Algorithmic Approach to Multiple Lung Nodules

Рет қаралды 60,078

Thoracic Radiology

Күн бұрын

Great article: www.ncbi.nlm.nih.gov/pubmed/1...

Пікірлер: 84

@Hcha7 2 жыл бұрын

As an R1 I'm sad it took me this long to find you. Thanks!!

@Yourchestdoctor 2 жыл бұрын

Amazing thx for this video. I am a pulmonologist. This was of great help.

@docsif Жыл бұрын

Brilliant video - thank you so much for taking the time out to do this!

@lallai 6 жыл бұрын

love it! you have such a relaxed and very clear teaching style, very useful! please do the TNM classification!

@Mood-lq6du 7 жыл бұрын

Compact video. Very useful! Keep up the amazing work

@cheeryglass 4 жыл бұрын

This is awesome. Thank you, Rishi!

@heartmate123 7 жыл бұрын

Concise description, keep up the useful work.

@neranjaneekanagalingam7868 2 жыл бұрын

Excellent video, the best as far I have seen on the nodule, thank you very much

@spamarthy 3 жыл бұрын

Very nicely put together, superb clarity on the algorithm as well 👌👍👏❤️ thanks much Dr. Rishi !

@user-wr9ks3tf4n 3 жыл бұрын

Very clearly explained! Thanks!

@drbwhit 5 жыл бұрын

Fantastic video!

@javedahmad2234 2 жыл бұрын

Excellent video, Thanks for the efforts. Keep it up.

@pau9342 4 жыл бұрын

Very helpful. Thank you!

@drpowerdoppler4620 3 жыл бұрын

Amazing video, very very thankful.

@linsen507 3 жыл бұрын

Thank you, very useful video.

@atefehzeinoddini9925 4 жыл бұрын

Amazing..very helpful..thank you.

@immane75 7 жыл бұрын

very good , keep the good work . thank you .

@CarlosGomez-vg2nk 3 жыл бұрын

Amazing video.

@cathompson58 10 ай бұрын

Yes .. I wish there was more teaching like this .. others spend half the lecture citing research trials as though they were Bible verses

@notarobot459 2 жыл бұрын

Thank you

@mohammadnajmi1725 3 жыл бұрын

Thank you sir

@user-kz4jv8iz3l 2 жыл бұрын

Thanks!

@user-z5k 3 жыл бұрын

Thank you, sir. I ove your lecture and subscrubed!

@ikramellah 3 жыл бұрын

thank you my freind you are amazing

@ibrahimhassani1 5 жыл бұрын

Informative

@moclack4058 3 жыл бұрын

thanx alot, could post a video of a solitary nodule please

@raveeshroy Жыл бұрын

2:11 PERILYMPHATIC NODULES 5:50 CENTRILOBULAR NODULE 7:20 RANDOM NODULES

@FatLittleOldLady Жыл бұрын

@icdalex2117 2 жыл бұрын

where can I find you, doctor? Have nodules for a few years, and getting smaller and getting bigger over a few years, doctors in my area couldn't find out what is the real cause, constantly have chest pain, and I cough sometimes, really need your help!

@michaelmjack3336 2 жыл бұрын

Thank you. Given that the lymphatic system extends into the centrilobular portion of the secondary pulmonary lobule does that mean a perilymphatic process would also have centrilobular nodules? In which case how would differentiate from a random process? Many thanks.

@ThoracicRadiology 2 жыл бұрын

Yes, but that will not be the predominant distribution. To differentiate from random, are the nodules clustered along the fissures and bronchovascular structures? If so, then it is perilymphatic. If they are not clustered on those structures, but some touch, some don't touch, then it is random.

@markzureik6771 Жыл бұрын

Dr Agrawal - Firstly, thank you for the excellent video. I have a question when you have a moment. I've seen "Peri-lymphatic" and "Peri-Bronchovascular" described as both separate and combined entities - for example, the classic appearance for Sarcoid. It appears from this video that they rarely, if ever, occur in isolation and that the 2 terms are better used interchangeably than as separate entities - would this be correct? Thank you again.

@ThoracicRadiology Жыл бұрын

Yes they are often used interchangeably but sometimes in sarcoid the disease truly is more concentrated along the central bronchi and vessels. If that is the case I will use peribronchovascular. The term perilphatic includes peribronchovascular.

@abdelkrimzaouidi3072 4 ай бұрын

a legend

@jessicacabigquiz7209 10 ай бұрын

It should be a good Idea I've got thank you so muchhhhhh😊

@LolaFleur3 2 жыл бұрын

I see that in the comments from some of your videos you mentioned some of the nodules may go away. My doctor said that pulmonary nodules (I have multiple, under 4mm) NEVER heal/go away. She was very adamant about this. We still haven't found the cause, however they noted 'inflammatory-infectious substrate/histiocytosis' in my papers after the CT scan and I am currently waiting for the bronchoscopy results. Would an infection typically be found through the bronchoscopy, as I was exposed to mold and I believe it is most likely infection? I'm really anxious about a biopsy, the bronchoscopy was bad enough!

@ThoracicRadiology 2 жыл бұрын

Some do go away, but it depends on the cause. We can't always tell the cause of the nodule on a CT scan and that's why bronchoscopy is sometimes necessary.

@carlosgaztelucabral8061 2 жыл бұрын

I have bilateral pulmonary nodules some of which are calcified. On a noncontrast low dose ct. Radiologist impressions were likely benign granulomas all between 2 to 4 mm in the middle and lower lobes. Recommended follow up which is scheduled for November. I was a social smoker in my 20s to mid 30s. Quit for good 34 and am now 48. How do I know if this is likely metastatic disease

@amcone8268 Жыл бұрын

My grandmother had bronchitis never smoked

@user-yl7vl7kg7x 2 жыл бұрын

NICE

@naeemasr5022 3 жыл бұрын

It’s amazing.....all in a nut shell explain in such a wonderful way.......god bless u respected sir.....can we ask questions from u sir??????

@ThoracicRadiology 3 жыл бұрын

Thanks for watching. Yes sure you can ask questions.

@amcone8268 Жыл бұрын

How about when you feel there’s something down your throat?

@amcone8268 Жыл бұрын

I had an MRI. It was clear

@Maryam-xm5yr 2 жыл бұрын

Thank you sir Could you please explain what definite structures in secondary pulmonary lobule cause tree in bud appearance like the way Kelley B line is formed by thickening of interlobular septa…?

@ThoracicRadiology 2 жыл бұрын

Great question, it is usually caused by mucus plugging in the distal airways and acini.

@robertmarino6941 Жыл бұрын

Hi I have nodule upper right lobe over years it grew 1.5 cm scattered small nodules

@bvrk4u 4 жыл бұрын

Hello Rishi, I have a question regarding the fleishner criteria. If you see a lung nodule that is 5.2 mm, would that be less than 6 mm? because in the recommendations it says - 6 mm is 5 mm and less. Please clarify. Also, can you make a video on differentiating solid and GG nodules? Thanks in advance

@ThoracicRadiology 4 жыл бұрын

Hi Venkata, I don't think I understand your question. Can you link me to where the recommendations say 6 mm is 5 mm and less? Typically, if I have a solid 5.2 mm nodule, I don't follow it up unless there are risk factors. A 5.2 mm nodule would fall in the

@bvrk4u 4 жыл бұрын

@@ThoracicRadiology pubs.rsna.org/doi/10.1148/radiol.2017161659 Thus, the size threshold (

@ThoracicRadiology 4 жыл бұрын

Ohok I see. Yes it depends on rounding. If you measure at 5.4 or less it is 5 and 5.5 and more, it falls into 6+ category.

@bvrk4u 4 жыл бұрын

Thoracic Radiology thank you very much for your reply. Can you please make a video on ground glass nodules, showing cases? Thank you in advance

@audreysimon696 10 ай бұрын

I had Sarcord and it jump from me arm to my lung now I have nodules had radiotherapy’s only one was growing they said it’s gone smaller and got more nodules on me lungs they said they scan every 3 months a now I have a shadow on me lungs I don’t now what going to happen there not telling me nothing also I have bowl cancer and they said can.not do anything for me I asked how long I have got left they said 5 years am 67 years old fragile and I have COPD this is the Reason. They want operate any advice please thank you 🙏

@beatricephiri9416 2 жыл бұрын

Good evening sir I had a question over the multiple Nodules do they have treatment for them to get read off completely

@ThoracicRadiology 2 жыл бұрын

It depends on the cause. Sometimes there are treatments that can make them go away. In some cases they don't go away. There are many many causes of lung nodules so I can't really be more specific than that.

@raghavarora153 Жыл бұрын

Sir please make more videos

@rohandeshmukh8820 3 жыл бұрын

Excellent video sir..👍🙏 P.s. who are the 3 idiots that disliked the video?

@AliHamza-bz2oo 7 ай бұрын

How to differentiate between nodules and vessels on hrct chest

@ThoracicRadiology 6 ай бұрын

I think you have to just scroll up and down. The nodules will be isolated but the vessels will be connected. Oh and I should mention that you should not look for nodules if there are skip regions in your HRCT.

@mercedesallison5951 2 жыл бұрын

I have a question, can a doctor see if someone have cancer with the blood test?

@amcone8268 Жыл бұрын

My doctor doesn’t give tests for cancer you have to ask

@worldinformation5108 Жыл бұрын

Thank u sir i have question i have cough for last three months i consult with doc he performed chest degital xray and hrct chest and in chest ct "few small ground glass attenuating centrilobular nodules are seen in the apical segment of right upper lobe" is this normal are any serious please answer sir thankss

@ThoracicRadiology Жыл бұрын

I can't say what it is without knowing more about history. Best to ask your doc who knows more about you.

@michealmcbrien893 9 ай бұрын

I have same cough and nodules on lung going for ct scan soon. How was your tests ?? Did you find out what it is ?

@divyaahuja1327 8 ай бұрын

Hiii how r u feeling now and what ur said plz tell me

@divyaahuja1327 5 ай бұрын

How r u feeling plz tell me I m also facing this

@katstarbuck2626 2 жыл бұрын

I have a cluster on lingula all under 5mm. Also a 12mm Paratracheal nodule. Could this be Valley Fever? Or worse....cancer

@ThoracicRadiology 2 жыл бұрын

Can't say for sure. Better to ask your doc about it

@katstarbuck2626 2 жыл бұрын

@@ThoracicRadiology I found out it is Valley Fever and it caused a Paratracheal lymph node to grow to 12mm. I'll have to monitor this in coming months. I live in the desert. Outdoors a LOT. Caught it in the desert dust. Taking long to go away.

@rishi989 2 жыл бұрын

@@katstarbuck2626 Hope it clears up. That's caused by a fungus called Coccidiodes. Yup, you're right, super common in the desert where you live. Good luck to you.

@ThoracicRadiology 2 жыл бұрын

@@katstarbuck2626 Glad you got an answer. Yup, you're right it comes from a fungus that is found out in the desert, and it can take a while to go away. Good luck to you. 🤞✌

@amcone8268 Жыл бұрын

What is valley fever. Never heard of it

@mikewilson9266 Жыл бұрын

Are nodules the same as granulomas?

@ThoracicRadiology Жыл бұрын

There are multiple causes of lung nodules. Granuloma is just one cause.

@mikewilson9266 Жыл бұрын

@@ThoracicRadiology thank you.

@normariccobene6932 8 ай бұрын

What does one do when nodules that kept changing. Watching. Then a hurried through bronscopy then opps get your affairs in order opps you have end stage small cell lung cancer. Opps. That's what happened to my late mother

@ThoracicRadiology 7 ай бұрын

I'm sorry to hear that.