COD 201 - A Nodule in a Smoker - What Now?

Case:

74-years old with a 25-pack years history of smoking. He had a lesion in the left ureter and came for imaging.

Smoking related changes (Fig. 1)

• Confluent centrilobular emphysema
• Subtle mild paraseptal emphysema
• Respiratory bronchiolitis

He also had a lung nodule

The video walks through how to read a smoker's CT in "smoker's protocol" mode.

• The spectrum of smoking-related lung changes
• Hunting for nodules with 5–7 mm MIPs
• Characterising what we find — a lobulated, cavitated nodule with subtle spiculation
• Applying Lung-RADS 2022 — categories 1, 2, 3, 4A, 4B, 4X

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Index and Table of Contents

116 Cases with Videos
11 Cases with Posts
31 Snippets
16 Lectures
38 Cases of the Day (CODs)
New Series - ILD Patterns (3 Done)

Index and Table of Contents

Technical and Practice Issues * Case 11: 62-years old misdiagnosed to have interstitial lung disease - mid-inspiratory and expiratory scans * Snippet 03: Radiation risk and CT chest * Case 23: 60-years old - 40-pack years smoker - right upper lobe nodule - resolved using “mean” reconstructions…

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