[sassytazzzzy]

The fallowing is a report from a ct I had in April of this year the thyroid thing worries me!

Exam: CT CHEST w CONT
CHEST CT WITH CONTRAST::

A routine chest CT was obtained with 100 ml of Ommipaque-300.
Compareison is made to CT scan of the abdomen obtainded at Mason General hospital on March 13, 2007.

There are multiple small nodules on both lungs.

In the right lung, a pleural-based nodular opacity is seen on the image 37, 180. This measures 8mm. A 2-mm nodule is seen on image 37, 180. A 3-mm nodule is noted on image 38, 185. Three 2 to 3-mm nodules are seen on image 39,190. A 4-mm nodule is seen on image 40, 195. In the left lung, there is a 5 to 6-mm noular opacity on image 19, 90. A sutle 3 to 4-mm opacisty on image 23, 110, is noted. A 4-mm nodule on image 27, 130, and 3 and 4-mm nodules on image 40, 195. All of the nodules are noncalcified. No pleural or pericardial effusion. There is shotty hilar and mediastinal lymphadenopathy. Small bilateral axillary lymph node is seen. All of the lymp nodes measure less than 1 cm in short-axis deameter.

The thoracic aorta has a normal caliber. Images through the upper abdomen are unremarkable.

On this study, I only visualize the right thyroid lobe. The right thyroid lobe appears to enhance ralatively homogeneously without evidence of focal abnormality.

IMPRESSION:
1. Multiple noncalcified lung nodules bilaterally. Benign and malignant etiologies are in differential. Diagnosis. These are probably noncalicified granulomata.
2. Only the right thyroid lobe is visualized. Has the patient had a left thyroidectomy for thyroid cancer? If patient has history of malignacy, then metastatic lung nodules would be possible.3. Therefore, serial CT surveillance is suggested. Follow-up CT can be optained in three months to re-assess.

Apreliminary report was called to DR Harpreet Brar at 1328 hours on April 11, 2007.

Ok so I am no doc and I don't understand this but missing a thyroid is a bad thing right and how can it be gone when I never had it removed. Why is this not a concer as well as the nodules to my doctor. I have the ct's and this report was on the dic. (yes I had to see it) I have a more current ct but there is no report on the ct not sure why but I do know from the docs that they have grown and there are more of them now! Can some one please help me understand this report not just the thyroid deal but the whole thing!? :confused:

[KISS]

I'll take a stab at it. First a definition: granulomas, granulomata
1. pathol.
A small localized tumour composed of growing connective tissue and caused by infection or invasion by a foreign body.

That's not a good thing. Sometimes you cannot assess cancer or abnormally growing tissue unless you have comparisons, thus the suggestion for reassesing in 3 months.

Your going to have to get a metric ruler to visualize mm (milimeters) and cm (Centimeters). There are 2.54 cm per inch. Your nodules are all around 1cm long and various diameters.

For pleural see here: Pleural cavity - Wikipedia, the free encyclopedia

The info on the thyroid doesn't necessarily mean you don't have a left thyroid lobe. It just means it didn't show up. But, you could have been born without one.

The docs need to figure out if they are growing. When they are small and growing they likely should be removed. You don't want cancer to metastisize or spread to other organs.

That's my impression. I'm not a doc. I'd ask the doc in the form of "Does this mean...."
1. you don't know if any of the lesions are malignant (fancy word for cancerous) until you re-assess?
2. that they can't see the other lobe of my thyroid or I was born without the other one? What's more probable?

[Xrayman]

Okay the report is stating that there are lung nodules that appear non-cancerous.

The reason why the doctor is asking about whether you have had a thyroid nodule removed due to cancer is because he/she feels that the nodules LOOK benign, but if you have had cancer in your thyroid, then there is a good chance he is seeing malignant nodules in your lung.

He also states that from what he can see, there is no cancer in your thyroid (right hand side lobe). This is why he wants to compare lobes for a full examination-he just thinks that your left lobe has been removed for cancer reasons-the fact that you don't know this and you seem to have no knowledge of surgery on your thyroid, then I'd guess that you do not seem to have any metastatic (cancerous) nodules. (he thinks that the nodules may have originated or spread to/from your left hand thyroid lobe.

To me the report sounds not too bad at all-they feel that you may need further cts to check for further spread of nodules over time.

Otherwise I'd say this is a good outcome.

Cheers, best wishes!

[anyardier]

Sorry, posted this as an answer rather than a question.