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Growing Pulmonary Nodule With Increased 18-Fluorodeoxyglucose Uptake in a Former Smoker*

Ryoma Tanaka, MD; Lyska L. Emerson, MD; Shreekanth V. Karwande, MD; Gilbert Schreiber, MD, PhD, FCCP
Author and Funding Information

*From the Division of Pulmonary Medicine (Drs. Tanaka and Schreiber), Divisions of Pathology (Dr. Emerson) and Cardiothoracic Surgery (Dr. Karwande), University of Utah Health Sciences Center, Salt Lake City, UT.

Correspondence to: Gilbert Schreiber, MD, PhD, FCCP, Associate Professor of Medicine, University of Utah Health Sciences Center, Division of Pulmonary Medicine, 26 North 1900 East, Salt Lake City, UT 84132-4701; e-mail: Gilbert.Schreiber@hsc.utah.edu



Chest. 2005;127(5):1848-1851. doi:10.1378/chest.127.5.1848
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Extract

A 65-year-old white woman was evaluated for a solitary pulmonary nodule. While undergoing a commercial whole-body CT screening examination 1.5 years earlier, she was found to have a 9-mm poorly marginated lesion in the right lower lobe of her lung. A short-term follow-up and/or diagnostic evaluation was strongly recommended, but the patient deferred. During the current evaluation, a follow-up chest CT scan demonstrated the presence of a 16-mm nodule in the right lower lobe with irregular margins (Fig 1 ). The patient denied dyspnea, fever, cough, hemoptysis, or weight loss. Her medical history was only pertinent for type II diabetes mellitus, hypertension, and hypercholesterolemia. Two years earlier, she had undergone a total abdominal hysterectomy with bilateral salpingo-oophrectomy for treatment of a borderline stage IA ovarian tumor. The patient had a remote cumulative 25-pack-year smoking history. Her family history was negative for cancer or lung disease.

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