Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum.  ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Respiratory Disorders  (Expert Forum)
 | 
chest x-ray shows nodular densities after chest
Answered by
National Jewish -
Make An Appointment
This forum is for questions and support regarding lung and respiratory issues such as: Allergies, Asthma, Bronchitis, Colds - Flu, Chronic Cough, COPD, Cystic Fibrosis, Emphysema, Fibrosis, Lung Abscess, Nasal Polyps, Pleurisy, Pneumonia, Sarcoidosis, Sinusitis, Tuberculosis
Post a Question Back to Forum
MedHelp Member's Question

chest x-ray shows nodular densities after chest

by judidca, Apr 22, 2006 12:00AM
I went to the dr with chest pain & trouble breathing on exercise. Heart tests negative. Chest x-rays show 1 cm faint nodular density on thoracic spine & 2 smaller nodular densities in retrosternal region. CT recommended. Please help with interpretation. Should I be worried? Never smoked, otherwise healthy 40 something. Recovered from recent respiratory flu- after x-ray.
Doctor's Answer

by National Jewish, Apr 25, 2006 12:00AM
In general lifelong non-smokers are much less likely than smokers or ex-smokers to develop lung cancer - if that is what you are worried about.  And lung cancer is more common when you are older.  However, a chest CT scan may be very helpful to further assess the nature of the nodular densities seen on your chest x-ray.  It is the appropriate next test.  If your breathing trouble persists, you might also consider having spirometry.  This is a simple breathing test that measures how your lungs are working.
Member Comments (9)

by Grand Rapids, Apr 22, 2006 12:00AM
It sounds like you may have some lung nodules.  When most people hear this they jump to the worst conclusion, but since I had the same situation a month ago, I have done tons of research on my own and have talked to lots of doctors in the process.  The fact is, most lung nodules are NOT malignant. I had a routine annual physical with a chest x-ray that showed a small nodule a month ago. A following CT scan showed that nodule was 1.9 x 2.0 cm in my lower right lung and also found a smaller 4 mm nodule on my upper left lung.



I too had a horrific lung infection in January and February that was categorized as walking pneumonia at that time.  After the CT scan results, I went to a pulmonolgist who tested me for coccidioidomycosis and the test was positive for the IgG antibody and a comp fixation of 1:4. Coccidioidomycosis (aka Valley Fever) comes from a fungal spore prevalent in the Southwest U.S. and I had visited there 2 times last year.  Apparently, the coccidioidomycosis can produce lung nodules that mimic lung cancer nodules. There are a significant number of documented cases where this has occurred. Tourists are most susceptible to infections because residents tend to develop immunities. In the Midwest, there is also a fungus that can cause Histoplasmosis with similar symptoms.



I had a biopsy of the larger nodule, but the results were “inconclusive”.  Because I smoked (and no longer do), the doctors still suspected malignancy and so I recently had a PET scan for the 2 nodules that were found on my CT.  My PET came back cold and I am very grateful for that.



I know you must be worrying about this. When I was waiting for test results, I spent a lot of time trying to educate myself as much as I could with all the resources the Internet has to offer. I also changed my diet, began drinking tons of water, and taking a regimen of vitamins. Exercise helped me keep my mind off it. And I began praying a lot more. I believe God answered those prayers.



I wish you all the best and I hope you keep us posted.



God bless,



Tom

by judidca, Apr 24, 2006 12:00AM
To: Tom
Thank you for your response and concern.  After much prayer, the follow up CT scan, several weeks later show the nodules are no longer there. It was attributed to an infection.

by Grand Rapids, Apr 24, 2006 12:00AM
To: judidca
Thank you for letting me know your results.  I think the prayer makes more of a difference than anything else.  I am very happy you have such a good outcome.  God Bless



Tom

by worrywart2, Jun 02, 2006 12:00AM
To: Tom
Tom,



Do you need to go back every 3 months for 2 years for repeat ct scans?



My frightening ordeal began last November. I had an abdominal ct scan done for a slight, persistant pain on my right side. The ct found nothing there, but clipped the bottom of my lungs and found a 5mm lung nodule in the lower left lung.



I went to a pulmonary specialist after doing research on the internet. He had me go back for a full chest ct scan  2 weeks later which revealed the nodule was 9mm and another nodule was found in the opposite lung (4mm).



I was told to repeat scan in 3 months. In Feb, I went to another specialist because I was going crazy and wanted an immediate answer. I went to an oncologist who took a zillion blood tests and arranged for a pet ct of my entire body. The pet scan came back pet negative and in this scan, the left nodule measured in at 6mm. The right nodule could not be found in this scan.



It became clear to me that each scan apparently is different and that I am getting no where closer to an answer. All this information is confusing beyond belief. To make matters worse, I went to yet another doctor who told me to stop all the ct scanning because I will kill myself from the radiation exposure. (had 3 ct scans in 4 months time) and now month 6, the polmonary doctor wants me to scan again.



I am to the point where I want to say "enough is enough" and just have a chest x-ray in 4 or 5 months to see if it grows. I am very dissapointed with the medical care I have been given and the lack of knowledge these professionals have. No wonder lung cancer is the leading killer of all cancers.



worrywart2