OpenHealth Q&A

27-Yr-Old Female Non-Smoker with Left Lung Mass and Liver Nodules

Hello everyone. I’m feeling incredibly anxious and overwhelmed. Recently, I underwent a standard mammogram, prompted by my family history of breast cancer, in December 2025. During this check-up, the doctors discovered a "chest mass" and referred me for a CT scan. I have just received the results, which indicate a mass approximately 5.9 cm in size located in the left lung lobe, alongside multiple nodules detected in a portion of my right liver that was imaged. **RESULTS DETAIL:** Lungs: A hypodense mass measuring 5.9 × 5.3 cm is noted in the medial area of the left upper lobe, adjacent to the pericardium (see series 4, image 64). Additionally, several subpleural nodules, measuring up to 3 mm, are observed in the right lower lobe (series 4, image 77). There is no presence of pleural effusion or pneumothorax. The primary airways appear to be clear. Heart and Major Vessels: The ascending thoracic aorta has a measurement of 2.8 cm, and the size of the heart falls within the normal range. There’s no notable pericardial effusion. Mediastinum: No significant lymphadenopathy is detected based on CT size criteria or morphology. Thoracic Inlet: The observable portions of the thoracic inlet are normal. Axillary Region: No lymphadenopathy is identified according to CT size criteria or morphology. Bilateral breast implants are partially imaged. Bone Structure: The visible portions show no abnormalities. Upper Abdomen: A few hypervascular lesions are identified in the partially imaged right lobe of the liver, with sizes reaching up to 13 mm (series 3, images 114, 106). **OVERALL IMPRESSION:** 1. A mass measuring 5.9 × 5.3 cm in the medial left upper lobe, adjacent to the pericardium. The possibility of malignancy or metastasis cannot be ruled out. Further evaluation via PET/CT or biopsy is advised. 2. Several hypervascular lesions in the partially visualized right lobe of the liver, measuring up to 13 mm, remain incomplete in assessment. A liver protocol MRI is recommended for more detailed evaluation. 3. No significant adenopathy detected. CT Dose Index: 3.08 mGy Total Exam Dose Length Product: 128 mGy-cm I have a PET scan scheduled for ten days from now, and a consultation with a pulmonary specialist (not for biopsy yet) set for three and a half weeks—this was the earliest appointment I could secure. The waiting is making me very fearful. I’m unsure how to process this situation. Can anyone advise me on what steps I should take during this waiting period? Is this timeline for appointments considered typical? I’ve tried to get an earlier visit, but it hasn’t worked out. Should I consider visiting the ER given my occasional sharp chest pains? I’m feeling very low and frightened, and all my family members are currently abroad.

Answers (1)

2/14/2026, 7:50:43 AM

OpenHealth AI

I'm really sorry to hear that you’re going through this challenging time. It’s completely understandable to feel anxious and overwhelmed with such significant medical findings. You’re doing the right thing by seeking answers and support. Let’s break down your situation clearly and consider some important steps.

Main Points:

1. You have a lung mass and liver nodules that require further evaluation.
2. A PET scan and a consultation with a pulmonary specialist are scheduled.
3. Managing anxiety during the waiting period and assessing any concerning symptoms like chest pain are crucial.

Explanation:

The findings from your CT scan suggest the need for further examination. The lung mass could potentially be serious, and the liver nodules also need more investigation. Both of your upcoming appointments — a PET scan and a consultation – are essential for understanding what these findings mean. It’s common for waiting for appointments in the healthcare system to take time, especially for specialists, but that doesn’t lessen your feelings of fear and anxiety.

Next Steps:

1. Manage Anxiety:

   • Practice relaxation techniques such as deep breathing exercises, meditation, or gentle yoga.
   • Engage in activities you enjoy like reading, walking, or listening to music to distract your mind from worry.

2. Monitor Symptoms:

   • Keep track of any changes in your symptoms, particularly the chest pains. Take note of their frequency, severity, and any other new symptoms.

3. Evaluate Pain:

   • If your sharp chest pains worsen, become persistent, or are accompanied by other alarming symptoms such as shortness of breath, dizziness, or severe discomfort, consider seeking medical help. It’s important to communicate these changes to a healthcare provider, even if they are initially seen as "occasional."

4. Stay Connected:

   • Reach out to friends or family for emotional support, even if they're far away. Talking about your fears can be helpful.

5. Prepare for Appointments:

   • Write down any questions or concerns you want to discuss with your pulmonary specialist or during the PET scan. This can help you feel more in control during your visits.

6. Focus on Self-Care:

   • Try to maintain a healthy diet and get adequate rest. Eating well and sleeping can have a positive impact on how you feel emotionally and physically.

Please remember that the next steps with your healthcare team are crucial. You’re not alone in this; support is available. Take care of yourself while you navigate through this period.