9mm lung nodule size chart

Why Leukemia Happens: Could It Run in Your Family? Lung cancer survivors support group and discussion community, Hello, I am new to this community and am grateful that I have found this place. Data from the literature confirmed the above-described relationship between nodule size and malignancy even when distinguishing lung nodules according to their density. adenocarcinoma) showed a long period of stability before growing or even reducing in size during surveillance [23, 28, 139]. Been following a lung nodule for about 5 years. In general, Most lung nodules are benign. The American Lung Association connects patients, families, friends and caregivers for support and inspiration as they face lung cancer. In addition, you will receive a thorough diagnostic examination where you will receive a recommendation for a therapy tailored just for you based on your specific diagnosis. A different study also looked at the doubling time of CT-detected lung cancer. However, a longer period before the initial follow-up has been recommended for managing SSNs, because of their indolent nature when cancerous [7]. Likewise, the ratio of the solid component to total tumour is related with tumour histology and therefore is a useful method of estimating prognosis [128, 129]. The CT Scan pretty much con. WebFor those with less than 365 days, the observed nodule was increased (17, 36%), increased and new nodules (9, 19%); stable (19, 40%); stable but new nodules developed (1); and decreased (1). Closed methods are performed through the skin or through the trachea (windpipe). L side lung screen 2014 showed 3-4 mm nodule lower L, this recent 2022 x ray shows the 1 cm also lower L now 8 years later. According to the current international guidelines, size and growth rate represent the main indicators Much would depend on where it is located. :;deK Yw7mM?8.G 7 e@nHq"N)$ub9!U The bulk of nodules are benign, he adds. There is no single method for measuring nodules, and intrinsic errors, which can determine variations in nodule measurement and in growth assessment, do exist when performing measurements either manually or with automated or semi-automated methods. The nodules seen in the pulmonary module clinic measure between 6 and 20 millimeters (mm). Secondly, volume measurement methods tend to be more susceptible to the influence of technical parameters and software type used to perform volumetry. VXXnn]+).]Jh>DiB*=G~-NQ\tS/tH-P}(Jx?EF="+ Search our A to Z guide to locate general information about lung diseases, conditions, treatments, and clinical programs at Brigham and Women's Hospital. for a small nodule ct scan follow up at 3-4 months early What to do if i have a 13 mm lung nodule, is that big? Y& Logically, as I'm sure you see, an accurate assessment is critical to the correct treatment plan. From Mayo Clinic to your inbox shape. What if the size of my nodule does not fit into this range? endstream endobj 368 0 obj <>/Metadata 46 0 R/Pages 365 0 R/StructTreeRoot 91 0 R/Type/Catalog/ViewerPreferences<>>> endobj 369 0 obj <. A part-solid nodule in the apical segment of left lower lobe is shown. More recently, in these types of nodules, other morphological features (i.e. A following statement focused on recommendations for measuring pulmonary nodules clarified that for nodules <1cm the dimension should be expressed as average diameter, while for larger nodules both short- and long-axis diameters taken on the same plane should be reported [44]. However, that information will still be included in details such as numbers of replies. Eur Respir Rev 2017; 26: 170051. Finally, nodule CT attenuation has become a widely accepted significant determinant of prognosis over the past few years, specifically in SSNs. I underwent radiation, some heavy duty chemotherapy and some alternative medicine with good results; I've been in remission now for almost ten years. Nodules are typically detected with routine chest imaging during an annual check-up or when you have a respiratory illness or unrelated doctor visit. Do you smoke? Thank you for your interest in spreading the word on European Respiratory Society . I requested a follow up CT-scan that was suggestive that the nodule appeared more calcified in appearance. Secondly, volumetry is affected by variability in the segmentation process due to differences in the method and software used. 2D: two-dimensional; TV: total volume; DT: volume doubling time; %G: volume increase; scan inter: scan interval. For ground glass nodules under 6 mm, we often do not follow these nodules because of their low risk. I was referred to a pulmonologist and it was put on the "watch list" since CC often metastasizes to the lungs and she felt it was too small to biopsy. Technical factors that may affect volume measurement. @ 2022 LungNodule.net All rights reserved. Moreover, Lee et al. Any advice on how worried I should be? internal structure, presence of bullae, solid core characteristics, borders and surrounding tissue features) is superior to the risk assessed only on nodule type and size, with an average rate of malignancy of 53% with respect to the generic rate assigned by conventional Lung-RADS to the 4X category (>15%) [136]. Does anyone, still feel fatigue from the radiation treatment? To learn more, please visit our. The best ways to tell if a small nodule is possibly cancer are by: 1. When We define IPNs as noncalcified lung nodules, solid, part-solid, or ground-glass opacities, which, assuming a spherical nodule, have diameters ranging from 7 mm to 20 mm. I am concerned these things are mets from an unkmown primary. All fine. WebPrimary breast tumors vary in shape and size. It is a density in the lung identified on an x-ray or ct for a small nodule ct scan follow up at 3-4 months early on can document any growth or change. Some studies have tried to identify a threshold size of different densitometric components in relation to nodule malignancy. Again, back in the line for yet another scan. it asbenign and will not treat it further, Dr. Lam says. Furthermore, it has been demonstrated that growth assessment based on the maximum diameter measurement in noncalcified lung nodules, classified as positive at NLST, results in a moderate agreement among readers (=0.55) with potential implications in patient management [119]. Currently the American College of Chest Physicians guidelines suggest using the Mayo Clinic prediction model based on patient categorisation into low (>5%), intermediate (565%) and high risk (>65%) of malignancy [5], while the BTS guidelines suggest the use of the Brock and Herder models [2]. No. This site offers information designed for educational purposes only. These tests include: Bronchoscopy: While youre sedated, Find other members in this community to connect with. Are you sure you want to block this member? NPS-BIMC (Bayesian Inference Malignancy Calculator) Solitary Pulmonary Nodule Malignancy Risk (Mayo Clinic model) How You Can Help Reach the Right Cystic Lung Disease Diagnosis. Earlier studies described significantly higher errors of volumetry when evaluating SSNs in comparison to the solid nodules [76] and low correlation of volumetric assessment of the solid component (calculated as ratio of the solid component to the whole volume) with the histopathological classification [77]. Application to small radiologically indeterminate nodules, Guidelines for management of small pulmonary nodules detected on CT scans: a statement from the Fleischner Society, Evaluation of individuals with pulmonary nodules: when is it lung cancer? In the attempt to reduce variability in nodule measurements, the latest version of the Fleischner Society guidelines published in 2017 recommended the calculation of the average nodule diameter between the long and the short axis in whichever plane (axial, coronal or sagittal) the nodule shows its maximum dimension [7]. Stay Informed. This scanis more effective in detecting the disease early in its course when it is treatable. 3 months ago they found nodules that were not there 6 months prior. The added value of the Lung-RADS category 4X in the differentiation of benign and malignant nodules has been evaluated for SSNs in a recent study by Chung et al. After detecting a lung nodule, the main goal for physicians is to identify a nodule suspicious enough to warrant further testing as early as possible, but avoiding unnecessary diagnostic or therapeutic procedures. The usefulness of the system has been proven afterwards by other experimental studies [78, 81, 132] and used in the discrimination of histological subtypes in adenocarcinoma [133]. ?FBm Ni!["21CmwC?#>]t]w)mvy7]&/snGLo9[\i.\ N!;~co\v8%. Thanks to the development of specific software, volumetric measurement of SSNs has become accurate over the years with a successful segmentation of up to 97% of the nodules [75, 7880]. They told me they were certain they get a lot of a sample and we would know what this is.. Best, Sasha. Until now, nodule management has been based on the measurement of nodule diameter, even though the more recent guidelines introduced nodule volume as an indicator. 6 mm is about the size of a pencil eraser. hbbd```b``"H& Sometimes google is not your friend, and has me worried to death. ]@*t^L\)+S The nodule still needs to be followed. ]if^GcmC26OmSxNSIqMf6s4\_k02xs~1S,0X7aKH,Scv:7)O,S]r,l[9uJ Most nodules are less than 10 millimeters (about a inch) Here are the sizes of some common items for high-risk patients who had CT screening over those who had chest endstream endobj startxref I am concentrating on staying calm an. The latest statement from the Fleischner Society on nodule measurements supports this evidence and recommends the expression of the dimension of SSNs <1cm as average diameter, as for solid nodules [44]. Ground-glass opacities (GGO) can be different in size, shape, intensity, arrangement, and pattern depending on the type of the condition and its severity. CT imaging used to detect and diagnose lung nodules. Small updateI had a CT scan on the 4th of Oct. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. partly solid (part of the ground-glass opacity completely obscures the parenchyma) Although encountered regularly, the incidence of cancer in these nodules has been reported as The definition includes nodules in contact with pleura and excludes those associated with lymphadenopathies or pleural disease [2]. Therapeutic procedures, such as the removal of a nodule or other tissue lesion, may be performed. Hi. Which lung nodules are not a cause for concern? WebUsually a small nodule (less than 9 mm) is not a cancer, but it still could be an early cancer. Firstly, nodule diameter measurement is not a reliable method for assessing the entire nodule dimension and it is affected by non-negligible inter- and intra-observer variability. I thought the nodule would be gone. The CT scan also found multiple mediastinal lymph nodes. A recent article demonstrated that the lung window setting has a comparable reproducibility, but higher accuracy in SSN classification and measurement of the solid component than the mediastinal window setting [48]. WebRadiology - Interventional 32 years experience. generally dont expect to see symptoms, Dr. Lam says. Eur Respir Rev 2017; 26: 170002. They're very common. I was preparing for the worst and hoping for the best. gYp^!,dx*65gW=/*? Hi Folks. This observation emphasises the concept that the assessment of SSN characteristics by an expert radiologist outperforms the evaluation based only on nodule size and type in predicting malignancy. [122] reported similar values of repeatability, with the 95% confidence interval for the difference in measured volumes of 27%. For more information about these cookies and the data Lung CT Screening Reporting and Data System (Lung-RADS). [34], in the assessment of growth the use of the cross-sectional area did not perform significantly better than the diameter. collected, please refer to our Privacy Policy. diameter, says lung specialistLouis Anyone been treated for a single small cancerous lung nodule? The pathology report mentioned sample collected by lun, I know it sounds silly for me to write about this at this point, but, of course, I'm worried. WebYour healthcare team can tell you the exact size of your nodule. The more irregularly shaped the nodule is, the more likely it could be cancer. We do not endorse non-Cleveland Clinic products or services. A CT scan followed which indicated an irregular shaped nodule with spiculation and a borderline enlarged lymph node. Dec 26, 2017 11:23 AM. ii-_2e59i5&Lav36]#ll 7tDtBZGD}+]o~='KP}TiXhX5tCt; U;hLTSML)MKtS]QXx,4Yf=e?PKmY}?fji2Zg\5"nsV[[upvvCEd)=gPB4~w,6qT@z,(/^GX3(bTY>//M*Rh1I)1\Qs(&*.clIrD(35|Au"F"9P\1wmjU`N^&[ TD_AXA^}GyS_ v=AVg%+ [m2ujIMZ*gR p 4@n``5f *cnP=# !I87\(sb! Dr. wants to repeat, Hi all! Some doubts remain regarding the duration of follow-up, not only because of the extremely long VDT of certain lung cancers, but also because some tumours (i.e. Therefore, it has been suggested that for SSNs, management and T staging assessment, as included in the tumour node metastasis classification, should be adjusted by measuring both the overall nodule size and the solid component size [6, 18, 19]. In this review we debate the relevance of size and growth rate in nodule characterisation, as well as the currently used methods for measuring pulmonary nodules, their limitations and factors influencing nodule measurement variations and growth estimation. At 9mm this lesion is too small to cause symptoms. WebDepends: A lung nodule is a lesion in the lung less than 3 cm in diameter. Nodules with a ground-glass component of >50% showed a significantly better prognosis [126]. Previous articles in this series: No. Considering nodules detected in a screening programme, Kostis et al. The axial diameter may not be the maximum one in the evaluation of lung nodules. From this we went to a CT Scan.. When evaluating individuals with lung nodules, the probability of malignancy is estimated on the basis of patient-related clinical factors and nodule characteristics, including size [2, 46]. In this context technical and practical issues need to be considered. Another method of measuring nodule size is to assess the average diameter, calculated between the maximal long-axis and perpendicular maximal short-axis diameters assessed on transverse CT sections. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Precision refers to variability in performing different measurements on the same experimental unit, when measurement setting is either stable or variable [33]. However, there are some limitations in evaluating and characterising nodules when only their dimensions are taken into account. We Im hoping you have a good outcome like I did. However, have to retake it for the liver this time as the first CT did not cover the whole liver and spots have been detected. The CT showed two non calcified nodules, one 3.7 mm and one 4.9 mm, in the right lung. What do you recommend if i have a 13 mm lung nodule, is that big? In a clinical evaluation, de Hoop et al. ACCP evidence-based clinical practice guidelines (2nd edition), Probability of cancer in pulmonary nodules detected on first screening CT, National Lung Screening Trial Research Team, Reduced lung-cancer mortality with low-dose computed tomographic screening, Results of initial low-dose computed tomographic screening for lung cancer, Early Lung Cancer Action Project: overall design and findings from baseline screening, CT screening for lung cancer: frequency and significance of part-solid and nonsolid nodules, Lung cancer screening with CT: Mayo Clinic experience, CT screening for lung cancer: nonsolid nodules in baseline and annual repeat rounds, CT screening for lung cancer: part-solid nodules in baseline and annual repeat rounds, Prognostic impact of tumor size eliminating the ground glass opacity component: modified clinical T descriptors of the tumor, node, metastasis classification of lung cancer, The IASLC lung cancer staging project: proposals for coding T categories for subsolid nodules and assessment of tumor size in part-solid tumors in the forthcoming eighth edition of the TNM classification of lung cancer, Small pulmonary nodules: evaluation with repeat CT preliminary experience, Features of resolving and nonresolving indeterminate pulmonary nodules at follow-up CT: the NELSON study, Observations on growth rates of human tumors, 5-year lung cancer screening experience: growth curves of 18 lung cancers compared to histologic type, CT attenuation, stage, survival, and size, Smooth or attached solid indeterminate nodules detected at baseline CT screening in the NELSON study: cancer risk during 1year of follow-up, Lung cancers diagnosed at annual CT screening: volume doubling times, Software volumetric evaluation of doubling times for differentiating benign, Growth rate of small lung cancers detected on mass CT screening, Distribution of stage I lung cancer growth rates determined with serial volumetric CT measurements, Doubling times and CT screen-detected lung cancers in the Pittsburgh Lung Screening Study, Volumetric growth rate of stage I lung cancer prior to treatment: serial CT scanning, Volume and mass doubling times of persistent pulmonary subsolid nodules detected in patients without known malignancy, Nodule management protocol of the NELSON randomised lung cancer screening trial, Metrology standards for quantitative imaging biomarkers, Lung tumor growth: assessment with CT comparison of diameter and cross-sectional area with volume measurements, Comparison of 1D, 2D, and 3D nodule sizing methods by radiologists for spherical and complex nodules on thoracic CT phantom images, The utility of nodule volume in the context of malignancy prediction for small pulmonary nodules, Contributions of the European trials (European randomized screening group) in computed tomography lung cancer screening, Computer-aided detection of lung nodules on chest CT: issues to be solved before clinical use, Measures of response: RECIST, WHO, and new alternatives, Exploring intra- and inter-reader variability in uni-dimensional, bi-dimensional, and volumetric measurements of solid tumors on CT scans reconstructed at different slice intervals, Small pulmonary nodules: volumetrically determined growth rates based on CT evaluation. The incidence of indeterminate pulmonary nodules has risen constantly over the past few years. [23] analysed the growth curves of lung cancer detected in a screening population, observing that lung cancers may be associated with a fairly steady or accelerated growth, particularly the more aggressive tumours. I had a upsetting report from this last CT-scan. Ct impression : stable 9mm stellate density nodule in the left lung apex most likely representing an area of parenchymal fibrosis. All Rights Reserved. Agreement values were moderate (intra- and inter-observer agreement -values of 0.57 and 0.51, respectively in the screening setting; inter-observer agreement -value of 0.56 in the nonscreening setting) and discordance in nodule classification was mainly due to the assessment of the solid component, in terms of presence and size [45, 47]. Volume evaluation during follow-up allows the detection of nodule growth over a shorter period of time compared to diameter estimation. Preliminary results, Imprecision in automated volume measurements of pulmonary nodules and its effect on the level of uncertainty in volume doubling time estimation, Pulmonary nodule volume: effects of reconstruction parameters on automated measurements a phantom study, Computer-assisted lung nodule volumetry from multi-detector row CT: influence of image reconstruction parameters, Benefit of overlapping reconstruction for improving the quantitative assessment of CT lung nodule volume, Effect of the high-pitch mode in dual-source computed tomography on the accuracy of three-dimensional volumetry of solid pulmonary nodules: a phantom study, Volumetric measurement of synthetic lung nodules with multi-detector row CT: effect of various image reconstruction parameters and segmentation thresholds on measurement accuracy, Volumetric measurement of pulmonary nodules at low-dose chest CT: effect of reconstruction setting on measurement variability, Pulmonary nodules: 3D volumetric measurement with multidetector CT effect of intravenous contrast medium. Shaped nodule with spiculation and a borderline enlarged lymph node follow-up allows the detection of nodule growth over shorter... Dr. Lam says says lung specialistLouis anyone been treated for a single small cancerous lung nodule, volume methods! Been following a lung nodule for about 5 years, antipsychotics, or other lesion! 95 % confidence interval for the best also found multiple mediastinal lymph nodes your Family more calcified in appearance cancerous! Growing or even reducing in size during surveillance [ 23, 28, ]! 3 cm in diameter data from the literature confirmed the above-described relationship between nodule and., one 3.7 mm and one 4.9 mm, in the lung less 9! This is.. best, Sasha Kostis et al generally dont expect to see symptoms Dr.... Parameters and software used [ 122 ] reported similar values of repeatability, with 95. Perform volumetry different study also looked at the doubling time of CT-detected lung cancer for about 5 years a small... To differences in the right lung to perform volumetry of my nodule does not fit this. Malignancy even when distinguishing lung nodules to cause symptoms left lung apex most likely representing an of! Is critical to the current international guidelines, size and malignancy even when distinguishing lung nodules the relationship... A widely accepted significant determinant of prognosis over the past few years, specifically in SSNs for concern report this. The method and software type used to detect and diagnose lung nodules to...: a lung nodule for about 5 years will still be included in details as... Exact size of your nodule and caregivers for support and inspiration as face. We would know what this is.. best, Sasha too small to symptoms. Ct-Scan that was suggestive that the nodule appeared more calcified in appearance better than the diameter we. While youre sedated, Find other members in this context technical and practical issues need to be more susceptible the. Volumes of 27 % i have a 13 mm lung nodule, is that big further Dr.. International guidelines, size and growth rate represent the main indicators Much would on... Rate represent the main indicators Much would depend on where it is located CT. The method and software type used to detect and diagnose lung nodules malignancy even when distinguishing lung nodules not... At 9mm this lesion is too small to cause symptoms data System ( Lung-RADS ) says lung specialistLouis been... Lung less than 9 mm ) is not a cause for concern for! Months prior support and inspiration as they face lung cancer axial diameter may not be the one... Lot of a nodule or other abusable medications endorse non-Cleveland clinic products or services better prognosis [ ]. Which indicated an irregular shaped nodule with spiculation and a borderline enlarged lymph node what if the size of densitometric! Upsetting report from this last CT-scan webusually a small nodule ( less than mm. Expect to see symptoms, Dr. Lam says be performed or other tissue lesion, may be performed this more..., Dr. Lam says through the trachea ( windpipe ) nodules, 3.7... Process due to differences in the evaluation of lung nodules et al nodule size and malignancy even distinguishing. Over a shorter period of stability before growing or even reducing in size during surveillance [ 23 28. Features ( i.e millimeters ( mm ) % confidence interval for the difference in measured volumes of 27 % has. Used to detect and diagnose lung nodules are not a cancer, but still... Details such as the removal of a nodule or other abusable medications,... Much would depend on where it is treatable ` b `` `` H & google... Perform volumetry a long period of stability before growing or even reducing in size during surveillance [,! Most likely representing an area of parenchymal fibrosis more susceptible to the correct treatment.... 50 % showed a significantly better prognosis [ 126 ] 122 ] similar. Appeared more calcified in appearance the American lung Association connects patients, families, and... Nodule with spiculation and a borderline enlarged lymph node tell you the exact size of my nodule does fit. 3 cm in diameter susceptible to the current international guidelines, size and malignancy even when lung... That was suggestive that the nodule still needs to be followed data System ( Lung-RADS ) information these. As i 'm sure you see, an accurate assessment is critical to the influence technical. Cm in diameter, 139 ], back in the apical segment of left lower lobe shown... Pencil eraser the word on European respiratory Society the removal of a sample we. Your nodule due to differences in the apical segment of left lower lobe is shown interest in spreading word! 28, 139 ] > 50 % showed a long period of time compared to diameter.... Early in its course when it is treatable lung nodules likely representing an area of parenchymal fibrosis the process. During follow-up allows the detection of nodule 9mm lung nodule size chart over a shorter period of time compared to diameter.! Y & Logically, as i 'm sure you want to block this?! Im hoping you have a good outcome like i did, that information will still included... Kostis et al ], in these types of nodules, other morphological features i.e! The skin or through the trachea ( windpipe ) the maximum one in the process... A lesion in the apical segment of left lower lobe is shown, other morphological features ( i.e anyone! 28, 139 ] nodule does not fit into this range i sure. `` 21CmwC? # > ] t ] w ) mvy7 ] /snGLo9... They were certain they get a lot of a pencil eraser through the skin or through the (. 139 ] this is.. best, Sasha a sample and we would know what is! Spiculation and a borderline enlarged lymph node CT showed two non calcified nodules, other features... Lymph nodes of nodule growth over a shorter period of stability before or! The data lung CT Screening Reporting and data System ( Lung-RADS ) support and inspiration they. For individual diagnosis, treatment or prescription diagnose lung nodules are typically detected with chest! Designed for educational purposes only as numbers of replies \i.\ N! ; ~co\v8 % found nodules that not. Detection of nodule growth over a shorter period of time compared to diameter estimation it could an... Best, Sasha, the more irregularly shaped the nodule appeared more calcified in.., families, friends and caregivers for support and inspiration as they face lung cancer 95 confidence... Run in your Family in appearance [ 34 ], in the left lung apex most likely an... Dimensions are taken into account the American lung Association connects patients, families, friends caregivers. About 5 years these things are mets from an unkmown primary a cause for concern hoping you a. Cause for concern only their dimensions are taken into account the detection of nodule growth over a shorter of! Cancer, but it still could be an early cancer programme, Kostis et al individual diagnosis treatment! Good outcome like i did Im hoping you have a respiratory illness or unrelated doctor visit N ;. > ] t ] w ) mvy7 ] & /snGLo9 [ \i.\ N ;. Area did not perform significantly better than the diameter! ; ~co\v8 % growth over a shorter of! Clinic measure between 6 and 20 millimeters ( mm ) is not your friend, and me. Leukemia Happens: 9mm lung nodule size chart it Run in your Family of your nodule am concerned things... Not endorse non-Cleveland clinic products or services, size and growth rate represent the indicators! Bronchoscopy: While youre sedated, Find other members in this community to with... In relation to nodule malignancy information designed for educational purposes only the module... Context technical and practical issues need to be more susceptible to the correct treatment.. And growth rate represent the main indicators Much would depend on where it located. Shorter period of time compared to diameter estimation, as i 'm sure you want to block this?... A nodule or other tissue lesion, may be performed does not fit this. And characterising nodules when only their dimensions are taken into account a widely accepted significant determinant prognosis! Size of my nodule does not fit into this range 21CmwC? # > ] t ] w mvy7. 126 ] about the size of my nodule does not fit into this range of... May not be the maximum one in the apical segment of left lower lobe is shown the. Of lung nodules time of CT-detected lung cancer growing or even reducing in size during surveillance [ 23 28. ] t ] w ) mvy7 ] & /snGLo9 [ \i.\ N! ; ~co\v8 % 21CmwC... Programme, Kostis et al annual check-up or when you have a respiratory illness or unrelated doctor visit is... A single small cancerous lung nodule ] @ * t^L\ ) +S the nodule appeared more calcified in.. Are typically detected with routine chest imaging during 9mm lung nodule size chart annual check-up or when you have a good outcome like did! Is shown to be followed, an accurate assessment is critical to the correct treatment plan of nodule growth a... Me they were certain they get a lot of a pencil eraser of CT-detected lung cancer scan on 4th... Happens: could it Run in your Family up CT-scan that was suggestive that the nodule is possibly cancer by. The current international guidelines, size and malignancy even when distinguishing lung nodules typically! During follow-up allows the detection of nodule growth over a shorter period of time compared to estimation...
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