lukejames

Thank you BridgetO, that is kind of of what I found out also. I think it is just a deposit of dust, infection that over time got hard, and I pray that it eventually disappears on its own. My Pulmonary Doctor offered no treatment for this, and said that's it, where done.

4.30.22 Thank you BridgetO for your kind words. I took a long walk in the park yesterday, first time in a long time! Even though my Pulmonary Doctor gave me great news, he did not (fully) explain what this means from the CT needle biopsy on 4.20.22 and it is in the back of my mind now: -Organizing pneumonia with necrotizing granulomas; -AFB, GMS and PAS stains negative for organisms. -Negative for malignancy. As always I thank you for your experienced insight and God Bless!

Thank you JudyM2. Wow, 99 years I hope I do as well. Yes, the factory where I work is filled with paper, wood chip dust and chemicals from the process of making paper cans for the food packaging industry. When they blow the machines down that make the cans, the dust is so thick and everywhere that it floats at the ceiling. Really bad and I can't wait to retire there in about 5-6 months while I still can.

Hey Everyone, I got the results back today at my Pulmonary Doctor visit a moment ago. His words where "Go out and live your life, No worries"! He said you have no tumors are cancer. You have: Necrotizing granulomatous inflammation of lung (CMS-HCC) Which means there is allot of dead cells, build up from Occupational dust which makes sense because my job is a factory that makes paper cans and the dust in the air along with the chemicals for 18 years, I guess caught up with me. He also said, lose weight and find another job. I agree 1000%. I guess I am in the clear...Im in tears, happy tears. I cannot thank everyone here enough for being by my side through this. God Bless you all and Thank You!

Thank you, Tom, I am blessed.

Thanks LouT, not sure what most of the biopsy results mean, but I am 90% sure there is no cancer. I will find out on the 27th when I see my Pulmonary Doctor about all of the test results. Just don't know what are the "wording" of the above biopsy means. Thank you.

Hey everyone. I hope you are doing well. I have the results of the first biopsy they did on 4.7.22, I am still waiting for the results of the needle biopsy they did on 4.20.22. I hope some light can be shed on these. Specimen: Chest, Right lung upper lobe nodule transbronchial biopsies, 2 TP slides Final Diagnosis Right lung, upper lobe, nodule, transbronchial biopsies: -Fragments of benign lobulated lung parenchyma. -No granulomas or evidence of malignancy are identified. Specimens: A) - Chest, Right lung upper lobe transbronchial needle aspiration - Chest, 4R Paratracheal lymph node transbronchial needle aspiration Statement of Adequacy A. Satisfactory for evaluation. B. Satisfactory for evaluation. Diagnostic Category A. Negative for Malignancy. B. Negative for Malignancy. Final Diagnosis A. Lung, right upper lobe, fine needle aspiration and cell block: -Satisfactory for evaluation. -Negative for malignancy. -Few groups of benign respiratory epithelial cells. B. Lymph node, 4R paratracheal, fine needle aspiration and cell block: -Satisfactory for evaluation. -Negative for malignancy. -Lymphocytes present. What scares me is "Lymphocytes present". It sounds scary. hanging on. Thank you.

You are an amazing person LouT, thank you. A small spark of light can clear away a whole world of darkness! Thank you!

4.18.22 Hey everyone, I hope everyone is okay. Just an update. I am still going to have my second biopsy on the 20th this month with a needle through the chest to the lung nodule in question for a sample. I just got a call from my Pulmonary doctor's office about some blood work (they came to my home about 2 weeks ago to take the blood), and she said that the results are that there is Low Risk, Medium Rish, and Hight Risk. She said I am in the Medium Risk. They used the Biodesix blood test. My Pre-Test Risk for Pulmonary Nodule Malignancy is 33% (5% Very Low Risk to 65% High Risk). My Test Result-Post Nodify XL2 Risk of Malignancy is 21% (5% Very Low Risk to 65% High Risk). Still, I feel like I am standing on the edge of a cliff, wondering what is going on. I said I thought they ruled out cancer, she said we will not know all for sure until all the tests are done. So, I am trying not to be scared, but still hopeful that whatever is in me that it is early enough for them to remove it, etc. I will get through this. Thanks.

I'm in tears now, such kind and miracle words. Thank you LouT. My pulmonary doctor has scheduled more tests like a needle biopsy, Interventional radiology, to see what it is, maybe a virus, infection, not sure. Thanks again everyone, God Bless!

I just saw my Pulmonary Doctor for the results of my BRONCHOSCOPY with Monarch robot, and he looked me in the eyes and said, "NO CANCER"! I wanted to cry. He did say that he is 85% sure it is an infection are a virus, not sure. He already ordered more blood, urine, and a percutaneous biopsy of nodule very soon. Sorry that this is so long, I am just copying and pasting and not sure how to edit to make it smaller. I just wanted yo all to know. Thank you all for being there and will keep you posted. As always, I appreciated your experienced opinion. God Bless! Pathology: 4/7/22 A. Lung, right upper lobe, fine needle aspiration and cell block: -Satisfactory for evaluation. -Negative for malignancy. -Few groups of benign respiratory epithelial cells. B. Lymph node, 4R paratracheal, fine needle aspiration and cell block: -Satisfactory for evaluation. -Negative for malignancy. -Lymphocytes present. Right lung, upper lobe, nodule, transbronchial biopsies: -Fragments of benign lobulated lung parenchyma. -No granulomas or evidence of malignancy are identified. PFT DATA: PFT Results 4/6/2022 FVC 3.74 FVC % Pred 79 FEV1 3.00 FEV1 % Pred 84 FEV1/FVC 80.21 FEF 25-75% 3.21 TLC % Pred 107 FRC 4.22 FRC % Pred 129 RV 3.14 RV % Pred 131 DLCO 24.8 DLCO % Pred 88 Last 3 CO2: CO2 Date Value Ref Range Status 10/14/2020 26 23 - 31 mEq/L Final Carbon Dioxide Date Value Ref Range Status 12/06/2021 28 21 - 31 mmol/L Final 05/18/2021 27 21 - 31 mmol/L Final Last ABG result: No results found for: DEVICE, SAMPTYP, PHARTBLD, POTARTBLD, BAEXARTBL, HCOTARTBLD, HEMGLBNARBL, HCTARTERIAL Plan: Preponderance of the evidence would suggest a non-malignant etiology and we are still awaiting a few serological tests to further risk stratify. Suspect infectious (poss fungal) but no growth on cultures as yet and we will await. Will also check a few additional fungal and inflammatory markers. Have offered a program of close radiographic follow-up to monitor nodule and await additional serological tests versus additional biopsy for more tissue. He is anxious to arrive at a conclusion as soon as possible and so would like to proceed with percutaneous biopsy of nodule. Will refer to IR, get additional test.

Thank you, Tom, for the words of encouragement and hope. I'm not sure which lung, but maybe they did both, not sure. Tomorow I will ask that if my pulmonary doctor does not tell me first. I pray it is an infection that can be cured by antibiotics. I wonder if I should have waited to get my 2nd booster shot Moderna a few days ago? Still so many questions but I see hope. Thanks again.

4.12.22 Hey Everyone, I just got this test result a second ago. I am not sure if it is the entire BRONCHOSCOPY with Monarch robot, are just a part of it. I know they sent off the biopsy sample(s) last week. I hope what I do have below is good news, sure need your all's experienced opinion right now. Thanks. CULTURE: AEROBIC AND ANAEROBIC WITH GRAM STAIN, TISSUE/BIOPSY - Details Component Results: Aer/Ana Tissue Culture: Light Growth Mixed gram positive organisms, no Staph aureus or beta strep isolated Resembles Normal Respiratory Flora Aer/Ana Tissue Culture: No Anaerobes Isolated Gram Stain Result: No organisms seen Gram Stain Result: No Neutrophils seen General Information Collected on 04/07/2022 4:37 PM from Chest (Lymph Node) Resulted on 04/11/2022 10:47 AM Result Status: Final result

Tom Galli, that would be great. but those readings that I gave where from the portable Xray that they took right after the lung biopsy right before I woke up. I will get the biopsy results when I see my lung Doctor on 4.13. Thank you.

I will Justin1970, thank you. I will find out the 13th what the biopsy samples hold when I see my lung Doctor.

4.8.22 Hey everyone, I had my BRONCHOSCOPY procedure yesterday. They will be sending the samples of the lungs, etc. out to see what it is. They even used the ad of a robot scanner or something. It all took about 6 hours from start to finish. They took an X-Ray before I woke up of my lungs. I know the Xray does not show what the biopsy with show/tell, but maybe the x-ray is a ray of hope. I have an appointment on the 13th of this month with my Lung Doctor who did the biopsy and then he will tell me what is going on. When I woke up my lung doctor who did this procedure looked at me and said, "I think it is an infection". I was just waking up, so I hope I heard him right. Can't get my hopes up are down, just have to wait until the 13th. I did copy/paste that x-ray below to see what you guys think, I know it is an experienced opinion and I really need that right now. Thanks, and love. Study Result Narrative Chest portable, 4/7/2022 4:48 PM Indication: Shortness of breath Comparison: 3/5/2022 Findings: The heart size is within normal limits. The mediastinum is unremarkable. The pulmonary vasculature is not increased. There are increasing infiltrates around the nodule in the right upper lobe. Remainder of both lungs are grossly clear. There is no significant pleural effusion or pneumothorax. There are degenerative changes of the thoracic spine. Impression: Increasing infiltrates around the nodule in the right upper lobe.

Thank you LouT!

Thank you Justin. One day at a time

Lou there has always been angels in my darkest moments in my life and this is sure one of them thanks for being there I have a biopsy tomorrow and all kinds of other things he is going to look at while they’re in there it’s gonna go down my throat with the tube it’s about four hours so I guess I’ll see what happens and I’ll ask for Biomarker testing. Thanks again Lou.

4.5.22 Hey everyone, I had my first PET scan yesterday and I got these test results below just now. Im not sure, but it looks like I have lung cancer. This is what I have scheduled on 4.7.22: MONARCH - Monarch robotic bronchoscopy with biopsy, . Performed by Benjamin Jason Seides, MD EBUS - Linear probe EBUS with biopsy, REBUS - Radial probe EBUS with biopsy, FLEX - Flexible bronchoscopy with biopsies, Percepta/Veracyte Genomic testing. These are the results from the PET scan today: TECHNIQUE: A series of overlapping emission images were obtained. The area imaged spanned from the orbits to the mid thighs. A low-dose CT was performed for attenuation correction purposes. 15.5 mCi F-18 fluorodeoxyglucose (FDG), IV. Uptake time 50 minutes. Blood glucose 109 mg/dL. FINDINGS: HEAD AND NECK: There is physiologic uptake in the head and neck. No hypermetabolic cervical lymphadenopathy is identified. CHEST: There is hypermetabolic right paratracheal lymphadenopathy within SUV max of 3.5 (image 87). There is hypermetabolic right hilar lymphadenopathy with an SUV max of 2.6 (image 92). There is hypermetabolic activity corresponding to the reference 15 mm pulmonary nodule with an SUV max of 3.1 (image 79). There are scattered pulmonary micronodules which do not demonstrate hypermetabolic activity below the resolution of PET/CT and appear unchanged when compared to the prior study. ABDOMEN PELVIS: No hypermetabolic lymphadenopathy in the abdomen or pelvis. There is physiologic uptake in the abdomen and pelvis. Note is made of diverticulosis without evidence of diverticulitis. There is a moderate-sized periumbilical hernia. There are vascular calcifications of aorta and its branches. The patient is status post cholecystectomy. MUSCULOSKELETAL: No hypermetabolic lytic or sclerotic lesion is identified. IMPRESSION: 1. Hypermetabolic activity corresponding to the reference 15 mm pulmonary nodule in the right upper lobe suspicious for primary pulmonary malignancy. 2. Hypermetabolic activity corresponding to mediastinal and right hilar lymphadenopathy suspicious for metastatic disease. 3. No hypermetabolic activity corresponding to the reference indeterminate pulmonary micronodules which are below the resolution of PET/CT examination. Continued follow-up examination is recommended. 4. Other findings as described above. Thank you, I am doing my best to keep my chin up.

Thank you Justin, I appreciate it.

Thank you so much Lou, I see my "lung doctor" today.

Bridget, thank you so much for your reply, it means allot. I'm just starting this journey that I don't want to take but knowing that someone like you is there is a Godsend. I will let you all know what is going on next. Thank you.

3.31.2022 Hey everyone. I just saw my main Doctor today and I after a chest CT scan a yesterday and this is what they found. I see a lung specialist soon, but I sure would like someone to help me understand what all of this/below means. I am very scared and worried. I am 61 years old, weight 253 lbs, 5' 10" tall, never smoke anything ever, but I have worked in some dusty chemical in the air factories and still am the last 18 years. My parents passed away a few years ago with really bad lungs. Please help. Thank you. TECHNIQUE: CT scan was performed through the chest without intravenous administration of contrast. FINDINGS: LUNGS: 15 x 9 mm irregular spiculated bilobed nodule in the posterolateral right upper lobe series 4 image 39. A couple of new 3 mm pulmonary nodules in the left lower lobe for example on images 123 and 136. New 3 mm posterior medial right lower lobe nodule image 115. Few additional tiny 2 mm micronodules also noted bilaterally. Couple of small areas of scarring in the right upper lobe for example on images 21 and 23, similar to previous. PLEURA: No pleural effusion or pneumothorax. MEDIASTINUM AND HILA: There is new mediastinal and right hilar lymphadenopathy. For example, 12 mm short axis mediastinal lymph node immediately anterior to the right mainstem bronchus series 3 image 61. 10 mm short axis right hilar lymph node image 66. Mild atherosclerosis. CHEST WALL: Multilevel bridging anterior endplate spurs in the spine. UPPER ABDOMEN: Hepatic steatosis. Nodular thickening left adrenal gland, nonspecific. Atherosclerosis. IMPRESSION: 1. 15 x 9 mm irregular spiculated bilobed nodule in the posterolateral right upper lobe highly concerning for malignancy until proven otherwise. Finding correlates to the chest x-ray abnormality reported on 3/5/2022. Recommend biopsy. 2. Few new pulmonary nodules bilaterally measuring up to 3 mm in size, nonspecific. Short interval follow-up recommended. 3. New mild mediastinal and right hilar lymphadenopathy. 4. See other findings above. NOTE: An individualized dose reduction technique was for the above procedure, including automated exposure control