pulmonary nodle chest X-ray mistaken?

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This topic has 4 voices, contains 5 replies, and was last updated by  Dr West 12 days ago.

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April 3, 2012 at 7:28 pm  #1985    

anamav

Hi

Im 29, I had a chest xray done a couple of weeks ago because I was feeling some pressure on my chest (the Dr. said it should be anxiety as Im really stressed out lately). She called me said that frontal xray showed 2 small spots very little that didnt even get measured. But on the xray that was done from the side, they didnt show up, so Dr thinks it could be a shadow from the ribs or something.

I re did the x rays from different angle today but Im really scared it could be something else.

What are the chances of chest xray showing something when there is nothing really there or just a shadow from something else.?

Thanks

April 4, 2012 at 8:22 am  #1986    

catdander

Hi anamav, Welcome to Grace. I know this is very nerve racking for you especially since you are already under a lot of stress.
I’m not a doctor but my experience here on Grace tells me that an xray is a very low level/cursory type picture to take when looking for lung nodules. Let’s see what the doctors have to say. I hope your doctor’s impression about shadowing is all there is.

husband: 8/25/09 thoracotomy biop dx stage 3a squam nsclc pancoast tumor, 9/16-11/4/09 chemorads cis/etop, 10/30 c3 met stage 4, 11/9-20 rads to c3 & t6, 11/9-1/18/2010 carbo/navelbine, Feb-Nov tarceva. First progression 11/29/2010. gemzar started 12/14/2010… still on gemzer 2/2012.
Most recent scan March 23 suggests NED continue Gemzar 3 months.

April 4, 2012 at 5:08 pm  #1994    

cards7up

Lung nodules can be common due to infection/inflammation whether previous or current. It will be up to your doctor to decide if follow-up is needed. Not all nodules lead to lung cancer. Let us know how you make out with your next xray.
Take care, Judy

Stage IIIA adeno, dx 7/2010. SRS then chemo carbo/alimta 4x. NED as of 10/2011.

April 4, 2012 at 5:33 pm  #1996    

Dr West

I can’t give you percentages but would say that ambiguous questions on a chest x-ray don’t mean much. If there’s any real question, a chest CT would provide way, way more information, but it’s important to bear in mind that little lung nodules are very common, most aren’t cancer, and that’s especially true in younger people. There are lots of benign little nothing nodules out there, and we only learn about them because we look far more with imaging than we used to.

Good luck. At the very least, I would say that it’s a mistake to presume the worst based on so little information. There’s a great chance it’s nothing.

-Dr. West

+++++++++++++++++++++++++

Howard (Jack) West, MD
Medical Oncologist

Views expressed here represent my opinion, not those of GRACE or Swedish Cancer Institute. This information does not constitute medical advice and is intended to supplement and not replace medical information provided by your doctor.

April 18, 2012 at 8:08 am  #2022    

anamav

Hi Thanks for replying

the second xray report says the 2 very small nodules are on upper left side; I looked at the x-ray with my doctor but she wasnt even sure if she saw them, but the radiologist knows better. She asked if I had had tuberculosis, I never had that, well I had 3 vaccines when I was a kid the last one when I was 15. She told me not to worry about that and that she will monitor with an xray in 6 months, she thinks is not neccesary to do a CT scan or a TB test for now.

My question is what else could these nodules be knowing I had the vaccines for TB and I had never been diagnosed with this disease or any other respiratory disease.

Thanks

April 18, 2012 at 8:34 pm  #2024    

Dr West

This page has a list of many potential causes for lung nodules:

http://lungcancer.about.com/od/whatislungcancer/a/Causes-Of-Lung-Nodules.htm

I would again reiterate that if there is anything concerning or even questionable on an x-ray, a CT of the chest provides incredibly greater information and is how we usually characterize things better as a next step.

Good luck.

-Dr. West

+++++++++++++++++++++++++

Howard (Jack) West, MD
Medical Oncologist

Views expressed here represent my opinion, not those of GRACE or Swedish Cancer Institute. This information does not constitute medical advice and is intended to supplement and not replace medical information provided by your doctor.

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