Management of incidental pulmonary nodules
The Fleischner Society guidelines for the management of incidental pulmonary nodules found on CT scans was just updated, involving international input from radiologists, pulmonologists, surgeons, pathologists (see pulm nodule incidental guidelines radiol2017 in dropbox , or doi:10.1148/radiol.2017161659). Details: --the guidelines refer to incidental pulmonary nodules found by CT scan in those >35yo, not for patients at high risk ( eg in those with cancer who might have mets , or those getting CTs for screening purposes) --the minimum threshold size leading to recommendation for nodule follow-up is if the estimated cancer risk is >1% (arbitrarily chosen) --follow-up CTs should use low-radiation techniques, no more than 3 mGy in a standard sized person, in order to reduce radiation exposure, esp in patients likely to receive many of them. -- Single s...