My CT scan report stated that there are subpleural lung nodules and possibility of underlying early metastasis
and also small left adrenal hypodense nodule which represent incidental adenoma or metastatic focus.
What does metastasis mean? is it malignant? What other follow up procedures?
The 1st thing is to consider a biopsy to make sure that you are dealing with lung cancer. The adrenal is a common site where lung cancer spreads. The metastasis means a cancer which has migrated from the original site (so in this case from the lung to the adrenal gland). Modern imaging has also introduced the problem of “incidentalomas” meaning the likelihood of an incidental finding such as a benign adenoma is becoming common. You could consider performing another test such as a PET which could evaluate the metabolic behavior of the adrenal site, but if the findings are again equivocal, and the lung nodules are already proven cancer – then a biopsy on the adrenal would be another thing to consider.
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