Q. How can nodal enlargement in lung be treated?

Answered by
Dr. Anirudh Kumar Bokka
and medically reviewed by Dr. Divya Banu M
Published on Aug 20, 2019

Hello doctor,

I need advice after my second CT chest result. Six months back, I went for a CT scan because I have got chest pain which suddenly comes and goes and I wanted to go for a check-up. The CT showed a right-sided nodule measuring 3 mm and was advised to RPT interval scan in six months. I have done the second CT, the previous nodule is still there and they found another one.

In the LLL, a 4 mm nodule is representative of an intrapulmonary lymph node. No suspicious lung lesion. Tiny 3 mm RLL nodule noted. No enlarged lymph nodes. Mild thymic hyperplasia. The partly visualized upper abdominal viscera appear unremarkable. No aggressive bony lesion. They said I do not need to do anything which is strange because there are two nodes now and the second one was not there six months ago. Do I need some kind of medicine therapy to clear my lung from this node or do I need to check if it is growing or not after one year?

Dr. Anirudh Kumar Bokka

Pulmonology (Asthma Doctors)
#

Hi,

Welcome to icliniq.com.

According to guidelines when there is a single nodule in the lung of size less than 3 mm we ask to follow up in six months for repeat CT. In the repeat CT, if we find any enlargement of the nodule or any new developments we usually ask for a biopsy of the existing nodule. That is how we practice. So, I think you should repeat your CT after six months and if the size increases, you should get a biopsy done.

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