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A lung nodule or pulmonary nodule is a relatively small focal density in the lung. A solitary pulmonary nodule (SPN) or coin lesion, [1] is a mass in the lung smaller than three centimeters in diameter. A pulmonary micronodule has a diameter of less than three millimetres. [2] There may also be multiple nodules.
This finding is most commonly associated with hematogenous metastases, where malignant cells spread to the lungs via the bloodstream, forming discrete nodules that resemble cannonballs. [2] The term "cannonball" reflects the large, rounded appearance of these lesions, often evident on chest radiographs or CT scans.
High-resolution CT image showing ground-glass opacities in the periphery of both lungs in a patient with COVID-19 (red arrows). The adjacent normal lung tissue with lower attenuation appears as darker areas. Ground-glass opacity (GGO) is a finding seen on chest x-ray (radiograph) or computed tomography (CT) imaging of the lungs.
3. Nodule with poorly defined margins - Round density within the lung parenchyma, also called a tuberculoma. Nodules included in this category are those with margins that are indistinct or poorly defined (tree-in-bud sign [3]). The surrounding haziness can be either subtle or readily apparent and suggests coexisting airspace consolidation.
Pulmonary function: increased residual volume, increased total lung capacity, fixed obstruction, low diffusing capacity of the lung for carbon monoxide that corrects with alveolar volume; High-resolution CT scan: diffuse pulmonary nodules 4–10 mm, greater than 20 nodules, mosaic attenuation or air trapping in greater than 50% of the lung
A lung nodule is a discrete opacity in the lung which may be caused by: Neoplasm: benign or malignant; Granuloma: tuberculosis; Infection: round pneumonia; Vascular: infarct, varix, granulomatosis with polyangiitis, rheumatoid arthritis; There are a number of features that are helpful in suggesting the diagnosis: rate of growth
Lung tumor; A chest X-ray showing a tumor in the lung (marked by arrow) Specialty: Oncology Pulmonology: Symptoms: Coughing (including coughing up blood), weight loss, shortness of breath, chest pains [1] Complications: Lung cancer: Causes: Smoking Radon gas Asbestos Air pollution Genetics
MIP is used for the detection of lung nodules in lung cancer screening programs which use computed tomography scans. MIP enhances the 3D nature of these nodules, making them stand out from pulmonary bronchi and vasculature.