Patient :Last year I had to have a pet scan when a pulmonary nodule was found during a gallbladder diagnosis. It was beneign. During a recent check up, another nodule was found. I had to have a pet scan. I have the report but my appointment is not until late April to discuss results. Can you help me decipher what they mean? Does this mean I likely have cancer?
1. Development of hypermetabolic foci within the mediastinum is above. These were not readily apparent on the prior study and are suspicious in opinion. 2. Mass seen within the posterior aspect of the right lower lung with central calcification a likely representing a healing granulomatous process. This could possibly cause reactive adenopathy within the mediastinum. However, a new soft tissue density seen more superior to the mass with soft tissue calcification.
If desired, cardio thoracic referral can be performed for lynph node sampling.
I need an honest breakdown of these findings and to know if in a medical opinion it is likely that I have cancer. Thank you.
Thanks for your query to askthedoctor.com for an opinion.
It is evident from the PET SCAN report that there is a metabolically active lesion seen in the posterior aspect of the right lower lung that is the inferior lobe of right lung which has central calcification ( as in central deposition of calcium. this is seen in cases of active granuloma healing process which in itself can indicate a tumours pathology in the lung. Mediastinal adenopathy is suspected that is swelling and infection induced swelling and growth of mediastinal lymph nodes.
These are reactionary changes following a lung infection be it focal or generalised.
Not just these active lesions but a soft tissue mass growth is also evident above this metabolically active lesion indicating that there may be a possibility of developing lung cancer.As the arise of these lesions are recent and growth is rapid which is another feature of malignancy, the growth and the lesions can be cancerous. However the confirmation can be made only after a ultrasound directed lung biopsy and subjecting it to histopathological examination which if reveals any cancerous cells or atypic shall confirm pulmonary neoplasia or cancer.
I hope i have answered your query and described the report in every single simpler manner in which i could.
Wishing you good health,
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