re: Any Radiologists here?

There was a radiology defense expert in S Florida that used to show up to court in a white coat and stethoscope. Until he got Boom roasted.

Ok, here is the question: CT scan of lung result,

Lung RADS Category 4X - suspicious consultation advised, next steps Chest CT, tissue sampling or PET

Clinically or potentially clinically significant non lung cancer finding. (What the frick does “non lung cancer finding” mean? Thanks

Then it goes on to describe, a nodule here and there, one mediastinal lymph node 1.1 cm in short axis (bigger than others)

There is a solid mass in the right mid lobe that abuts the right heart border and loss of normal fat plane of Rt heart border.

I am not a lungRADS reader myself, but my understanding is that 4x is used to increase suspicion about a nodule. Bottom line, this one needs PET and subsequent biopsy.

A node of that size could really go either way...PET will sort it out.

A clinically significant non lung ca finding would be something of adequate importance to be mentioned in the report, or warrant some further action, but not cancer. Like an infectious process.

Sounds like you had a low dose scan of the lung for cancer screening. 4x is the category your findings put you in. As stated PET or tissue sampling is needed for further diagnosis. The non-emergency findings are usually something found incidentally that is not urgent, but needs to be followed up.

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There was a radiology defense expert in S Florida that used to show up to court in a white coat and stethoscope.

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Most Radiologist don't no how to use much less own a stethoscope

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stethoscope

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I own a couple, but never would have one at work

whenever theres a contrast reaction, its a scramble to find one on the cart to listen for wheezing

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ung RADS Category 4X - suspicious consultation advised, next steps Chest CT, tissue sampling or PET

Clinically or potentially clinically significant non lung cancer finding. (What the frick does “non lung cancer finding” mean? Thanks

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Sounds like you got a lung cancer screening CT. These are reported using standardized templates.

Category 4X is given to findings that are considered lung cancer until proven otherwise (hence the tissue sampling or PET).

The non-lung cancer findings are other findings on the CT not related to the Lung RADS score.

(here's the Lung RADS chart: LINK)

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I bet they are too busy saving lives to post here a lot.

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That is some funny shite there

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been on til midnight all this week

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I can’t rememember the last time I haven’t heard from a nighthawk after 8pm