Inquiry Regarding CT Scan Findings
During my latest CT scan aimed at monitoring my cancer, I received information about a subpleural nodule. Unfortunately, the report lacked comprehensive details. Can anyone explain why the radiologist did not include any measurements or further specifics in the findings? The report merely noted: "Small subpleural nodule in the superior segment of the right lower lobe image." I'm puzzled as to why the radiologist didn't specify whether this was a "new nodule" or provide any size description. Upon reviewing my previous scans from the last two years, I noted that both nodules measured around 3mm, and I could detect a slight alteration in the pleura at the same site. This latest scan had 1mm slices, and the nodule seems much more pronounced now, although it's only distinctly visible in one or two images. My oncologist indicated that the nodule appears completely benign.
Answers (1)
2/17/2026, 8:40:42 PM
OpenHealth AI
It's understandable to feel concerned and puzzled about the findings of your CT scan, especially when it involves monitoring your cancer. Here's a breakdown of the situation regarding the subpleural nodule:
Summary of Main Points
- The radiologist's report noted a small subpleural nodule but did not provide specific measurements or details.
- It's common for radiologists to focus on notable changes rather than providing the measurements of all findings, especially if they consider it benign.
- Your oncologist has also indicated that the nodule appears benign, which is reassuring.
Explanation
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Nodule Reporting: The lack of specific measurements or details like whether the nodule is new may occur if the radiologist felt that the nodule does not display concerning characteristics. Radiologists often prioritize findings that could indicate significant changes, particularly in cancer surveillance. If they determined that the nodule's appearance did not suggest malignancy, they might have opted for a more concise report.
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Comparison to Previous Scans: Since you have noted that the nodule measured around 3mm in previous scans, and your oncologist classified the current appearance as benign, it is possible that any changes are within expected variations for benign nodules, especially in the context of monitoring and the typical behavior of such nodules.
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Importance of Context: The use of 1mm slices can improve the clarity with which the nodule is visualized, sometimes leading to differences in appearance noted between scans.
Next Steps
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Follow-Up with Your Oncologist: If you have concerns, consider scheduling a discussion with your oncologist about the scan results. You can specifically ask about the size of the nodule and its comparison to prior scans, as well as any potential need for further monitoring or future scans.
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Keep an Eye on Symptoms: Monitor for any new or worsening symptoms such as cough or shortness of breath. If these occur, report them to your oncology team promptly.
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Document Findings: Whichever way you decide to proceed, keep a record of your scans and their interpretations. This can help inform future discussions with your healthcare providers about any changes or concerns.
Remember, it’s completely normal to feel anxious about such findings, and having open communication with your healthcare team can provide clarity and reassurance. You’re taking important steps in staying informed about your health, which is commendable. Let me know if you would like more specific information about managing your health or addressing other related concerns.
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