Ask Dr. Gott: Do not ignore lung spots q=l

Dear Dr. Gott: I am writing regarding the person who, after having two lung X-rays, was found to have a spot on the lung. Read more
Angel

Brooklyn, NY

#1 Nov 19, 2008
Dear Dr Gott, I am a 49 year old woman who smoked for the past 30 years. I am so ashamed to say I have been smoking for so long. I went for a CT of the heart b/c of chest pain. The report came back fine with the heart but detected a spot on the lung and a cycst in the liver. The report I recieved gives me the following: For the liver, there is a 2mm subpleural nodule along the lateral pleural surface of the right upper lobe. There are also rounded subpleural calcified masses along the lateral pleural surface of the right upper lobe as well. There are other calcified granulomata n the right upper lobe. No noncalcified pulmanary nodules are appreciated. No acute infiltrates are demonstrated and there is no evidence of pericardial or pleural effusion. There is no evidence of mediastinal hilar or axillary lynphadenopathy. There is no evidence of adrenal gland mass. As for the liver, The smallest lesion is within the posterior aspect of the right lower lobe that measures 9mm in size. This lesion has a specific density of 8 Hounsfield units and is compatible with a simple cyst. There are other lesions in the liver that as solid and demonstrate enhancement. Two of them lie within the posterior aspect of the right lower lobe and measure 2.5x1.3cm and 1.6x1.5cm. Another lesion measures 1.6x1.0cm. There is also a hepotic dome lesion measuring 1.5x1.5cm. Dr, Gott can youplease explain to me what this all means? The Radioligist impression is that for the lung the findings are consistant with Sequela of Old Granulomatous disease or exposure to Asbestos. Most likely benign but needs follow-up. For the liver it says small subcentimeter cyst within the liver with multiple enhancing liver masses. It is possible that it may represent a benign hepatic hemangiomata. Dr, Gott, I am sorry for this lengthy message but what does all this mean? I would like your opinion. My Dr., is using caution and has schdeuled me for a Pet scan and an US.
Angel

Brooklyn, NY

#2 Nov 19, 2008
Hello Dr Gott, I just wrote to you about some findings from the CT scan that I had and outlined to you the report from the CT. The first part that I wrote were the findings on the lung but I wrote liver. I go on to continue with the liver results...sorry for the confusion but I am sure you will be able to pick up the error...Thank you
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Hanoi, Vietnam

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