Lung Nodules

Thank you so much for your reply. I'm in tears right now.

I had a similar report that mentioned ground glass opacity. They also ordered a Pet which I will have next week, but my onc is overly thorough and suggested a biopsy to rule anything out. The CT report suggested a follow up 3 month scan as well.

The small nodules are new from my scan in May, which showed nothing in the lungs. The report said it could be due to a bunch of different non-cancer related things, but I'm heartbroken and so scared.

Hi ladies,

I had a PET to take a closer look at the nodules and got the following report. My NP called and said they can't really tell what the one nodule is, but bones and everything else look clear. Thank God. Has anyone ever had a PET scan for a nodule with an SUV over 2.5? 3.2 doesn't seem TOO bad considering I finished radiation in April on the same side and it could be inflammatory. She said they would recommend a biopsy, but I don't really want to go there. Results are below. What do you think?

FINDINGS:

HEAD/NECK
No enlarged or hypermetabolic cervical lymph nodes. Visualized brain demonstrates no gross abnormalities. There is a heterogeneous, partially calcified right thyroid nodule without significant hypermetabolic activity, which was reportedly biopsied previously. Heterogeneous increased activity within the supraclavicular and high cervical fat likely relates to physiologic activity within brown fat.

CHEST
There is a 1.2 cm pulmonary nodule in the lingula which demonstrates increased metabolic activity (SUVmax 3.2). There is an additional somewhat linear nodular opacity in the periphery of the right lower lobe without significant hypermetabolic activity (SUVmax 1.7), unchanged from prior CT and favored to represent atelectasis. No other suspicious foci of hypermetabolic activity are seen in the lungs to correlate with the other small pulmonary nodules seen on the prior CT. There are curvilinear bands of atelectasis in the lung bases.

There are small foci of hypermetabolic activity adjacent to the distal esophagus and gastroesophageal junction, which are favored to represent physiologic activity within brown fat. No enlarged or hypermetabolic mediastinal, hilar or axillary lymph nodes are identified. Increased activity in the distal esophagus is favored to relate to reflux.

There are are postsurgical changes of left mastectomy with a left breast prosthesis.

ABDOMEN/PELVIS
No enlarged or radiotracer-avid pelvic or inguinal lymph nodes. The liver, spleen, pancreas, adrenal glands, and kidneys are normal. The bowel is normal in caliber.

BONES
There is a sclerotic focus along the lateral aspect of the left rib, without significant associated hypermetabolic activity. This is indeterminate but may reflect a treated, inactive metastatic lesion or other benign etiology. No aggressive or hypermetabolic osseous lesions are identified.

IMPRESSION:

F-18 FDG PET/CT demonstrates a 1.2 cm hypermetabolic pulmonary nodule in the lingula suspicious for a pulmonary metastasis. Tissue sampling may be of value.

No evidence of more distant metastatic disease is identified.