Pulmonary Nodules

Question 1

Single, solid nodule <6mm in low risk patient

Answer 1

no follow up needed

Question 2

Single, solid nodule <6mm in high risk patient

Answer 2

CT in 12 months

Question 3

Multiple, solid nodules all <6mm in low risk patient

Answer 3

no follow up needed

Question 4

Multiple, solid nodules all <6mm in high risk patient

Answer 4

CT in 12 months

Question 5

Single, solid nodule 6-8mm in low risk patient

Answer 5

CT in 6-12 months (then consider repeat CT in 18-24 months)

Question 6

Single, solid nodule 6-8mm in high risk patient

Answer 6

CT in 6-12 months, followed by repeat CT in 18-24 months

Question 7

Multiple, solid nodules 6-8mm in low risk patient

Answer 7

CT in 3-6 months (then consider repeat in 18-24 months)

Question 8

Multiple, solid nodules 6-8mm in high risk patient

Answer 8

CT in 3-6 months, followed by repeat CT in 18-24 months

Question 9

Single, solid nodule >8mm in low risk patient

Answer 9

CT in 3 months, PET/CT, biopsy

Question 10

Single, solid nodule >8mm in high risk patient

Answer 10

CT in 3 months, PET/CT, biopsy

Question 11

Multiple, solid nodules >8mm in low risk patient

Answer 11

CT in 3-6 months (then consider repeat CT in 18-24 months)

Question 12

Multiple, solid nodules >8mm in high risk patient

Answer 12

CT in 3-6 months, followed by repeat CT in 18-24 months

Question 13

Groundglass, subsolid nodule <6mm

Answer 13

no follow up needed

Question 14

Groundglass, subsolid nodule >6mm

Answer 14

CT in 6-12 months (followed by repeat CT every 2 years for 5 years)

Question 15

Partly solid nodule <6mm

Answer 15

no follow up needed

Question 16

Partly solid nodule >6mm

Answer 16

CT in 3-6 months (followed by annual CT for 5 years)

Question 17

Indications for lung cancer screening with low dose CT

Answer 17

age 50-80 years with 20 or more pack-year history who are either currently smoking or have quit within the past 15 years