Thank you so much for welcoming me with such open arms...it really helps.
The news was bad....to me it looks very bad, but I don't know the lingo very well yet, so I am going to tell you what the doctor said, and I'm going to type out the CT report, so maybe you can help me decipher all these words I don't understand...is that OK?
The doctor told us that of course he can't say with 100%certainty, but it is 99% positive that she does have cancer, in both lungs. He will be setting her up with a lung specialist ASAP for biopsy...etc..
Here comes the report part:
Exam: CT CHEST, LIVER C+8695
Multiplanar contrast enhanced images of the chest and liver were performed.
Within the left hilum nestled in the confluence of the superior and inferior pulmonary vein there is a lobulated soft tissue mass measuring 4x3 centimeters compatible with lymphadenopathy. No other mediastinal lymph nodes are present. In the periphery of the left upper lobe, there is a 3mm spiculated pulmonary mass which may represent the site of primary lung tumor.
In the azygo-esophageal recess of the right lung, centered on the major fissure, there is a 1cm. pulmonary mass showing spiculated outer borders with pleural tags attached to the mediastinum and paraspinal soft tissues likely representing a contralateral synchronous lung primary. No right hilar lymphadenopathy is present however.
The lungs are markedly overinflated showing changes of advanced centrilobular emphysema. Multiple small pulmonary nodules each measuring no more than 2-3mm are scattered within the anterior aspect of the right middle lobe and periphery of the left lower lobe.
Images of the liver show two low density foci in segment 8 likely both representing tiny hepatic cysts. The adrenal glands are normal.
IMPRESSION: Left hilar mass undoubtedly represents malignant lymphadenopathy. Two possibly primary lung carcinomas are identified, one in the right azygo-esophageal recess measuring 1cm and the other in theperiphery of the left upper lobe measuring 3mm. Given the severe underlying centrilobular emphysema, percutaneous biopsy of either of these lesions is not advised. Transbronchial biopsy of the left hilar lymphadenopathy is likely the most reasonable method to obtain histology.
So there it is, word for word. I have a slight understanding...but very limited, so any help understanding this will be so very welcome.
The doctor also said that he had not seen tumors/masses in both lungs before?? I may have understood that part wrong.
I asked him to give me a copy of this report so that I could post it here, I'm glad I did.
I wish we could skip this part. I feel a bit like a zombie.
I'm kind of numb, but could blow any second at the same time.
I have cried many times today. But at the moment, I'm grateful that at least she doesn't feel sick. Her greatest pain at the moment is arthritis. And she has lost 20 pounds in the past year for no reason.
Sorry for writing such a book, but I though if anyone would understand...it would be you guys.
Thanks again for such a warm welcome. I guess I'll be around here a LOT!
Linda