追蹤肺結節：瞭解實心結節的性質和建議的追蹤頻率-胸腔內科

肺結節 追蹤？

2021年有照到肺結節，持續追蹤了3年目前沒有變大 醫生說是實心的 有2科最大的有0.6公分1.想請問 報告的 SRS IM 是代表甚麼呢每次數字都不一樣Srs:4, Im:55,74,113,124,131,133)2.請問追蹤3年都沒變化 是不太會改變了嗎，成行原因是甚麼呢3.請問實心結節是否良性率相對比較高不容易病變呢??4.建議多久追蹤一次呢??報告如下:CT of the chest: The high resolution axial imaging, unenhanced axial imaging and reformatted imaging are obtained. This study is compared with previous examination dated 2023-05-22 (CT). Pulmonary nodules ＆ densities in the both lungs are identified. The focal radiolucency is noted in the bilateral upper lobes of the lung. Mild scoliosis of thoracolumbar spine is noted. Soft tissue nodules having the same character with the splenic tissue is abutting peripheral to the spleen. Lymph nodes are noted at the mediastinum and bilateral axillae. The trachea and both main bronchi are patent. The cardiac size is normal. The visible liver appears unremarkable. Adrenal glands show unremarkable.IMPRESSION: 1) Persistence of pulmonary nodules ＆ densities in the both lungs. (less than 0.6cm, Srs:4, Im:55,74,113,124,131,133) -DDx: infection/inflammation with granuloma formation, parts of vessels, intrapulmonary lymph nodes, or other nature.3) Paraseptal emphysema in the bilateral upper lobes of the lung.4) Mild scoliosis of thoracolumbar spine.5) Accessory spleen. Suggest clnical correlation and follow up.