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Lesions from Histoplasmosis 40 years ago or Lung Cancer?

I have a 62 year old male friend who had histoplasmosis 40 years ago. He almost died but finally recovered. Doctors told him that he would have lesions on his lungs for the rest of his life. On May 10, 2019 he went for a low dose CT lung screening as part of a physical exam. He has smoked a little less than a pack of cigarettes a day for 42 years. The CT Impression was "Macro lobular mass right upper lobe 7.2 cm that s solid with punctate calcifications within it. Abuts anterior wall and is difficult to say if it involves wall or not. No involvement of underlying rib."  He had multiple calcified nodules on left lung and one noncalcified on left lung. Apical scarring and thickening on both lungs. Is it possible that this large mass is a result of the histoplasmosis? They are making him an appt with a pulmonologist for evaluation and biopsy. He is very scared. His O2 saturation is 97% and he is asymptomatic at this time. Any response would be appreciated.
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15695260 tn?1549593113
Hello. I wrote to you on the lung cancer forum when you originally posted about this. On that thread, you mentioned a doctor's appointment on May 22, 2019.  Has he had this doctor's appointment?
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Avatar universal
Yes he has and she has referred him to a pulmonologist. His appointment is on 5/27/2019. She said he would do an evaluation and go from there. She said it would most likely be biopsied. Will they do a regular CT with contrast to get a better look at it before biopsy? She did say that it being solid, as well as the size. was not too good. She said she knows about tumors in general but was no lung doctor. The actual final Impression on the scan was "7.2 cm solid partially calcified mass on right upper lobe."  He is scared but I am doing my best to console him. Just thought if I came on this section someone who had a similar experience might respond. I thank you so much for taking the time to respond to both. It is much appreciated.
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