How to assess that lonely lung nodule

A classic incidental finding on the chest X-ray, but a vexing one nonetheless. A chest X-ray gets done in the emergency department or outpatient clinic for some other reason, and you turn up a nodule – what do you do? What does it mean? Is it cancer, or is it something else? When do I do other tests? All these questions and more answered in this nice article from the BMJ. 

The article outlines potential differentials, suspicious factors for malignancy, the use of further investigations (CT, PET, biopsy, bronchoscopy and EBUS), all in the context of a common clinical vignette.

Read it here.

 

 

(If you were wondering, the picture above is of a hilar carcinoid mass.)

 

 

source | BMJ

image | Pulmonary Pathology

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