Fleischner Society recommendations for follow-up of nodules Previous chest radiographs should be reviewed to determine if the lesion has been stable over 2 years. If so, no further follow up is necessary, with the exception of pure ground-glass lesions on CT scans, which can be slower growing. For lesions with a benign pattern of calcification, further testing is not necessary. Management of indeterminate lesions greater than 8-10 mm depends on clinical probability of malignancy, as follows: Low probability: Serial CT scanning at 3, 6, 12, and 24 months Intermediate probability: PET-CT, contrast-enhanced CT, transthoracic needle aspiration and/or transbronchial needle aspiration (TBNA) High probability: Surgical resection Any unequivocal growth noted during follow up means that a definitive tissue diagnosis is needed. #Management #Radiology #CTChest #Fleischner #Society #Followup #Pulmonary #Nodules #RadiologyAssistant
