
Doctor Q&A Teams

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