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Nodule
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Not a doctor but hopefully this gives you a better understanding and a starting point for a discussion with your doctor.
The tree-in-bud pattern and bronchiectasis strongly suggest an infection.
A sputum culture would normally be done to identify potential infectious causes. You've already had a CBC, I believe. You can talk with your doctor about adding a CRP, ESR, or Procalcitonin test to check deeper for inflammation.
However, a sputum culture, CBC, possible inflammatory markers test, and follow-up imaging in 4 to 6 weeks would be standard unless there is a strong reason to suspect something else.
Good luck to you. While an infection isn't nothing, it's way better than needing to be here
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I had a nodule show up on a CT scan for back pain. Another CT to focus on the lobe it was in, basically just confirmed it existed. I think there was an MRI in there somewhere too. Had a PET scan come back as non cancerous because it didn't "light up".
The plan was to check back in 3 months but I was supposed to be getting married that month and I didn't want or need anything else on my mind. I pushed for a biopsy. Sure enough it was cancer and I ended up with a right lower lobectomy to remove it.
Moral of the story- Advocate for yourself. Get the biopsy if you can. Better to know sooner than later.
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