Q. I have a 2 mm solitary pulmonary nodule. Is this serious?

Answered by
Dr. Anshul Varshney
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 28, 2018

Hello doctor,

I am a 74-year-old male, weighing 142 lbs, height 5'10" and a non-smoker. I worked in an auto body shop for two years and painting cars for 18 to 19 years. Had minimal exposure to asbestos and quit grain farming at the age of 44 years. When I was 56 years old, I had a severe panic disorder and MVP. Around three months ago, I had a very small amount of blood in my phlegm when clearing my throat about six times. The doctor said that it was due to a blood vessel breakage, but ordered a pulmonary function test and chest CT to be sure. Pulmonary function test done two months back was normal. Chest CT findings showed no bronchiectasis or interstitial lung disease, no pneumothorax or pleural effusion. There is very minimal atelectasis in the left and right lower lobes. There is a 2 mm pleural based RT, lower lobe pulmonary nodule and no additional nodule or mass. My pulmonary doctor talked like nothing is seriously wrong.

What is your opinion? Should I have follow-ups on the 2 mm nodule? What did minimal atelectasis mean and what caused it? I take no medicines except Ativan PRN.

Dr. Anshul Varshney

Critical Care Physician Diabetology General Medicine Internal Medicine Medical Gastroenterology Nephrology Pulmonology (Asthma Doctors) Rheumatology


Welcome to icliniq.com.

See, solitary pulmonary nodule which is asymptomatic does not require any further investigations. However, any persisting fever, cough and cold warrants bronchoscopy and biopsy of the lesion to rule out any possible causes.

Atelectasis is the collapse of alveoli of the lung. So, that needs an evaluation from my side. I would suggest bronchoscopy for you based on your current scenario.

For more information consult a criticalcare physician online --> https://www.icliniq.com/ask-a-doctor-online/criticalcare-physician

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