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My approach to solitary pulmonary nodules
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- Опубликовано: 16 авг 2024
- I've created a radiology physics question bank. Check it out here 👉 www.radiologyt...
Develop an approach to solitary pulmonary nodules by learning the different features that differentiate benign vs malignant disease. We will begin by reviewing the definition of a solitary pulmonary nodule.
The main goal here is to gain an appreciation for what makes a pulmonary nodule likely to be benign and which features increase the probability of malignant lung disease. We will discuss the causes of pulmonary nodules. The underlying aetiology of malignant and benign lung nodules is vast and will not be the primary focus. Instead we need to develop an approach to solitary pulmonary nodules that allows us to risk stratify patients based on the radiological features of the nodule.
This lecture will help use to determine the chances of a nodule being cancerous.
The Brock model for pulmonary nodules will provide us with a cancer prediction probability using the features we have discussed in this video.
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Resources used in this video:
Calculator: Solitary pulmonary nodule malignancy risk in adults (Brock University cancer prediction equation) - www.uptodate.c...
Probability of Cancer in Pulmonary Nodules Detected on First
Screening CT - www.ncbi.nlm.n...
Calcification images - Khan AN, Al-Jahdali HH, Allen CM, Irion KL, Al Ghanem S, Koteyar SS. The calcified lung nodule: What does it mean?. Ann Thorac Med. 2010;5(2):67-79. doi:10.4103/1817-1737.62469
Other cases:
Case courtesy of Dr Ayush Goel, Radiopaedia.org, rID: 29150
Case courtesy of Assoc Prof Craig Hacking, Radiopaedia.org, rID: 73520
Case courtesy of Dr Brian Gilcrease-Garcia, Radiopaedia.org, rID: 59337
I had a lunes nodules 10 years ago next month fortunately it was caught early it’s was 2 cm lost half of my left lung my surgeon gat a good margin removed limp node and no treatment was needed thank goodness so far I’m good have 3 more nodules in my right lung so far they haven’t grown too much but still I’m being checked every year fingers crossed it will stay stable
Prayers too 🙏 you
Prayers 🙏
Awesome lecture! Concise, informative, visual. Thank you for taking the time to teach us!
Appreciate the calm, concise way you speak in this first view video.
Superb explanation, thank 😊 a lot, my favourite RUclips channel of radiology
Thank you Fazal. Appreciate your support!
@@radiologytutorials. Read 💚what 💚I typed 💚
Thank you! Excellent video with actual examples and great visual aids. You provided a wealth of information and I was surprised when you said it was your first video. You are a great lecturer. 👍
I loved learning about the the Cancer zodiak sign and how its claws resemble spiculated margins.
I'd like to see a future video with examples from scans on bronchiolitis obliterans. That's my most recent diagnosis.
A 5-mm solid nodule in my right upper lobe was incidentally found on that CT, which is how I found this video. Hands down, you provided the best info on this subject. 👏👏👏
Amazing stuff! Thank you so much for putting in the effort to teach about radiology.
Much love,
an aspiring radiologist
Thank you Leopold ☺️
hello amazing video , please make video on interstial lung disease and their HRCT findings
Thankyou
One of my favourite Radiology channels! Great content and nice presentation! 👍🏻
Great description. Kindly make a video on RECIST explanation as well as on BTS guidelines explanations. thanx
Wow, very informative, concise and clear. Thank you Sir.
Glad you enjoyed it 👍thanks for your support!
Good Explaination, thank you
Thank you !
For clarification
I just personally experienced a pulmonologist that dismissed my nodules , but you just stated anything over 3 is a mass he stated in my case left lung 1.5 & right 4 so I was correct to seek a second opinion. Asap
4 mm or cm ? What was your second opinion
@@Davidh741 (cm ) I was actually thinking of you earlier this week , I’m embarrassed to say I have not found a new Dr. as of yet considering I will be changing Medical Insurance in Oct / access in Jan , but silently it worries me very much ! If you know of Dr. I’m this area I would appreciate your pointing me in the right direction.
I would like to speak Medically in depth , without an audience?
Excellent video!! Great job!
Nice lecture, thank ypu
good work ,i really enjoy it
Very excited for this
Thanks Sue-Ann 😊
Great lecture!
Thank you!
Great lecture as always
Thank you ☺️
Awesome lecture
Nice video :) Thanks for sharing with this useful information
Great job for a first video!
Thank you Robert!
You are definitely had to hear in this video!!
Thank you
Awesome lecture
It is just that your volume was a bit low.
Are you a trainee or a consultant Dr.Michael?
Thank you for this doctor I have been diagnosed with a nodule but it changes in size the last time I saw my doctor he said it was smaller I am concerned he discharged me I’m confused
Is the overall amount of radiation a patient receives from imaging monitored? I have had 2 PET-CT's, 8 fluoroscopic procedures, countless CT's and x-rays. I am scanned so regularly because I have ankylosing spondylitis and a rare type of vasculitis with cardiac involvement. I also take immumnosuppresives and get frequent chest infections. I cannot have MRI's due to an ICD pacemaker. What are the long term effects of radiation exposure from imaging?
Curcumin is suppose to protect the good cells from radiation but not effect the cancer sells from getting their radiation treatment. A naturalpathic doctor could tell you the dosage.
Thanks
thank you
Pleasure 😌
Great explanation, thank you
My pleasure Lama 😊
Excellent video ! Thank you. Dr can I send you my CScan ? For your opinion ??
Please display in subtittles
There should be subtitles available 👍🏼
Thank you Dr for your explanation. Can I send you my CScan for your opinion ??
Can you see my ct scan of lungs that you see my report what is problem
Hello dr thanks , i have pulmonary nodule 9mm on right upper lobe in the first ct scan. And i have another ct on December 1th , can dr give me opinions,thanks
i have10mm pure GGO on left upper lobe，i am in china，our doctor let me cut it，iwant ask you in your country how to solve this thing？
@@leerichard5506hello si sir how are now.We’re same diagnosed me 15mm GGO to the left side upper part.My doctor said need to remove my nodule.I scheduled to remove my nodule on Feb.15,2024.Did your doctor removed your nodule.I’m stay here in Japan.Please reply me
Great information. Yet, why share in a near whisper? Speak up please when sharing such great details I want to hear every word without straining. My volumes are all at its max levels and so many words are not clear to hear. Great information Great set up just a waste in lost volume.
Thanks for the feedback. This was my first ever RUclips video. Took me while to get the sound right. You’ll notice with the latest videos (last month or two) the volume has been sorted. There’s no way of changing old videos volume unfortunately 🤷🏻♂️
Is nodular opacity because of TB?
That’s all good and proper explaining but why is the treatment still stuck in the Stone Age.
I have reumatoid arthritis they found nodules in my lungs, I'm scared, have an appointment with pulmonologist next week 😫
They found one in mine too. And I have RA. I back to my lung doctor. How are you doing?
I have psoriatic arthritis and am getting my 1-year followup CT in May for a 5-mm solid nodule found in my right upper lobe. I understood from this lecture that nodules resulting from RA (or similarly, PsA) will most likely be benign because they are caused by an inflammatory process (scar) and not from cancer.
As a matter of fact, I have multiple lesions in my brain. Several MRIs ruled out MS because they remained unchanged. It was after that that I was diagnosed with PsA and the MS neurologist said that would explain the brain lesions. Evidently my brain had been inflamed from my PsA at some point, which caused the lesions.
Having an inflammatory autoimmune disease can affect every part of our bodies.
My pulmonologist, who is following me for another issue, ordered the followup CT because I have recently lost my appetite and am losing weight, and I also have been having night sweats. Fatigue is always present with my PsA.
Best wishes to you both. Let's keep each other updated with posts here. It will help this channel as well.
Thumb up.
Why malignant lesion predominately occupy the upper lobe of lung ??
I’m not exactly sure. Maybe someone reading this can shed some light?
@@radiologytutorials I'm not a doctor but a curious retired medical transcriptionist with multiple medical problems who has Dr. Google on speed dial. 😂 That's how I found this video, because I do have a right upper lobe 5-mm nodule. One-year followup CT next month. 🙏🤞
My research only revealed one theory, that more cancers develop in the upper lobes because of inhaled toxins from the environment.
My question to you, doctor: does this mean when we inhale, air first fills the upper lobes before the remainder of the lungs, thereby getting more of the toxic material? No such thing as a stupid question, right?
I always thought the lungs expand all at once. 🤷♀️ Just trying to make sense of the theory. I'll try to find it again.
I have a Tirads 4 thyroid nodule on my left thyroid, I have to wait until March to get this thing biopsied. However- I got a chest CT for something totally unrelated and they incidentally found a 3mm module in my right mid lung, classified as “most likely benign”. How likely, if I DO have thyroid cancer, how likely is it that the thyroid nodule and the lung nodule are somehow related? Did this Mets to my lung? I’m 23 y/o female for reference.
Also- I understand I shouldn’t be consulting the internet but my anxiety is absolutely killing me over this. I feel like I have cancer and it has spread to my lung. I am worried sick!!
Hi I m also facing this my was 6 mm and my anxiety is very high do u feeling breathing issues aur dizzy
@@divyaahuja1327 hello, did you have a thyroid nodule or a lung nodule?
I want go wark saudi but calcification in cxr so how to treatment and whitch kinds medisean and is going well or not
I have a 1cm Speculated nodule in my right upper lung. The firs two CTs didn't mention "Speculation', the 3rd CT did? Does that mean it grew?
Speculation is an indicator of malignancy. You should definitely get a Petscan or a biopsy to know what it is.
Did you find out what caused your spiculated lung nodule?
Nope. The first nodule has stopped growing. But, in the last six months, a New 1.5 cm "Irregular'' ( Spiculated ) Nodule has appeared. I am scheduled for another CT in six weeks. It is almost comical now. .
@@Stella20450 I had a Pet scan of the first Nodule. The test was done by two complete morons. Neither of the two were able to find a vein in my arm, so they shot my hand with the radiotracer. And, they tested me 15 minutes after the injection. The test showed a moderate level of input. The thing is, due to my Emphysema, surgery or Biopsy is just not possible. So, the Doctor choose a wait and see. My new nodule, also 'Spiculated' will be the 'Tell'. Due for another CT in six weeks.
@@----I...have...no...clue.... how are you? did you get any answers by now? Hopefully it turned out to be nothing.
Doctor told me i have a nodules3 centemeter and it looks suspicious a mass on lung i have to go for a cat scan i hope it is negative!
Same here. I go December 7. Praying for you
LOTS OF PRAYER IT WILL BEOKAY
Hey doc
I have calcification on right zone probably around 4mm in ct scan so is there any way to remove it
This doctor needs some cough medicine.😅
Have a spot on my lung
@@GHOST45Z yes the doctor said i was fine thank you for reach out to me
@@nicoleferrell1579 how big?
👍 I'm fine now the doctor said just very tiny right now