CT chest scan explanation please?

[Ahk1]

I did a CT chest scan as a prerequisite for a psma. I can’t interpret the findings. Would anyone help please in explaining it or is there anything I should be worried about that requires my attention. the psma scan did not find anything on the chest.

Lungs and pleura: There is a pleural based nodule within the right middle lobe measuring approximately 8 mm ﴾series 4, image 164﴿. This likely reflects an intrapulmonary lymph node. Flat pleural based thickening within the left lower lobe is nonspecific. No suspicious appearing parenchymal nodule. No pleural

IMPRESSION:

Prominent right middle lobe pleural based nodule measures 8 mm likely reflects a prominent intrapulmonary lymph node.

No suspicious appearing parenchymal nodule

Thanks a lot for the help

[Tall_Allen]

Why is it that your oncologist is not explaning this stuff to you? You seem to have a very poor relationship with him, which you need to work upon.

It says you have an enlarged LN in your lung. If the PSMA scan didn'tt find anything it is pretty surely not cancer. Maybe you had a cold or flu at some point?

[Ahk1 in reply to Tall_Allen]

You are correct and I need to work on that. It’s probably my fault. I assume if they don’t bring it up then it’s ok but apparently I am wrong. I haven’t had a cold or a flue in more than 2 years. I am afraid to ask the question, can’t it be a lung cancer?

[Tall_Allen in reply to Ahk1]

No- it's a lymph node not lung tissue. Possibly some infection you weren't even aware of. See if it disappears in 3 months on a f/u CT.

When he goes over the report, it's your duty to ask "what does that mean?" It will save a lot of anxiety. What you imagine is much worse than what is really there.

[Ahk1 in reply to Tall_Allen]

Thank you very much TA. I truly appreciate your help always.

[tango65]

This article has a review of pulmonary nodules detected by CT scan. It seems than a 8 mm nodule has a very low chance (0.5-2%) of being related to cancer.

ncbi.nlm.nih.gov/pmc/articl...

The PSMA PET/CT will indicate if this nodule has anything to do with PC.

Did they explain why a chest CT is a requisite for a PSMA PET/CT? I had 4 of these scans and they never requested a CT scan of the chest. The CT of the chest increase the radiation dose since you are going to have another CT when the PSMA PET/CT is done.

[Ahk1 in reply to tango65]

Thanks, Tango.

The MO who is running the study insisted that I have to Have chest ct, bone scan and mri for abdomen and pelvis before I can get the psma. I worry about these scans since I already did the same things about a year and half ago when I did the psma at NIH. I hope they were not very harmful to me.

[George71 in reply to Ahk1]

I was concerned about the same thing... They required it on my trial at NIH and then cancelled the trial before it began because of covid19

[RonnyBaby in reply to Ahk1]

Perhaps it is a pre-requisite to qualify for a clinical trial ?

[marlins1]

This is a reassuring CT. It is common to have old inflammatory disease that is seen as a lymph node or nodule. Usually, the Radiologist will suggest a f/u scan in 3-6mo it there is any concern.

[mcp1941]

Regarding your MO's requirement for a chest CT before a PSMA scan my MO requires me to have a CT scan of the chest, abdomen and pelvis and a bone scan and both have to be negative before I can qualify for an Axumin scan. I have done this twice and think it is an abuse of my body from the additional unnecessary radiation. I have also read on this site that the only requirement to qualify for an Axumin scan is to have failed primary treatment which I have. PO in NJ

MikeP

[j-o-h-n]

CT scan Reason: Doctor had to replace a missing hubcap on his mercedes.....Just thank your lucky stars that only one hubcap was missing......

Good Luck, Good Health and Good Humor.

j-o-h-n Sunday 09/20/2020 5:59 PM DST

[SPEEDYX in reply to j-o-h-n]

I just needed one for mine!

[j-o-h-n in reply to SPEEDYX]

That's cause you ride a unicycle.....

Good Luck, Good Health and Good Humor.

j-o-h-n Monday 09/21/2020 5:37 PM DST

[SPEEDYX in reply to SPEEDYX]

You mean a eunich cycle!

[monte1111 in reply to j-o-h-n]

Thank God he doesn't have a Lamborghini.

[j-o-h-n in reply to monte1111]

The doctor traded his in cause he couldn't spell it....

Good Luck, Good Health and Good Humor.

j-o-h-n Monday 09/21/2020 5:38 PM DST

[monte1111 in reply to j-o-h-n]

That's Italian to me.

[j-o-h-n in reply to monte1111]

and Greek to me.

Good Luck, Good Health and Good Humor.

j-o-h-n Monday 09/21/2020 5:40 PM DST