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The solitary pulmonary nodule Winer-Muram HTRadiology 2006[Apr]; 239 (1): 34-49The imaging evaluation of a solitary pulmonary nodule is complex. Management decisions are based on clinical history, size and appearance of the nodule, and feasibility of obtaining a tissue diagnosis. The most reliable imaging features are those that are indicative of benignancy, such as a benign pattern of calcification and periodic follow-up with computed tomography for 2 years showing no growth. Fine-needle aspiration biopsy and core biopsy are important procedures that may obviate surgery if there is a specific benign diagnosis from the procedure. In using the various imaging and diagnostic modalities described in this review, one should strive to not only identify small malignant tumors--where resection results in high survival rates--but also spare patients with benign disease from undergoing unnecessary surgery.|*Tomography, X-Ray Computed[MESH]|Aged[MESH]|Aged, 80 and over[MESH]|Female[MESH]|Humans[MESH]|Lung Neoplasms/*diagnostic imaging[MESH]|Male[MESH]|Middle Aged[MESH]|Solitary Pulmonary Nodule/*diagnostic imaging[MESH] |
