multiple granulomas found in lungs

[theduncan]

I had a chest xray done and the following was found in my lungs. Should I take this to a pulmonologist? Two tiny nodular densities 5 and 6mm in size left suprahilar region, one 5mm nodular density left mid lung zone region centrally, and 3-4mm tiny nodular density left lower lung zone region centrally. These are present on both of the frontal views and could represent blood vessels seen on end, however, they could represent tiny nodules (most likely tiny granulomas). Followup can be obtained to document their stability. Very tiny punctate densities are seen in the upper mid and lower lung zone on the right also suggestive of tiny granulomas but again could be tiny blood vessels on end and there are lobular densities in the right hilar region that are fairly dense suggesting calcified lymph nodes of old granulomatous disease. These can be evaluated on followup imaging as well. The osseous and soft tissues appear intact.

[David Tinkelman, M.D.]

From the X-ray report you have provided that describes multiple tiny nodular densities, the suspicion that these represent “granulomas” is probably correct.  This is the pattern often seen when a person has had lung infection in the distant past (now inactive) caused by TB or a fungus.  This interpretation would also be consistent with the finding of “calcified lymph nodes.”  The first step that you and your doctors should take is to gather any and all previous chest X-rays you might have had, for side-by-side comparison with the current chest X-ray.  Should these densities prove to have been present and unchanged, on X-rays taken more than two years ago, nothing more need by done at this time and “follow-up imaging” at 6-12 months would be a very reasonable approach.

If any other concerns are raised by your doctor or the radiologist, consultation with a lung specialist at this time might be appropriate, but I suspect that will not be necessary.

Good luck

[bamagirl1963]

I too have been diagnosed with these granulomas They are normal caused by old scarring or from an infection earlier in life. Most the time they are harmless, but I have been told they want to keep an eye on them.

You should discuss with your dr and put your mind at ease.

Good luck!