OpenHealth Q&A

Analyzing a CT Report: A Case of Suspicion or Reassurance?

Hello, I'm a 59-year-old Caucasian female, measuring 5'4" and weighing 148 pounds. Since December 2024, I've been experiencing chest pain that has progressively worsened and is lasting longer than before. Cardiac evaluations, including EKGs, have returned normal results appropriate for my age, although some mild calcification has been noted in the mitral valve and the trileaflet valve, alongside a slight enlargement of the left atrium. A recent CT scan, however, has detected a hemangioma located on the manubrium—a finding that wasn't present in my previous scan from 2024. I have a history of benign hemangiomas on my spine that I was born with, yet this new discovery on my sternum is concerning. In terms of my medical background, I am a former smoker, do not consume alcohol, and have never used recreational drugs. I have several health conditions, including asthma, ulcerative colitis (UC), mixed connective tissue disease (MCTD), and Graves’ disease. At the age of 30, I was diagnosed with ductal carcinoma in situ, and I have dealt with minor skin cancers, primarily basal cell carcinoma, along with one squamous cell carcinoma located on my neck. Unfortunately, my doctor is currently on vacation and won't be back until August, leaving me anxious about the implications of this situation. Given the persistent pain I've been experiencing for months, I fear that this newly identified hemangioma could be a malignant form that is rapidly progressing. Am I overreacting? Should I consult a thoracic oncologist with the imaging report and disc before my doctor’s return? Below is the detailed report: EXAMINATION: CHEST CT WITHOUT CONTRAST (ADOPTING LOW DOSE LUNG CANCER SCREENING PROTOCOL) HISTORY: Screening for lung cancer. TECHNIQUE: A CT scan of the chest was performed, encompassing the thoracic inlet to the upper abdomen without the use of IV contrast. CT Dose Reduction Techniques were implemented. COMPARISON: Previous scan dated 07/30/2024. FINDINGS: Nodules: No suspicious pulmonary nodules detected. Lines, Tubes, Devices: None observed. Lung Tissue and Airways: The central airways are open without any lesions and there’s no notable consolidation. Mild emphysema is present, along with slight atelectasis or scarring in the right lower lobe. Pleural Space: No signs of effusion or thickening in the pleura. No pneumothorax identified. Thoracic Inlet, Mediastinum, and Hila: The thyroid gland appears normal with no lymph node enlargement. Heart, Vessels, and Pericardium: The heart's size is within the normal range, with no pericardial effusion or thickening detected. Bones and Soft Tissues: Several vertebral hemangiomas noted, in addition to the identified hemangioma of the manubrium. The soft tissues of the chest wall are normal. Upper Abdomen: Overall, findings appear normal. IMPRESSION: Lung-RADS Category: 1 - Negative. Follow-up Advice: Continue annual screening with low-dose CT in 12 months.

Answers (1)

7/23/2025, 6:50:58 PM

OpenHealth AI

It's understandable to feel anxious after receiving new health findings, especially when you have a complex medical history and ongoing symptoms like chest pain. Here's a summary of the main points from your situation:

1. CT findings show a benign hemangioma on the manubrium but no new suspicious pulmonary nodules.
2. Your cardiac evaluations remain normal, which is reassuring.
3. Persistent chest pain can be concerning, and it’s important to address your symptoms proactively.

Explanation:

A hemangioma is a benign (non-cancerous) tumor made up of blood vessels. It's common for individuals to have such findings, especially if there is a history of these lesions, as in your case with vertebral hemangiomas. The fact that the CT scan also reported no suspicious nodules or concerning changes in your lungs is a positive sign. However, the ongoing chest pain warrants attention.

Considering your previous health history and current symptoms, it's important to manage your anxiety and seek further assessment if needed.

Next Steps:

1. Monitor Your Symptoms: Keep a detailed diary of your chest pain – note when it occurs, its intensity, duration, and any accompanying symptoms (like shortness of breath, dizziness, etc.). This information can be valuable to your healthcare provider.

2. Consult a Specialist: Given your concerns regarding the hemangioma and persistent pain, you can reach out to a thoracic oncologist or a specialist in chest medicine to review the imaging and discuss your symptoms. Bring along your CT report and previous medical history for a thorough evaluation.

3. Self-care Practices: Incorporate relaxation techniques such as deep breathing exercises, meditation, or gentle yoga to help manage stress and anxiety related to your health concerns.

4. Follow-Up Screening: Given that your CT scan recommends annual follow-up, make sure you schedule your next CT for the recommended timeframe. Staying on top of regular screenings is essential for managing your health.

5. Maintain Open Communication: If any new symptoms develop or if the current symptoms worsen, prioritize seeking medical advice sooner, whether from another doctor or through urgent care services.

Remember, your health concerns are valid, and taking proactive steps towards understanding and addressing them is important. You're not overreacting; seeking clarity is a responsible approach. Stay positive, and take care of yourself.