The Fleischner Society Guidelines for management of solid nodules were published in , and separate guidelines for subsolid nodules were issued in The Fleischner Society has once again updated guidelines addressing incidentally discovered pulmonary nodules. Key differences from Diagnostic criteria for idiopathic pulmonary fibrosis: a Fleischner Society White Guidelines for Management of Incidental Pulmonary Nodules Detected on CT.
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If suspicious morphology or upper lobe location, consider month follow-up. If suspicious, consider follow-up at 2 and 4 years. If grows or increasingly solid, consider resection. Patients who have a known cancer. Lung cancer screening, which has separate criteria.
Intra-fissural, perifissural, and subpleural pulmonary nodules. Perifissural lung nodules are usually benign, unless suspicious nodule morphology is present reference.
Displacement of the pulmonary fissure. In these cases, follow-up should be considered. Diameter of lung nodule is the average of the short and long axes, rounded to the whole millimeter. Lung Cancer Risk Factors: Family history of lung cancer. Upper pulmonary lobe location of nodule.
Don’t let this happen to Your Patient:. From the Fleischner Society Aortic Diameter – Adult. Kidney Size – Peds.
Spleen Size – Peds. No Follow-Up If suspicious morphology or upper lobe location, consider month follow-up.
CT in 3 to 6 months. If unchanged, consider CT at 2 and 4 years.
Fleischner 2017 guideline for pulmonary nodules
No Follow-Up If suspicious, consider follow-up at 2 and 4 years. If unchanged, consider CT in 2 and 4 years. CT in 6 to 12 months, then consider CT in 18 to 24 months. CT in 6 to 12 months, then obtain CT in 18 to 24 months.
CT in 3 to 6 months, then consider CT in 18 to 24 months. CT in 3 to 6 months, then obtain CT in 18 to 24 months. CT in 3 to 6 months to confirm persistance. If unchanged and solid component below 6mm, CT annualy fleisvhner 5 years. Then management based on most suspicious nodule s. CT in 6 to 12 months to confirm persitance, then CT every 2 years until 5 years.
Fleischner Society pulmonary nodule recommendations | Radiology Reference Article |
CT at 3 to 6 months. CT in 3 to 6 months, then consider CT at 18 to 24 months. CT in 3 to 6 months, then obtain CT at 18 to 24 months.