Non calcified spot on lower lobe right lung

[vinnyfly]

I had a CT to determine the size and location of peptic ulcers. In the CT, the radiologist noted several "non calcified spots" on the lower lobe of my lung. I have a history of repeated lung collapses as a child (I am now 54) as well as pneumonia. Had 12 hospitlizations in five years the last when I was 11 years old. I was also told I had a mild heart attack at that time due to the repeated strain on my heart. In January last year, I had atypical pneumonia and was hospitalized for three days. I also have lost two uncles to lung cancer; one smoked the other did not.

My question is my pulmonologist does not seem overly concerned as he wants to wait two weeks to do the follow up CT scan on my entire chest (as requested by my GP) and then wants to wait another month before he sees me. Should I be concerned and request an earlier appointment?

[caregiver222]

I would not be concerned, however I would request what is called a "3T" MRI in lieu of the CT scan.  The 3T is the latest of the MRI machines. The MRI machines come in several models. The older ones are what are called "1T', meaning one tesla unit. Or 2T.  I would insist on an MRI, but you probably won't win a popularity contest.

CT scans are obsolete and the only reason they are used is that a medical facility has to amortize old equipment. The CT is also more hazardous, especially for women of child bearing age, although in all honesty, the degree of additional hazard is slight.

If you need a scan on a weekend for a head injury, for example, by all means do not hesitate to get a CT. On the other hand, when the situation is elective, and not time-sensitive, there are superior options.

It does not mean that the CT won't provide useful information. The MRI simply provides additional information.

I wouldn't worry too much. Such calcifed spots are common, especially for those with a history of lung infections, and do not necessarily mean cancer.

[vinnyfly]

Thank you for the kind words and reassuring information. I go back to my GP tomorrow and look forward to hearing what he has to say. I post his comments. Thank you again.
Barbara

[Dr J Singh]

Hi,

There’s a good possibility of the CT showing some residual defects of the lungs due to the repeated insults to the lungs during your childhood and may not necessarily be your worst fears of lung cancer and I’ll suggest you to wait till your appointment. Do you have any other symptom like the presence of blood in sputum, weight loss, coughing, chest pain etc?

Let’s hope your worst fears never come true.

I sincerely hope that helps. Take care and keep me posted Kind Regards.