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irregular fissural node lung per cardiac ct is?


Cardiac CT : lungs: a 4 mm irregular,solid nodule in the right middle lobe is favored to represent fissural node. Minimal bibasilar atelectasis. With pt history of smoking, CT follow up in 12 months is recommended to assess stability.

Any input appreciated.
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15695260 tn?1549593113
The good news is that it is not of immediate concern to your doctor.  That they are following it rather than reacting to it now means they view it as likely harmless and not cancer related.  If you are concerned they are not being proactive enough, you could go for a second opinion to a second doctor. In reading, cancer is less likely due to the location of right middle lobe. 4mm is very small as well. And for some people, these nodules can actually come and go.

The wait and see approach is very typical for spotting small nodules like this and here is some information on that. https://www.medscape.com/viewarticle/805296

Please let me know what you think of this information.  
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Thank you!
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