The Roy Castle Lung Cancer Foundation
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Moderate scarring at both pulmonary apices

Hi, I'm just wanting some help understanding my non contrast CT scan result. It says moderate scarring at both pulmonary apices, additional one 3.6mm sub-solid subpleural nodule right lower lobe. No pleural or pericardial effusions. Central airways patent. I've had a chronic barking cough and am an occasional smoker and ex full time smoker (never again!). I am being sent to a Pulmanologist who is booked out till next January but is seeing me in two weeks so now I'm even more nervous. Thanks for your help.

3 Replies

Sorry I cant help you be any wiser. However the Roy Castle helpline is a good source of information. :)


Dear Vyvyen

Welcome to the forum, and have placed some answer to your questions below.

Moderate scarring of the lung (sometimes known as Pulmonary Fibrosis) occurs over time, smoking can be a risk factor for this. Scar tissue builds up inside the lungs , the lungs become less elastic hence affecting the transfer of oxygen to the bloodstream. You may find that you are short of breath of have a chronic cough that does not go away.

I have placed a link here for more information on this.

The following statement is taken from the British Lung Foundation: (Although we do not always know what causes pulmonary fibrosis, we do know it is not a form of cancer or cystic fibrosis, and it is not contagious.)

Sub-solid nodule, is only part solid , it may or may not be connected to the lung scarring shown in your scan; the Respiratory Physician may arrange further tests or scans to provide a full clinical picture. Being seen in two weeks is good in that you will be monitored earlier than waiting for next year. Early detection for everything is always better and can have better treatment options.

If you wish to discuss anything you can call us on our free nurse led helpline number on 0800 358 7200

Let us know how you go.

Kind regards

The Roy Castle Support Team


Thanks for your reply. Worst case scenario then 😂.


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