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What could be the reason for the various nodules in the lungs?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been having sharp, stabbing pain in the chest (they feel like pain related to nerves as I get them all over the chest, sometimes on both sides at the same time) as well as shortness of breath and a stuffy nose, phlegm or sputum, sometimes cough and wheezing. Sometimes, I feel pain when I breathe, it is very sharp and I have to hold my breath or take shallow breaths. I had a computerized tomography (CT) scan done, and the results showed: a five millimeter (mm) subpleural nodule in the right lower lobe, three millimeter subpleural nodule in the lateral right middle lobe, and three millimeter peripheral lung nodule in the lateral left lower lobe. There are a couple of tiny subpleural nodules in the lingula. No, interstitial thickening, bronchiectasis or significant air trapping. My question is, will these nodules produce these symptoms at this stage? Are they likely benign? Also, does lung cancer usually spread out like this, or does it usually start in one spot and turns into a mass? I vaped heavily for about seven years. Thank you.

Answered by Dr. Prabhu Prasad N C

Education:

MD Pulmonary medicine DNB(Respiratory medicine)Fellowship in pulm/crit care(CMC,Vellore)

Professional Bio:

Dr. Prabhu Prasad N. C is a Consultant Pulmonologist with a decade of wide-ranging experience in Pulmonology. He has expertise in treating critically ill patients with Acute and Chronic Respiratory Failure, including patients with Non-Invasive Ventilation and Patients with Diffuse Parenchymal Lung Disease, with extensive years of clinical experience. He is well-experienced in Interventional bronchoscopic and Thoracoscopic procedures and real-time ultrasound-guided pleural interventions. He specializes in Interventional Pulmonology, Respiratory Critical care, Respiratory Sleep Disorders, and Respiratory Allergy.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com. I have gone through your query and understand your concerns. I assume you have two issues: 1. Lung nodules. 2. Probable asthma. The pain that you are describing could exactly correlate with computerized tomography (CT) scan findings because of the presence of nodules. Lung nodules can be cancerous lesions, and they may have started as nodules or might have originated from somewhere else if we thinks of cancer. Kindly consult interventional pulmonologists trained in radial endobronchial ultrasound (EBUS) for an urgent biopsy to confirm the case. Thank you.

Medically reviewed by iCliniq medical review team
Published At April 16, 2023
Reviewed At May 8, 2026

Education:

MD Pulmonary medicine DNB(Respiratory medicine)Fellowship in pulm/crit care(CMC,Vellore)

Professional Bio:

Dr. Prabhu Prasad N. C is a Consultant Pulmonologist with a decade of wide-ranging experience in Pulmonology. He has expertise in treating critically ill patients with Acute and Chronic Respiratory Failure, including patients with Non-Invasive Ventilation and Patients with Diffuse Parenchymal Lung Disease, with extensive years of clinical experience. He is well-experienced in Interventional bronchoscopic and Thoracoscopic procedures and real-time ultrasound-guided pleural interventions. He specializes in Interventional Pulmonology, Respiratory Critical care, Respiratory Sleep Disorders, and Respiratory Allergy.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD Pulmonary medicine DNB(Respiratory medicine)Fellowship in pulm/crit care(CMC,Vellore)

Professional Bio:

Dr. Prabhu Prasad N. C is a Consultant Pulmonologist with a decade of wide-ranging experience in Pulmonology. He has expertise in treating critically ill patients with Acute and Chronic Respiratory Failure, including patients with Non-Invasive Ventilation and Patients with Diffuse Parenchymal Lung Disease, with extensive years of clinical experience. He is well-experienced in Interventional bronchoscopic and Thoracoscopic procedures and real-time ultrasound-guided pleural interventions. He specializes in Interventional Pulmonology, Respiratory Critical care, Respiratory Sleep Disorders, and Respiratory Allergy.

This doctor is not available for online consultations on the platform anymore.

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