I've had chest pain for the past year and in DEC 05 a CT chest showed a small 3mm subpleural nodule involving the lower left lobe. A CT chest in MAY 06 showed an unchanged "solitary 3mm subpleural nodule in left lower lobe". In OCT 06 I had a 64 slice CT-A done in which the report stated "lung nodules not seen".
Also, the CT chest from DEC 05 showed no air space disease or atelectasis. The CT-A from OCT 06 found: "There is some volume loss in both lung bases consistent with a component of atelectasis."
My questions are:
1) in regard to the nodules, would it seem strange that the more detailed CT-A would not show the 3mm nodule? Should I still have a follow up CT to check for growth on this nodule that may, or now, may not be there??
2) in regard to the atelectasis finding, is this significant or a normal finding? Is this something that I should see a pulmonologist for?
1) I would recommend repeating the CT scan. It is recommended to have two negative scans before skipping a 6 month test.
2) Atelectasis is seen when the airways collapse. This is seen in asthmatics quite frequently, but is not a common random finding. You may want to have the repeat CT scan and see if this is still present before making the decision to go to a specialist. If the atelectasis is gone, then this is resolved.
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