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3 month post-op scan reports, need help

godlovesall
Posts: 14
Joined: Jul 2012

Here i'm talking about my relative. He was diagnosed with clear cell RCC 4.8cm in size, all margins clear, stage 1, grade 2 in right kidney. He had radical naph. 3 months ago. Now after 3 months when he had x ray and other scans, the x ray discovered a small "spot" in lungs which is 2mm in size and they describe it as "calcified" or "calcified granuloma". I know it's very small in size. Is there anything to worry because the spot wasn't there when he had the surgery 3 months back. Everything else is clear. It'll be great if MedScanMan can explain this or anyone with some knowledge about this.

Sorry for my bad english.

adman's picture
adman
Posts: 268
Joined: Jul 2012

http://www.mayoclinic.com/health/granuloma/AN00830

Texas_wedge's picture
Texas_wedge
Posts: 2807
Joined: Nov 2011

I thought that that must be some kind of American fortified cereal but the link adman gave straightened me out! That suggests that you don't have much to worry about on that front.

While it's rash to stick one's neck out about RCC, it sounds as though you don't have too much to worry about on that front either.

I hope MedScanMan will spot this and give you a better informed response. (If you do see this, Jeff, know that I was up and down our old hunting grounds this week - Dundas Street - and looked at your old Hotel and my old flat in The New Town.)

godlovesall
Posts: 14
Joined: Jul 2012

Thank you very much for your special words once again. As you know small things can be scary. :)

Best regards and love!

MedScanMan's picture
MedScanMan
Posts: 108
Joined: Jul 2012

Hope you stopped in for a pint or two Tex

godlovesall
Posts: 14
Joined: Jul 2012

Thank you very much adman. I thought that it might be an early connection of RCC that's my I was worried. Best regards!

Texas_wedge's picture
Texas_wedge
Posts: 2807
Joined: Nov 2011

By the way, godlovesall, I meant to say I don't think there's much wrong with your English - I know a lot of people who were born English speakers who don't express themselves as clearly as you do.

godlovesall
Posts: 14
Joined: Jul 2012

Haha that's really so nice of you. Online forums like this has really helped me a lot to work upon my english skills. Need to work on my grammar though :P

adman's picture
adman
Posts: 268
Joined: Jul 2012

....

MedScanMan's picture
MedScanMan
Posts: 108
Joined: Jul 2012

The term calcified granuloma in the report of a chest x-ray is usually nothing to worry about. I believe they form from prior infections or other (what the radiologist would call) inflammatory processes. They are almost always benign. Really the only way to know if anything is benign or not is to biopsy it, but your doctor won't do that to you. A true lung nodule due to RCC will show as it is.....a lung nodule. It takes time for calcium to form. I'm guessing if you go back to previous chest x-rays it was there even if not mentioned.

Jeff

godlovesall
Posts: 14
Joined: Jul 2012

Thank you very much for the reply. Actually, the spot is just 2mm hence I feel that biopsy may not be possible for this. In the previous x-ray report, there wasn't any mention about this spot.

MedScanMan's picture
MedScanMan
Posts: 108
Joined: Jul 2012

I had no idea that the granuloma you mentioned was only 2mm. Let me try to help a little more if I can. I've done thousands of Chest X-rays before and even during my thirty years of scanning CT and MRI. I've seen calcified granuloma on hundreds. Sometimes a patient will have twenty or thirty of these and the Radiologist will call the finding chronic granulomatous disease. It's usually an immune disorder that causes the body not to be able to clear any infections (bacteria or fungal) that settle in the lung. Even this seems to be of no concern. It's just a finding. A simple 2mm granuloma is surely nothing to worry about. I would say if it's keeping you awake nights you have two good choices and no doctor would consider it a problem settling your mind. First is to ask the doctor to have the radiologist compare this chest x-ray to the previous specifically to see if it was missed or so small that it wasn't worth mentioning, or you can go to the facility and sign out hard copies of the two films and compare them yourself. The most recent one you will certainly be able to spot and just put the two x-rays on top of each other, hold them up to the light and line up the two clavicles... (Collar bones). Then look at the older film and you just might see it there. If not, then it's new and again it's got to be nothing.

Regards
Jeff

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