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A lung nodule or pulmonary nodule is a relatively small focal density in the lung. A solitary pulmonary nodule (SPN) or coin lesion, [1] is a mass in the lung smaller than three centimeters in diameter. A pulmonary micronodule has a diameter of less than three millimetres. [2] There may also be multiple nodules.
Latin pulmō, a lung pulmonary py-pus: Greek πύον (púon), pus pyometra: pyel-pelvis: Greek πύελος (púelos), pelvis, wash basin pyelonephritis: pykno-to thicken (as the nucleus does in early stages of cell death) Greek πύκνωσις (púknōsis), thickening pyknosis: pylor-gate
The evaluation of a skin nodule includes a description of its appearance, its location, how it feels to touch and any associated symptoms which may give clues to an underlying medical condition. [4] Often discovered unintentionally on a chest x-ray, a single nodule in the lung requires assessment to exclude cancer. [9]
3. Nodule with poorly defined margins - Round density within the lung parenchyma, also called a tuberculoma. Nodules included in this category are those with margins that are indistinct or poorly defined (tree-in-bud sign [3]). The surrounding haziness can be either subtle or readily apparent and suggests coexisting airspace consolidation.
The original published definition read as: "Any extended, finely granular pattern of pulmonary opacity within which normal anatomic details are partly obscured; from a fancied resemblance to etched or abraded glass." [23] It was again included in an updated glossary by the Fleischner Society in 2008 with a more detailed definition. [24]
Adenocarcinoma in situ (AIS) of the lung —previously included in the category of "bronchioloalveolar carcinoma" (BAC)—is a subtype of lung adenocarcinoma.It tends to arise in the distal bronchioles or alveoli and is defined by a non-invasive growth pattern.
A lung cyst has a wall thickness of up to 4 mm. [2] A minimum wall thickness of 1 mm has been suggested, [2] but thin-walled pockets may be included in the definition as well. [5] A cavity has a wall thickness of more than 4 mm. [2] The terms above, when referring to sites other than the lungs, often imply fluid content.
For lung nodules, air bronchograms used to be associated with infectious causes of consolidation and, therefore to be benign. However, in the setting of a lung nodule, an air bronchogram is actually more frequent in malignant than in benign nodules. [1] [4] studied the tumour-bronchus relationship and described five types: [1]
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