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PROCEDURE: CT CHEST NON-CONTRAST - NODULE PROTOCOL {Used for nodules less than 10 mm; generally fewer than 6 nodules; not diffuse nodules; or for sarcoma metastasis screening.} CLINICAL INDICATION: [Follow up lung nodule(s)*]. COMPARISON: [<date> | None*]. TECHNIQUE: [Low-dose helical CT was acquired without intravenous contrast from lung apices to bases, and reconstructed at 2.5 mm every 1.25 mm, and 1.25 mm every 0.625 mm.] (DFOV = [ ] cm) FINDINGS: Nodules: Nodule: Size: [# x # cm] {if size > 3cm, it's a "mass" and needs staging info} Composition: [ solid | ground-glass | mixed | calcified | fatty | enhancing | cavitary ] Calcification: [none* | benign pattern | indeterminate] {only if Composition = calcified} Location: [ ] {lung/lobe/segment} Image location: series [#] image [#] Other lung findings: [ ] Airway: [Normal*] Pleura: [No pleural effusion, thickening or pneumothorax] Thoracic aorta and great vessels: [<Normal in diameter.>] Pulmonary arteries: [Normal*] Heart and pericardium: [Normal*] Lymph nodes: [No enlarged thoracic lymph nodes*] Thoracic spine: [Normal*] Chest wall: [Normal*] Visualized upper abdomen: [Normal*] IMPRESSION: 1. [< >]. Recommendations for Follow-up and Management of Indeterminate Lung Nodules Detected Incidentally on Nonscreening CT Adapted from the Fleischner Society Statement on CT of Small Pulmonary Nodules (Radiology 2005;237:395-400) Nodule Low-Risk Patient High-Risk Patient Size < 4 mm no follow up needed follow up CT at 12 months if unchanged, no follow up 4-8 mm follow up CT at 6, 12 and 24 months if no change, further follow up > 8 mm contrast enhanced CT, PET and/or biopsy, OR watchful waiting: follow up CT at 3, 9 & 24 months Notes: diameter = average width; high risk is defined as a history of smoking or other know risk factors for lung cancer; low risk is defined as minimal or absent history of smoking or other known risk factors; caveat: nodules with a ground glass component may require longer follow up to exclude indolent adenocarcinoma