


Lung nodules – something or nothing?

It’s been 10 years since I saw a scalpel (….but my surgeon is still on speed dial)

A solitary pulmonary nodule or “spot on the lung” is defined as a discrete, well-defined, rounded opacity less than or equal to 3 cm (1.5 inches) in diameter that is completely surrounded by lung tissue, does not touch the root of the lung or mediastinum, and is not associated with enlarged lymph nodes, collapsed lung, or pleural effusion.
A pulmonary nodule can be benign or cancerous. Lesions larger than 3 cm are considered masses and are treated as cancerous until proven otherwise.
Lung nodules are quite common and are found on one in 500 chest X-rays and one in 100 CT scans of the chest. Lung nodules are being recognized more frequently with the wider application of CT screening for lung cancer. Roughly half of people who smoke over the age of 50 will have nodules on a CT scan of their chest.
UT SouthWestern Medical Center