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Lung nodule

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and not a tissue cylinder or biopsy, precluding evaluation of the tissue architecture. Theoretically, this makes the diagnosis of benign conditions more difficult, although rates higher than 90% have been reported. Complications of the latter technique include hemorrhage into the lung and air leak in
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morphology: a spiculated margin is a risk factor for cancer. Benign causes tend to have a well defined border, whereas lobulated lesions or those with an irregular margin extending into the neighbouring tissue tend to be malignant. In particular, spiculations are highly predictive of malignancy with
996:). Thus, an abnormal PET scan will reliably pick up cancer, but several other types of nodules (inflammatory or infectious, for example) will also show up on a PET scan. If the nodule has a diameter of less than one centimeter, PET scans are often avoided because of an increased risk of 411: 479:
rate: solid cancers generally doubles in volume over between 100 and 400 days, while subsolid cancers (generally representing adenocarcinomas) generally doubles in volume over 3 to 5 years. One volume doubling equals approximately a 26% increase in
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Nodular density is used to distinguish larger lung tumors, smaller infiltrates or masses with other accompanying characteristics. An often used formal radiological definition is the following: a single lesion in the lung completely surrounded by
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guidelines are given in table below. For multiple nodes, management is based on the most suspicious node. These guidelines do not apply in lung cancer screening, in patients with immunosuppression, or in patients with known primary cancer.
473:: Where the presence of up to an additional 3 nodules has been found to increase the risk of cancer, but decrease in case of 4 or more additional ones, likely because it indicates a previous granulomatous infection rather than cancer. 459: 158:
are diagnosed in this way. If the patient has a history of smoking or the nodule is growing, the possibility of cancer may need to be excluded through further radiological studies and interventions, possibly including
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MacMahon H, Naidich DP, Goo JM, Lee KS, Leung AN, Mayo JR, et al. (July 2017). "Guidelines for Management of Incidental Pulmonary Nodules Detected on CT Images: From the Fleischner Society 2017".
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is defined as a pattern of air-filled bronchi on a background of airless lung, and may be seen in both benign and malignant nodules, but certain patterns thereof may help in risk stratification.
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a positive predictive value up to 90%. Also, a "notch sign", which is an abrupt indentation of the nodule, increases the risk of cancer, but may also be found in granulomatous diseases.
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Gould MK, Maclean CC, Kuschner WG, Rydzak CE, Owens DK (February 2001). "Accuracy of positron emission tomography for diagnosis of pulmonary nodules and mass lesions: a meta-analysis".
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Cronin P, Dwamena BA, Kelly AM, Carlos RC (March 2008). "Solitary pulmonary nodules: meta-analytic comparison of cross-sectional imaging modalities for diagnosis of malignancy".
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is where vessels converge to a nodule without adjoining or contacting the edge of the nodule, and is mainly seen in peripheral subsolid lung cancers. It reflects
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Klein JS, Salomon G, Stewart EA (March 1996). "Transthoracic needle biopsy with a coaxially placed 20-gauge automated cutting needle: results in 122 patients".
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Truong MT, Ko JP, Rossi SE, Rossi I, Viswanathan C, Bruzzi JF, et al. (October 2014). "Update in the evaluation of the solitary pulmonary nodule".
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is a risk factor for cancer. In comparison, the typical size doubling are less than 20 days for infections, and more than 400 days for benign nodules.
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Jude CM, Nayak NB, Patel MK, Deshmukh M, Batra P (2014). "Pulmonary coccidioidomycosis: pictorial review of chest radiographic and CT findings".
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Not every round spot on a radiological image is a solitary pulmonary nodule: it may be confused with the projection of a structure of the
1261:"Management of SPN in France. Pathways for definitive diagnosis of solitary pulmonary nodule: a multicentre study in 18 French districts" 3463: 3334: 3303: 3086: 2841: 2239: 1805:"What do you mean, a spot?: A qualitative analysis of patients' reactions to discussions with their physicians about pulmonary nodules" 608: 3536: 3493: 3096: 2892: 3293: 3073: 2573: 2268: 2263: 945:
More frequent CT scans than what is recommended has not been shown to improve outcomes but will increase radiation exposure and the
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Erasmus JJ, McAdams HP, Connolly JE (2000). "Solitary pulmonary nodules: Part II. Evaluation of the indeterminate nodule".
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Vansteenkiste JF, Stroobants SS (January 2006). "PET scan in lung cancer: current recommendations and innovation".
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Snoeckx A, Reyntiens P, Desbuquoit D, Spinhoven MJ, Van Schil PE, van Meerbeeck JP, Parizel PM (February 2018).
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Thiessen NR, Bremner R (October 2010). "The solitary pulmonary nodule: approach for a general surgeon".
355: 1541:"Evaluation of the solitary pulmonary nodule: size matters, but do not ignore the power of morphology" 3679: 3528: 3010: 2962: 2950: 2764: 2722: 2321: 977: 897: 614: 586: 290: 282: 988:(PET scan) is appropriate (if available). It can be done simultaneously as a CT scan in the form of 59: 3606: 3278: 3245: 2991: 2940: 2568: 2388: 2255: 2150: 968:) in the left lower lobe near the heart. The scan also revealed abnormal increased activity at the 274: 188: 3658: 3428: 3136: 3001: 2957: 2789: 2710: 2637: 2507: 1005: 788: 250: 1219:
Ost D, Fein AM, Feinsilver SH (June 2003). "Clinical practice. The solitary pulmonary nodule".
1081:(which can be done under CT guidance). Needle aspiration can only retrieve groups of cells for 3565: 3354: 3258: 2502: 2331: 2292: 2201: 2172: 2090: 2055: 2020: 1979: 1944: 1909: 1874: 1834: 1791: 1709: 1645: 1610: 1570: 1470: 1414: 1365: 1327: 1292: 1236: 1198: 751: 238: 219: 124: 48: 1760:
Smith-Bindman R, Lipson J, Marcus R, Kim KP, Mahesh M, Gould R, et al. (December 2009).
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CT after 6–12 months to check if persistent, then after 2 years and then another 2 years
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Alzahouri K, Velten M, Arveux P, Woronoff-Lemsi MC, Jolly D, Guillemin F (April 2008).
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is far more common in cancers. It is the pulling of visceral pleura towards the nodule.
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has a diameter of less than three millimetres. There may also be multiple nodules.
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Khan A (March 2007). "ACR Appropriateness Criteria on solitary pulmonary nodule".
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Calcifications and popcorn-like appearance, conferring a diagnosis of hamartoma.
565: 502: 336: 195: 155: 113: 53: 36: 2177: 2015: 1999:"Utility of small biopsies for diagnosis of lung nodules: doing more with less" 1998: 1905: 376:: Upper lobe location is a risk factor for cancer, while a location close to a 3601: 3208: 2808: 2794: 2769: 2744: 2739: 2673: 2622: 2544: 2520: 2469: 2343: 2308: 2283: 2136: 1975: 1606: 1556: 1466: 1323: 1150:"Coin lesion (lung) | Radiology Reference Article | Radiopaedia.org" 1091: 1001: 764: 347: 305: 207: 176: 936:
CT after 3–6 months. If stable, consider CT after 2 and then another 2 years.
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Where workup indicates a high risk of cancer, excision can be performed by
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In selected cases, nodules can also be sampled through the airways using
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de Margerie-Mellon, Constance; Bankier, Alexander A. (1 December 2019).
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If unchanged and solid component remains <6mm: Annual CT for 5 years.
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nodules, being part solid has a higher risk of cancer than being purely
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In this case, pleural retraction is seen as a triangular fat component.
509:(HU), whereas a higher enhancement indicates a malignant tumor (with a 464:
A triangular perifissural node can be diagnosed as a benign lymph node.
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indicates a benign lymph node, especially if having a triangular shape.
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Wiener RS, Gould MK, Woloshin S, Schwartz LM, Clark JA (March 2013).
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If there is an intermediate risk of malignancy, further imaging with
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of a lung nodule, the latter better visualizing vascular convergence.
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Tan BB, Flaherty KR, Kazerooni EA, Iannettoni MD (January 2003).
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Low attenuating nodule (in this case a fat containing hamartoma).
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study of a 71-year-old woman with a solitary pulmonary nodule (
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Winer-Muram HT (April 2006). "The solitary pulmonary nodule".
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have also proven to be very helpful in the diagnosis of SPN.
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Risk factors for incidentally discovered nodules are mainly:
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Zhan P, Xie H, Xu C, Hao K, Hou Z, Song Y (December 2013).
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are commonly used for diagnosis of lung nodules. CT guided
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can be expected to make the patient anxious and uncertain.
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with a diameter less than 3 cm and without associated
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Round well-delineated solid lung nodule with smooth border.
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CT after 3–6 months, then consider CT after 18–24 months
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CT after 6–12 months, then consider CT after 18–24 months
505:, a solitary nodule with an enhancement off less than 15 210:
to the lung (common unrecognised primary tumor sites are
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the pleural space between the lung and the chest wall (
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CT densitometry, measuring absolute attenuation on the
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Choosing Wisely: An Initiative of the ABIM Foundation
1740:"Five Things Physicians and Patients Should Question" 1446: 1444: 1442: 1440: 1438: 1436: 1434: 1432: 1430: 1428: 501:: If the exam is done as a combined non-contrast and 2109: 556:
Cavitation with relatively thick wall, in this case
3649: 3623: 3579: 3545: 3527: 3454: 3445: 3427: 3418: 3361: 3271: 3244: 3174: 3160: 3114: 3072: 3051: 3025: 2928: 2914: 2905: 2834: 2719: 2699: 2582: 2562: 2402: 2282: 2262: 2187: 2113: 1385:"Management strategy of solitary pulmonary nodules" 194:The most important cause to exclude is any form of 47: 21: 43:(indicated by a black box) in the left upper lobe. 198:, including rare forms such as primary pulmonary 1588: 1586: 1584: 1004:on PET, as demonstrated by their high uptake of 1000:results. Cancerous lesions usually have a high 1534: 1532: 1530: 1528: 1526: 1524: 1522: 1520: 1518: 1516: 1514: 1512: 1510: 1508: 1506: 1504: 1254: 1252: 1250: 843:CT after 6–12 months, then after 18–24 months 787:For incidentally detected nodules on CT scan, 101:smaller than three centimeters in diameter. A 3335: 2240: 1502: 1500: 1498: 1496: 1494: 1492: 1490: 1488: 1486: 1484: 1129:Minimally invasive adenocarcinoma of the lung 939:CT after 3–6 months, then after 18–24 months 870:CT after 3–6 months, then after 18–24 months 754:can include a variety of scans and biopsies. 368:: larger size confers a higher risk of cancer 296:A solitary lung nodule can be found to be an 277:infestation). Lung nodules can also occur in 139:, but in around 20% of cases it represents a 8: 1894:Journal of the American College of Radiology 1852: 1850: 1661: 1659: 77:is a relatively small focal density in the 3451: 3424: 3342: 3328: 3320: 3171: 2925: 2911: 2716: 2579: 2279: 2247: 2233: 2225: 2110: 1343: 1341: 1115:, which can also confirm the diagnosis by 1068:percutaneous transthoracic needle biopsies 1054:For cases suspicious enough to proceed to 1044:single photon emission computed tomography 58: 27: 18: 2847:Combined pulmonary fibrosis and emphysema 2014: 1828: 1785: 1564: 1408: 1286: 1276: 1214: 1212: 1192: 1169:"To Be or Not to Be … a Pulmonary Nodule" 672:is a rare finding, yet indicating cancer. 154:. Conversely, 10 to 20% of patients with 875: 869: 858: 794: 655: 233:The most common benign coin lesion is a 2871:Allergic bronchopulmonary aspergillosis 1140: 1010: 922:Solid component ≥6mm: highly suspicious 681: 629: 592: 534: 394: 660:Lung nodule abutting a pulmonary cyst. 3519:Basaloid squamous cell lung carcinoma 1312:The Surgical Clinics of North America 360:chronic obstructive pulmonary disease 269:infection or worm infection (such as 222:). Benign tumors in the lung include 167:depends on the underlying condition. 7: 2087:10.1148/radiographics.20.1.g00ja0259 1732:American College of Chest Physicians 1113:video-assisted thoracoscopic surgery 1058:, small biopsies can be obtained by 884:Total size <6 mm (<100mm) 253:. Other infectious causes include a 3304:Idiopathic pulmonary haemosiderosis 1401:10.3978/j.issn.2072-1439.2013.12.13 1221:The New England Journal of Medicine 108:One or more lung nodules can be an 2893:Vaping-associated pulmonary injury 2256:Diseases of the respiratory system 14: 1173:Radiology: Cardiothoracic Imaging 354:and previously diagnosed cancer, 1941:10.1097/01243894-200601000-00014 1077:or through the chest wall using 1013: 693: 684: 644: 632: 607: 595: 549: 537: 457: 445: 433: 421: 409: 397: 287:granulomatosis with polyangiitis 2052:10.1148/radiology.198.3.8628859 1997:Mukhopadhyay S (January 2012). 1690:"The solitary pulmonary nodule" 639:Nodule with pleural retraction. 308:zone. It may also be caused by 3309:Pulmonary alveolar proteinosis 1778:10.1001/archinternmed.2009.427 840:Optionally, CT after 12 months 678:in the nodule indicate cancer: 1: 3537:Combined small-cell carcinoma 3499:Salivary gland–like carcinoma 3456:Non-small-cell lung carcinoma 2883:Idiopathic pulmonary fibrosis 1766:Archives of Internal Medicine 1706:10.1378/chest.123.1_suppl.89S 1038:of pulmonary nodules include 887:Total size >6mm (>100) 867:Optionally CT after 12 months 520:(−40 to −120 HU) indicates a 2866:Respiratory hypersensitivity 2804:Hypersensitivity pneumonitis 1929:Journal of Thoracic Oncology 986:positron emission tomography 708:maximal intensity projection 3473:Mucinous cystadenocarcinoma 3393:Nasopharyngeal angiofibroma 2775:Coalworker's pneumoconiosis 1389:Journal of Thoracic Disease 994:sensitivity and specificity 976:). The final diagnosis was 127:most commonly represents a 3696: 2628:Acute exacerbation of COPD 2016:10.1038/modpathol.2011.153 1906:10.1016/j.jacr.2006.12.003 1666:Tanay Patel (2019-02-25). 1040:magnetic resonance imaging 970:gastro-esophageal junction 731: 298:arteriovenous malformation 3592:Solitary pulmonary nodule 3479:Large-cell lung carcinoma 1976:10.1148/radiol.2463062148 1736:American Thoracic Society 1668:"Lung Metastases Imaging" 1607:10.1148/radiol.2391050343 1557:10.1007/s13244-017-0581-2 1467:10.1148/radiol.2017161659 1324:10.1016/j.suc.2010.07.002 1117:microscopical examination 1034:Other potential forms of 930: 891: 881: 847: 828:Consider CT at 3 months, 827: 813: 803:<6 mm (<100mm) 800: 83:solitary pulmonary nodule 41:solitary pulmonary nodule 35: 26: 3509:Papillary adenocarcinoma 3410:Laryngeal papillomatosis 3388:Nasopharyngeal carcinoma 2691:Diffuse panbronchiolitis 2684:Bronchiolitis obliterans 2550:Laryngotracheal stenosis 2497:Laryngopharyngeal reflux 2475:Laryngopharyngeal reflux 2433:Laryngopharyngeal reflux 2361:Nasal septum perforation 3504:Adenosquamous carcinoma 3464:Squamous-cell carcinoma 2439:Retropharyngeal abscess 1185:10.1148/ryct.2019190201 1008:(a radioactive sugar). 947:unnecessary health care 779:(swollen lymph nodes). 440:Spiculated lung nodule. 112:found in up to 0.2% of 3641:solitary fibrous tumor 3132:Pulmonary hypertension 2861:Eosinophilic pneumonia 2513:Vocal cord dysfunction 2356:Nasal septum deviation 1871:10.1001/jama.285.7.914 1278:10.1186/1471-2407-8-93 1079:fine-needle aspiration 1060:fine needle aspiration 981: 916:CT after 6–12 months: 765:functional lung tissue 711: 661: 570: 356:respiratory infections 263:pneumocystis pneumonia 241:), for example due to 3489:Sarcomatoid carcinoma 3376:Esthesioneuroblastoma 3259:Mediastinal emphysema 3038:Healthcare-associated 2968:Legionnaires' disease 2394:Peritonsillar abscess 2366:Nasal septal hematoma 1821:10.1378/chest.12-1095 1678:Updated: Sep 30, 2018 1545:Insights into Imaging 960: 732:Further information: 705: 676:Bubble-like lucencies 659: 568: 103:pulmonary micronodule 3529:Small-cell carcinoma 3514:Giant-cell carcinoma 3006:Mendelson's syndrome 2878:Hamman–Rich syndrome 2009:(Suppl 1): S43–S57. 1700:(1 Suppl): 89S–96S. 1642:10.1148/rg.346130092 1362:10.1148/rg.344130134 1233:10.1056/NEJMcp012290 978:non-Hodgkin lymphoma 913:No routine follow-up 902:No routine follow-up 898:Ground glass opacity 856:No routine follow-up 822:No routine follow-up 809:>8mm (>250mm) 716:Vascular convergence 615:Ground glass opacity 587:ground glass opacity 342:such as exposure to 338:General risk factors 291:organizing pneumonia 283:rheumatoid arthritis 189:electrocardiographic 3607:Bronchial leiomyoma 3279:Respiratory failure 3246:Mediastinal disease 2814:Bird fancier's lung 2389:Adenoid hypertrophy 878: 797: 775:(lung collapse) or 179:or skin, such as a 3659:Mediastinal tumors 3484:Rhabdoid carcinoma 3184:Pleuritis/pleurisy 3137:Pulmonary embolism 3033:Community-acquired 2958:Atypical bacterial 2857:Löffler's syndrome 2638:Status asthmaticus 2623:Chronic bronchitis 2508:Vocal fold paresis 2322:Vasomotor rhinitis 2188:External resources 1738:(September 2013). 982: 876: 795: 789:Fleischner Society 712: 662: 624:Pleural retraction 602:Part solid nodule. 571: 513:estimated at 98%). 404:subpleural nodule. 251:Coccidioidomycosis 161:surgical resection 110:incidental finding 3667: 3666: 3619: 3618: 3615: 3614: 3566:Immature teratoma 3355:respiratory tract 3317: 3316: 3267: 3266: 3224:Empyema/pyothorax 3156: 3155: 3152: 3151: 3110: 3109: 3043:Hospital-acquired 2901: 2900: 2765:Caplan's syndrome 2558: 2557: 2503:Vocal fold nodule 2327:Atrophic rhinitis 2222: 2221: 1772:(22): 2078–2086. 1227:(25): 2535–2542. 943: 942: 877:Subsolid nodules 874: 873: 806:6–8mm (100–250mm) 777:lymphadenopathies 752:diagnostic workup 428:Lobulated nodule. 310:bronchial atresia 220:testicular cancer 116:and around 1% of 67: 66: 16:Medical condition 3687: 3452: 3425: 3405:Laryngeal cancer 3344: 3337: 3330: 3321: 3202:Pleural effusion 3195:Hemopneumothorax 3172: 2926: 2912: 2755:Bauxite fibrosis 2720:External agents/ 2717: 2648:Exercise-induced 2604:Acute bronchitis 2580: 2280: 2249: 2242: 2235: 2226: 2111: 2099: 2098: 2070: 2064: 2063: 2035: 2029: 2028: 2018: 2003:Modern Pathology 1994: 1988: 1987: 1959: 1953: 1952: 1924: 1918: 1917: 1889: 1883: 1882: 1854: 1845: 1842: 1832: 1799: 1789: 1755: 1753: 1751: 1728: 1722: 1721: 1716:. Archived from 1685: 1679: 1677: 1663: 1654: 1653: 1636:(6): 1658–1679. 1625: 1619: 1618: 1590: 1579: 1578: 1568: 1536: 1479: 1478: 1450: 1423: 1422: 1412: 1380: 1374: 1373: 1345: 1336: 1335: 1318:(5): 1003–1018. 1307: 1301: 1300: 1290: 1280: 1256: 1245: 1244: 1216: 1207: 1206: 1196: 1164: 1158: 1157: 1145: 1017: 879: 798: 740:Hounsfield scale 727:Air bronchograms 697: 688: 648: 636: 611: 599: 553: 541: 507:Hounsfield units 461: 449: 437: 425: 413: 401: 279:immune disorders 247:fungal infection 146:, especially in 131:tumor such as a 75:pulmonary nodule 63: 62: 31: 19: 3695: 3694: 3690: 3689: 3688: 3686: 3685: 3684: 3670: 3669: 3668: 3663: 3645: 3611: 3602:Peripheral lung 3575: 3541: 3523: 3441: 3414: 3357: 3348: 3318: 3313: 3263: 3240: 3176:Pleural disease 3165: 3148: 3106: 3068: 3052:By distribution 3047: 3026:By vector/route 3021: 2919: 2907: 2897: 2852:Pulmonary edema 2830: 2725: 2721: 2708: 2704: 2695: 2660:Cystic fibrosis 2587: 2571: 2567: 2554: 2398: 2272: 2266: 2258: 2253: 2223: 2218: 2217: 2183: 2182: 2122: 2108: 2103: 2102: 2072: 2071: 2067: 2037: 2036: 2032: 1996: 1995: 1991: 1961: 1960: 1956: 1926: 1925: 1921: 1891: 1890: 1886: 1856: 1855: 1848: 1802: 1759: 1749: 1747: 1730: 1729: 1725: 1687: 1686: 1682: 1665: 1664: 1657: 1627: 1626: 1622: 1592: 1591: 1582: 1538: 1537: 1482: 1452: 1451: 1426: 1382: 1381: 1377: 1347: 1346: 1339: 1309: 1308: 1304: 1258: 1257: 1248: 1218: 1217: 1210: 1166: 1165: 1161: 1147: 1146: 1142: 1137: 1125: 1105: 1100: 1052: 1036:medical imaging 1032: 1025: 1018: 955: 932: 893: 849: 815: 785: 760: 748: 736: 734:Air bronchogram 706:Thin slice and 698: 689: 652: 649: 640: 637: 618: 612: 603: 600: 561: 554: 545: 542: 465: 462: 453: 452:A "notch sign". 450: 441: 438: 429: 426: 417: 414: 405: 402: 344:tobacco smoking 330: 206:and a solitary 204:carcinoid tumor 173: 57: 17: 12: 11: 5: 3693: 3691: 3683: 3682: 3672: 3671: 3665: 3664: 3662: 3661: 3655: 3653: 3647: 3646: 3644: 3643: 3635: 3629: 3627: 3621: 3620: 3617: 3616: 3613: 3612: 3610: 3609: 3604: 3599: 3594: 3589: 3587:Pancoast tumor 3583: 3581: 3577: 3576: 3574: 3573: 3568: 3563: 3558: 3552: 3550: 3543: 3542: 3540: 3539: 3533: 3531: 3525: 3524: 3522: 3521: 3516: 3511: 3506: 3501: 3496: 3491: 3486: 3481: 3476: 3469:Adenocarcinoma 3466: 3460: 3458: 3449: 3443: 3442: 3440: 3439: 3437:Tracheal tumor 3433: 3431: 3422: 3416: 3415: 3413: 3412: 3407: 3402: 3396: 3395: 3390: 3385: 3379: 3378: 3373: 3367: 3365: 3359: 3358: 3353:involving the 3349: 3347: 3346: 3339: 3332: 3324: 3315: 3314: 3312: 3311: 3306: 3301: 3296: 3291: 3286: 3281: 3275: 3273: 3269: 3268: 3265: 3264: 3262: 3261: 3256: 3250: 3248: 3242: 3241: 3239: 3238: 3232: 3231: 3226: 3221: 3216: 3211: 3206: 3204: 3198: 3197: 3187: 3186: 3180: 3178: 3169: 3162:Pleural cavity 3158: 3157: 3154: 3153: 3150: 3149: 3147: 3146: 3141: 3140: 3139: 3134: 3124: 3118: 3116: 3112: 3111: 3108: 3107: 3105: 3104: 3099: 3094: 3089: 3084: 3078: 3076: 3070: 3069: 3067: 3066: 3061: 3055: 3053: 3049: 3048: 3046: 3045: 3040: 3035: 3029: 3027: 3023: 3022: 3020: 3019: 3018: 3017: 3008: 2994: 2989: 2988: 2987: 2977: 2976: 2975: 2970: 2965: 2955: 2954: 2953: 2948: 2938: 2932: 2930: 2923: 2909: 2903: 2902: 2899: 2898: 2896: 2895: 2890: 2885: 2880: 2875: 2874: 2873: 2863: 2854: 2849: 2844: 2838: 2836: 2832: 2831: 2829: 2828: 2827: 2826: 2824:Lycoperdonosis 2821: 2816: 2811: 2800: 2799: 2798: 2797: 2792: 2787: 2782: 2777: 2772: 2767: 2762: 2757: 2752: 2747: 2742: 2735:Pneumoconiosis 2731: 2729: 2714: 2697: 2696: 2694: 2693: 2688: 2687: 2686: 2676: 2671: 2669: 2663: 2662: 2657: 2655:Bronchiectasis 2652: 2651: 2650: 2645: 2640: 2631: 2625: 2615: 2613: 2607: 2606: 2601: 2599: 2593: 2591: 2577: 2560: 2559: 2556: 2555: 2553: 2552: 2547: 2542: 2540: 2532: 2531: 2526: 2524: 2516: 2515: 2510: 2505: 2500: 2494: 2492: 2484: 2483: 2478: 2472: 2467: 2465:Laryngeal cyst 2462: 2460:Laryngomalacia 2457: 2452: 2450: 2442: 2441: 2436: 2430: 2429: 2428: 2418: 2416: 2408: 2406: 2400: 2399: 2397: 2396: 2391: 2386: 2381: 2379: 2371: 2370: 2369: 2368: 2363: 2358: 2346: 2341: 2336: 2335: 2334: 2329: 2324: 2314: 2312: 2304: 2303: 2298: 2296: 2288: 2286: 2277: 2260: 2259: 2254: 2252: 2251: 2244: 2237: 2229: 2220: 2219: 2216: 2215: 2204: 2192: 2191: 2189: 2185: 2184: 2181: 2180: 2169: 2158: 2143: 2123: 2118: 2117: 2115: 2114:Classification 2107: 2106:External links 2104: 2101: 2100: 2065: 2046:(3): 715–720. 2030: 1989: 1970:(3): 772–782. 1954: 1919: 1900:(3): 152–155. 1884: 1865:(7): 914–924. 1846: 1844: 1843: 1815:(3): 672–677. 1800: 1756:, which cites 1723: 1720:on 2013-01-12. 1680: 1655: 1620: 1580: 1480: 1461:(1): 228–243. 1424: 1395:(6): 824–829. 1375: 1356:(4): 912–925. 1337: 1302: 1246: 1208: 1179:(5): e190201. 1159: 1148:Knipe, Henry. 1139: 1138: 1136: 1133: 1132: 1131: 1124: 1121: 1104: 1101: 1099: 1096: 1051: 1050:Histopathology 1048: 1031: 1028: 1027: 1026: 1019: 1012: 998:falsely normal 980:at both sites. 954: 951: 941: 940: 937: 934: 928: 927: 925: 924: 923: 920: 914: 911: 907: 906: 903: 900: 895: 889: 888: 885: 882: 872: 871: 868: 865: 861: 860: 857: 854: 851: 845: 844: 841: 838: 834: 833: 826: 823: 820: 817: 811: 810: 807: 804: 801: 796:Solid nodules 784: 781: 759: 756: 747: 744: 724: 723: 700: 699: 692: 690: 683: 680: 679: 673: 669:pulmonary cyst 665:A lung nodule 654: 653: 650: 643: 641: 638: 631: 628: 627: 620: 619: 613: 606: 604: 601: 594: 591: 590: 579: 576:calcifications 563: 562: 555: 548: 546: 543: 536: 533: 532: 529:central cavity 527:If there is a 525: 514: 496: 481: 474: 467: 466: 463: 456: 454: 451: 444: 442: 439: 432: 430: 427: 420: 418: 415: 408: 406: 403: 396: 393: 392: 385: 370: 369: 363: 340:of lung cancer 329: 326: 322:pleural plaque 271:dirofilariasis 237:(inflammatory 172: 169: 65: 64: 51: 45: 44: 33: 32: 24: 23: 15: 13: 10: 9: 6: 4: 3: 2: 3692: 3681: 3678: 3677: 3675: 3660: 3657: 3656: 3654: 3652: 3648: 3642: 3639: 3636: 3634: 3631: 3630: 3628: 3626: 3622: 3608: 3605: 3603: 3600: 3598: 3595: 3593: 3590: 3588: 3585: 3584: 3582: 3578: 3572: 3569: 3567: 3564: 3562: 3559: 3557: 3554: 3553: 3551: 3549: 3544: 3538: 3535: 3534: 3532: 3530: 3526: 3520: 3517: 3515: 3512: 3510: 3507: 3505: 3502: 3500: 3497: 3495: 3492: 3490: 3487: 3485: 3482: 3480: 3477: 3474: 3470: 3467: 3465: 3462: 3461: 3459: 3457: 3453: 3450: 3448: 3444: 3438: 3435: 3434: 3432: 3430: 3426: 3423: 3421: 3417: 3411: 3408: 3406: 3403: 3401: 3398: 3397: 3394: 3391: 3389: 3386: 3384: 3381: 3380: 3377: 3374: 3372: 3369: 3368: 3366: 3364: 3360: 3356: 3352: 3345: 3340: 3338: 3333: 3331: 3326: 3325: 3322: 3310: 3307: 3305: 3302: 3300: 3297: 3295: 3292: 3290: 3287: 3285: 3282: 3280: 3277: 3276: 3274: 3272:Other/general 3270: 3260: 3257: 3255: 3254:Mediastinitis 3252: 3251: 3249: 3247: 3243: 3237: 3234: 3233: 3230: 3227: 3225: 3222: 3220: 3217: 3215: 3212: 3210: 3207: 3205: 3203: 3200: 3199: 3196: 3192: 3189: 3188: 3185: 3182: 3181: 3179: 3177: 3173: 3170: 3168: 3163: 3159: 3145: 3142: 3138: 3135: 3133: 3130: 3129: 3128: 3125: 3123: 3120: 3119: 3117: 3113: 3103: 3100: 3098: 3095: 3093: 3090: 3088: 3085: 3083: 3080: 3079: 3077: 3075: 3071: 3065: 3062: 3060: 3057: 3056: 3054: 3050: 3044: 3041: 3039: 3036: 3034: 3031: 3030: 3028: 3024: 3016: 3012: 3009: 3007: 3003: 3000: 2999: 2998: 2997:noninfectious 2995: 2993: 2990: 2986: 2983: 2982: 2981: 2978: 2974: 2971: 2969: 2966: 2964: 2961: 2960: 2959: 2956: 2952: 2949: 2947: 2944: 2943: 2942: 2939: 2937: 2934: 2933: 2931: 2927: 2924: 2922: 2917: 2913: 2910: 2906:Obstructive / 2904: 2894: 2891: 2889: 2886: 2884: 2881: 2879: 2876: 2872: 2869: 2868: 2867: 2864: 2862: 2858: 2855: 2853: 2850: 2848: 2845: 2843: 2840: 2839: 2837: 2833: 2825: 2822: 2820: 2819:Farmer's lung 2817: 2815: 2812: 2810: 2807: 2806: 2805: 2802: 2801: 2796: 2793: 2791: 2788: 2786: 2783: 2781: 2778: 2776: 2773: 2771: 2768: 2766: 2763: 2761: 2758: 2756: 2753: 2751: 2748: 2746: 2743: 2741: 2738: 2737: 2736: 2733: 2732: 2730: 2728: 2724: 2718: 2715: 2712: 2707: 2702: 2698: 2692: 2689: 2685: 2682: 2681: 2680: 2679:Bronchiolitis 2677: 2675: 2672: 2670: 2668: 2665: 2664: 2661: 2658: 2656: 2653: 2649: 2646: 2644: 2641: 2639: 2635: 2632: 2629: 2626: 2624: 2621: 2620: 2619: 2616: 2614: 2612: 2609: 2608: 2605: 2602: 2600: 2598: 2595: 2594: 2592: 2590: 2585: 2581: 2578: 2575: 2570: 2565: 2561: 2551: 2548: 2546: 2543: 2541: 2539: 2538: 2534: 2533: 2530: 2527: 2525: 2523: 2522: 2518: 2517: 2514: 2511: 2509: 2506: 2504: 2501: 2498: 2495: 2493: 2491: 2490: 2486: 2485: 2482: 2479: 2476: 2473: 2471: 2468: 2466: 2463: 2461: 2458: 2456: 2453: 2451: 2449: 2448: 2444: 2443: 2440: 2437: 2434: 2431: 2427: 2424: 2423: 2422: 2419: 2417: 2415: 2414: 2410: 2409: 2407: 2405: 2401: 2395: 2392: 2390: 2387: 2385: 2382: 2380: 2378: 2377: 2373: 2372: 2367: 2364: 2362: 2359: 2357: 2354: 2353: 2352: 2351: 2347: 2345: 2342: 2340: 2337: 2333: 2330: 2328: 2325: 2323: 2320: 2319: 2318: 2315: 2313: 2311: 2310: 2306: 2305: 2302: 2299: 2297: 2295: 2294: 2290: 2289: 2287: 2285: 2281: 2278: 2275: 2270: 2265: 2261: 2257: 2250: 2245: 2243: 2238: 2236: 2231: 2230: 2227: 2214: 2210: 2209: 2205: 2203: 2199: 2198: 2194: 2193: 2190: 2186: 2179: 2175: 2174: 2170: 2168: 2164: 2163: 2159: 2157: 2153: 2152: 2148: 2144: 2142: 2138: 2134: 2133: 2129: 2125: 2124: 2121: 2116: 2112: 2105: 2096: 2092: 2088: 2084: 2080: 2076: 2075:Radiographics 2069: 2066: 2061: 2057: 2053: 2049: 2045: 2041: 2034: 2031: 2026: 2022: 2017: 2012: 2008: 2004: 2000: 1993: 1990: 1985: 1981: 1977: 1973: 1969: 1965: 1958: 1955: 1950: 1946: 1942: 1938: 1934: 1930: 1923: 1920: 1915: 1911: 1907: 1903: 1899: 1895: 1888: 1885: 1880: 1876: 1872: 1868: 1864: 1860: 1853: 1851: 1847: 1840: 1836: 1831: 1826: 1822: 1818: 1814: 1810: 1806: 1801: 1797: 1793: 1788: 1783: 1779: 1775: 1771: 1767: 1763: 1758: 1757: 1745: 1741: 1737: 1733: 1727: 1724: 1719: 1715: 1711: 1707: 1703: 1699: 1695: 1691: 1684: 1681: 1675: 1674: 1669: 1662: 1660: 1656: 1651: 1647: 1643: 1639: 1635: 1631: 1630:Radiographics 1624: 1621: 1616: 1612: 1608: 1604: 1600: 1596: 1589: 1587: 1585: 1581: 1576: 1572: 1567: 1562: 1558: 1554: 1550: 1546: 1542: 1535: 1533: 1531: 1529: 1527: 1525: 1523: 1521: 1519: 1517: 1515: 1513: 1511: 1509: 1507: 1505: 1503: 1501: 1499: 1497: 1495: 1493: 1491: 1489: 1487: 1485: 1481: 1476: 1472: 1468: 1464: 1460: 1456: 1449: 1447: 1445: 1443: 1441: 1439: 1437: 1435: 1433: 1431: 1429: 1425: 1420: 1416: 1411: 1406: 1402: 1398: 1394: 1390: 1386: 1379: 1376: 1371: 1367: 1363: 1359: 1355: 1351: 1350:Radiographics 1344: 1342: 1338: 1333: 1329: 1325: 1321: 1317: 1313: 1306: 1303: 1298: 1294: 1289: 1284: 1279: 1274: 1270: 1266: 1262: 1255: 1253: 1251: 1247: 1242: 1238: 1234: 1230: 1226: 1222: 1215: 1213: 1209: 1204: 1200: 1195: 1190: 1186: 1182: 1178: 1174: 1170: 1163: 1160: 1155: 1151: 1144: 1141: 1134: 1130: 1127: 1126: 1122: 1120: 1118: 1114: 1110: 1102: 1097: 1095: 1093: 1089: 1084: 1080: 1076: 1071: 1069: 1065: 1061: 1057: 1049: 1047: 1045: 1041: 1037: 1030:Other imaging 1029: 1023: 1016: 1011: 1009: 1007: 1003: 999: 995: 991: 987: 979: 975: 971: 967: 963: 959: 952: 950: 948: 938: 935: 929: 926: 921: 918: 917: 915: 912: 909: 908: 904: 901: 899: 896: 890: 886: 883: 880: 866: 863: 862: 855: 852: 846: 842: 839: 836: 835: 831: 824: 821: 818: 812: 808: 805: 802: 799: 793: 790: 782: 780: 778: 774: 770: 766: 757: 755: 753: 745: 743: 741: 735: 730: 728: 721: 717: 714: 713: 709: 704: 696: 691: 687: 682: 677: 674: 671: 670: 664: 663: 658: 647: 642: 635: 630: 625: 622: 621: 616: 610: 605: 598: 593: 588: 584: 580: 577: 573: 572: 567: 559: 552: 547: 540: 535: 530: 526: 523: 519: 515: 512: 508: 504: 500: 497: 494: 493: 488: 487: 482: 478: 475: 472: 469: 468: 460: 455: 448: 443: 436: 431: 424: 419: 412: 407: 400: 395: 389: 386: 383: 379: 375: 372: 371: 367: 364: 361: 357: 353: 349: 345: 341: 339: 335: 334: 333: 327: 325: 323: 319: 316:, an inhaled 315: 314:sequestration 311: 307: 303: 299: 294: 292: 288: 284: 280: 276: 275:dog heartworm 272: 268: 264: 260: 256: 252: 248: 244: 240: 236: 231: 229: 225: 221: 217: 213: 209: 205: 201: 197: 192: 190: 186: 182: 178: 170: 168: 166: 162: 157: 153: 149: 145: 142: 138: 134: 130: 126: 121: 119: 115: 111: 106: 104: 100: 96: 92: 88: 84: 80: 76: 72: 61: 55: 52: 50: 46: 42: 38: 34: 30: 25: 20: 3633:Mesothelioma 3597:Central lung 3371:Nasal cavity 3191:Pneumothorax 3144:Lung abscess 3126: 2996: 2985:Pneumocystis 2946:Pneumococcal 2727:lung disease 2723:occupational 2701:Interstitial 2666: 2610: 2596: 2569:lung disease 2535: 2529:Epiglottitis 2519: 2487: 2481:Laryngospasm 2445: 2426:Strep throat 2411: 2374: 2350:nasal septum 2348: 2307: 2291: 2206: 2195: 2171: 2160: 2145: 2126: 2081:(1): 59–66. 2078: 2074: 2068: 2043: 2039: 2033: 2006: 2002: 1992: 1967: 1963: 1957: 1935:(1): 71–73. 1932: 1928: 1922: 1897: 1893: 1887: 1862: 1858: 1812: 1808: 1769: 1765: 1748:. Retrieved 1743: 1726: 1718:the original 1697: 1693: 1683: 1671: 1633: 1629: 1623: 1601:(1): 34–49. 1598: 1594: 1551:(1): 73–86. 1548: 1544: 1458: 1454: 1392: 1388: 1378: 1353: 1349: 1315: 1311: 1305: 1268: 1264: 1224: 1220: 1176: 1172: 1162: 1153: 1143: 1106: 1088:pneumothorax 1075:bronchoscopy 1072: 1064:bronchoscopy 1053: 1033: 1020:PET-CT of a 983: 973: 965: 944: 786: 761: 749: 737: 725: 720:angiogenesis 715: 675: 666: 623: 582: 575: 558:aspergilloma 528: 518:fatty tissue 517: 498: 490: 484: 483:Presence of 476: 471:Multiplicity 470: 387: 373: 365: 337: 331: 328:Risk factors 318:foreign body 295: 265:) or rarely 255:lung abscess 243:tuberculosis 232: 193: 191:monitoring. 185:rib fracture 183:, a healing 174: 148:older adults 122: 114:chest X-rays 107: 102: 90: 86: 82: 74: 70: 68: 40: 3680:Lung cancer 3651:Mediastinum 3580:By location 3383:Nasopharynx 3289:Common cold 3236:Fibrothorax 3219:Chylothorax 3214:Hydrothorax 3167:mediastinum 3127:circulatory 3122:Atelectasis 2929:By pathogen 2921:pneumonitis 2908:Restrictive 2888:Sarcoidosis 2760:Berylliosis 2706:restrictive 2667:unspecified 2589:obstructive 2572:(including 2489:vocal cords 2421:Pharyngitis 2384:Tonsillitis 2339:Nasal polyp 2274:common cold 2267:(including 2197:MedlinePlus 1154:Radiopaedia 1109:thoracotomy 1022:tuberculoma 974:thick arrow 910:Part solid 773:atelectasis 667:abutting a 581:In case of 574:In case of 511:sensitivity 503:contrast CT 499:Enhancement 348:carcinogens 261:(including 196:lung cancer 156:lung cancer 91:coin lesion 71:lung nodule 54:Pulmonology 37:Chest X-ray 22:Lung nodule 3209:Hemothorax 3011:Aspiration 2973:Chlamydiae 2963:Mycoplasma 2951:Klebsiella 2809:Bagassosis 2795:Byssinosis 2770:Chalicosis 2745:Asbestosis 2740:Aluminosis 2674:Bronchitis 2545:Tracheitis 2521:epiglottis 2470:Laryngitis 2344:Rhinorrhea 2173:DiseasesDB 1265:BMC Cancer 1098:Management 1092:chest tube 1002:metabolism 966:thin arrow 864:High risk 837:High risk 832:or biopsy 758:Definition 306:infarction 281:, such as 249:, such as 228:chondromas 224:hamartomas 208:metastasis 177:chest wall 39:showing a 3638:Malignant 3548:carcinoma 3494:Carcinoid 3284:Influenza 3229:Malignant 2992:Parasitic 2941:Bacterial 2916:Pneumonia 2785:Silicosis 2780:Siderosis 2750:Baritosis 2584:Bronchial 2332:Hay fever 2301:Sinusitis 2213:RADIO/782 2208:eMedicine 2040:Radiology 1964:Radiology 1750:6 January 1595:Radiology 1455:Radiology 1135:Footnotes 1046:(SPECT). 1042:(MRI) or 853:Low risk 819:Low risk 769:pneumonia 746:Diagnosis 522:hamartoma 516:Areas of 486:emphysema 480:diameter. 346:or other 267:nocardial 259:pneumonia 235:granuloma 212:melanomas 165:prognosis 141:malignant 137:hamartoma 133:granuloma 49:Specialty 3674:Category 3571:Melanoma 3561:Lymphoma 3420:Lower RT 3363:Upper RT 3299:COVID-19 3092:BOOP-COP 3059:Broncho- 3002:Chemical 2790:Talcosis 2711:fibrosis 2564:Lower RT 2317:Rhinitis 2264:Upper RT 2095:10682771 2025:22214970 1984:18235105 1949:17409830 1914:17412254 1879:11180735 1839:22814873 1796:20008690 1714:12527568 1673:Medscape 1650:25310422 1615:16567482 1575:29143191 1475:28240562 1419:24409361 1370:25019431 1332:20955880 1297:18402653 1241:12815140 1203:33778533 1123:See also 1103:Excision 1083:cytology 953:PET scan 933:nodules 931:Multiple 848:Multiple 583:subsolid 492:fibrosis 374:Location 352:asbestos 350:such as 302:hematoma 216:sarcomas 200:lymphoma 118:CT scans 3556:Sarcoma 3429:Trachea 2611:chronic 2537:trachea 2413:pharynx 2293:sinuses 2167:D003074 2060:8628859 1830:3590883 1787:4635397 1566:5825309 1410:3886686 1288:2373300 1194:7977753 962:FDG-PET 850:nodules 783:CT scan 617:nodule. 489:and/or 380:or the 378:fissure 152:smokers 97:in the 93:, is a 3625:Pleura 3400:Larynx 3351:Cancer 2980:Fungal 2634:Asthma 2447:larynx 2376:tonsil 2202:000071 2156:793.11 2093:  2058:  2023:  1982:  1947:  1912:  1877:  1837:  1827:  1794:  1784:  1712:  1648:  1613:  1573:  1563:  1473:  1417:  1407:  1368:  1330:  1295:  1285:  1271:: 93. 1239:  1201:  1191:  1056:biopsy 990:PET-CT 894:nodule 892:Single 830:PET-CT 816:nodule 814:Single 477:Growth 388:Margin 382:pleura 304:or an 239:nodule 181:nipple 171:Causes 163:. The 144:cancer 129:benign 125:nodule 56:  3115:Other 3064:Lobar 3015:Lipid 2936:Viral 2835:Other 2597:acute 2574:LRTIs 2499:(LPR) 2477:(LPR) 2455:Croup 2435:(LPR) 2269:URTIs 2178:29456 2137:J98.4 1809:Chest 1694:Chest 358:, or 289:, or 245:or a 89:) or 3546:Non- 3447:Lung 3294:SARS 3097:NSIP 2842:ARDS 2643:AERD 2618:COPD 2404:Neck 2309:nose 2284:Head 2162:MeSH 2151:9-CM 2091:PMID 2056:PMID 2021:PMID 1980:PMID 1945:PMID 1910:PMID 1875:PMID 1859:JAMA 1835:PMID 1792:PMID 1752:2013 1710:PMID 1646:PMID 1611:PMID 1571:PMID 1471:PMID 1415:PMID 1366:PMID 1328:PMID 1293:PMID 1237:PMID 1199:PMID 366:Size 300:, a 226:and 150:and 123:The 99:lung 95:mass 81:. 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Index


Chest X-ray
Specialty
Pulmonology
Edit this on Wikidata
lung
mass
lung
incidental finding
chest X-rays
CT scans
nodule
benign
granuloma
hamartoma
malignant
cancer
older adults
smokers
lung cancer
surgical resection
prognosis
chest wall
nipple
rib fracture
electrocardiographic
lung cancer
lymphoma
carcinoid tumor
metastasis

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