My CT scan says defined streaky opacity with associated loss volume and clustered tree in bud nodules have developed in the anterior segment of the upper left lobe. The associated central bronchi are impacted. Without an obvious mass, although a small central lesion is not excluded. The impression at the end said a focus of bronchitis and bronchiolitis with airway impaction has developed in the anterior segment of the left upper lobe. An infectious etiology is suspected, but a small endobronchial lesion could be obstructing, this is not a typical site for aspiration. Follow-up is recommended to confirm resolution.
I am of course concerned about lung cancer, but my pulmonologist said this mass looks like pneumonia, but the airway leading to pneumonia cannot be seen well. That is where the bronchoscopy comes in, as the airway cannot be completely visualized on a CT scan. If there were to be any abnormality in the airway, it would be more along the spectrum of a benign growth than lung cancer. Does this make sense? Do you agree?