Report of my bf's CT Scan. Please advise. The Doctor who did the scan said he has not seen this before, we were told there is a 3cm bone growth in my bf's lung.
Plain and contrast.
Large calcified mass is seen at the anterior chest wall, between chondral regions of right 3rd and 4th ribs. It has no clear plane with the border of mid-sternum. Size is about 2.58(CC) x 3.61 (AP) x 3.05(W) cm in diameter. No obvious consolidations.
No obvious extension of mass into the lung parenchyma, however no clear plane with adjacent pleura.
No other calcified lesion.
No consolidation or nodule seen in both lung fields. No abnormal cavity lung lesion. Mediastinal appears clear. No enlarged lymph nodes. Normal and patent trachea and main bronchi. Normal appearance of pulmonary vessels and thoracic aorta. No pericardial effusion or pleural effusion. Visualised thyroid lobes appear normal. Mild thoracic spondylosis changes. No significant focal bone lesion.
Large calcified mass between chondral regions of righ 3rd and 4th ribs. No clear plane with sternum and pleural. differential diagnosis includes calcified chondroma, chondrosarcoma, fibrous displasia or calcified pleural mass.
The first step should be to attempt to locate any and all previously taken X-rays.
Based on the X-ray description, below, I would agree with the statement: “Impression:
Large calcified mass between chondral regions of righ 3rd and 4th ribs. No clear plane with sternum and pleural. differential diagnosis includes calcified chondroma, chondrosarcoma, fibrous dysplasia or calcified pleural mass. Calcification is often but not always a sign of a benign lesion.
My recommendation is, that given that the Radiologist said that “he has not seen this before”, that he/she seek a second opinion from a subspecialist, a Thoracic Radiologist. It may not be possible to make a diagnosis without a biopsy of this lesion.
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