As an R1 I'm sad it took me this long to find you. Thanks!!
@Yourchestdoctor2 жыл бұрын
Amazing thx for this video. I am a pulmonologist. This was of great help.
@lallai6 жыл бұрын
love it! you have such a relaxed and very clear teaching style, very useful! please do the TNM classification!
@Mood-lq6du7 жыл бұрын
Compact video. Very useful! Keep up the amazing work
@cathompson58 Жыл бұрын
Yes .. I wish there was more teaching like this .. others spend half the lecture citing research trials as though they were Bible verses
@neranjaneekanagalingam78682 жыл бұрын
Excellent video, the best as far I have seen on the nodule, thank you very much
@docsif2 жыл бұрын
Brilliant video - thank you so much for taking the time out to do this!
@spamarthy3 жыл бұрын
Very nicely put together, superb clarity on the algorithm as well 👌👍👏❤️ thanks much Dr. Rishi !
@raveeshroy Жыл бұрын
2:11 PERILYMPHATIC NODULES 5:50 CENTRILOBULAR NODULE 7:20 RANDOM NODULES
@FatLittleOldLady Жыл бұрын
@heartmate1237 жыл бұрын
Concise description, keep up the useful work.
@cheeryglass4 жыл бұрын
This is awesome. Thank you, Rishi!
@atefehzeinoddini99254 жыл бұрын
Amazing..very helpful..thank you.
@javedahmad22343 жыл бұрын
Excellent video, Thanks for the efforts. Keep it up.
@user-wr9ks3tf4n3 жыл бұрын
Very clearly explained! Thanks!
@drbwhit5 жыл бұрын
Fantastic video!
@linsen5073 жыл бұрын
Thank you, very useful video.
@moclack40583 жыл бұрын
thanx alot, could post a video of a solitary nodule please
@drpowerdoppler46203 жыл бұрын
Amazing video, very very thankful.
@naeemasr50223 жыл бұрын
It’s amazing.....all in a nut shell explain in such a wonderful way.......god bless u respected sir.....can we ask questions from u sir??????
@ThoracicRadiology3 жыл бұрын
Thanks for watching. Yes sure you can ask questions.
@amcone8268 Жыл бұрын
How about when you feel there’s something down your throat?
@amcone8268 Жыл бұрын
I had an MRI. It was clear
@CarlosGomez-vg2nk3 жыл бұрын
Amazing video.
@immane757 жыл бұрын
very good , keep the good work . thank you .
@pau93424 жыл бұрын
Very helpful. Thank you!
@Maryam-xm5yr2 жыл бұрын
Thank you sir Could you please explain what definite structures in secondary pulmonary lobule cause tree in bud appearance like the way Kelley B line is formed by thickening of interlobular septa…?
@ThoracicRadiology2 жыл бұрын
Great question, it is usually caused by mucus plugging in the distal airways and acini.
@icdalex21172 жыл бұрын
where can I find you, doctor? Have nodules for a few years, and getting smaller and getting bigger over a few years, doctors in my area couldn't find out what is the real cause, constantly have chest pain, and I cough sometimes, really need your help!
@michaelmjack33362 жыл бұрын
Thank you. Given that the lymphatic system extends into the centrilobular portion of the secondary pulmonary lobule does that mean a perilymphatic process would also have centrilobular nodules? In which case how would differentiate from a random process? Many thanks.
@ThoracicRadiology2 жыл бұрын
Yes, but that will not be the predominant distribution. To differentiate from random, are the nodules clustered along the fissures and bronchovascular structures? If so, then it is perilymphatic. If they are not clustered on those structures, but some touch, some don't touch, then it is random.
@robertmarino6941 Жыл бұрын
Hi I have nodule upper right lobe over years it grew 1.5 cm scattered small nodules
@notarobot4592 жыл бұрын
Thank you
@markzureik6771 Жыл бұрын
Dr Agrawal - Firstly, thank you for the excellent video. I have a question when you have a moment. I've seen "Peri-lymphatic" and "Peri-Bronchovascular" described as both separate and combined entities - for example, the classic appearance for Sarcoid. It appears from this video that they rarely, if ever, occur in isolation and that the 2 terms are better used interchangeably than as separate entities - would this be correct? Thank you again.
@ThoracicRadiology Жыл бұрын
Yes they are often used interchangeably but sometimes in sarcoid the disease truly is more concentrated along the central bronchi and vessels. If that is the case I will use peribronchovascular. The term perilphatic includes peribronchovascular.
@user-kz4jv8iz3l3 жыл бұрын
Thanks!
@user-z5k3 жыл бұрын
Thank you, sir. I ove your lecture and subscrubed!
@beatricephiri94162 жыл бұрын
Good evening sir I had a question over the multiple Nodules do they have treatment for them to get read off completely
@ThoracicRadiology2 жыл бұрын
It depends on the cause. Sometimes there are treatments that can make them go away. In some cases they don't go away. There are many many causes of lung nodules so I can't really be more specific than that.
@mohammadnajmi17253 жыл бұрын
Thank you sir
@LolaFleur32 жыл бұрын
I see that in the comments from some of your videos you mentioned some of the nodules may go away. My doctor said that pulmonary nodules (I have multiple, under 4mm) NEVER heal/go away. She was very adamant about this. We still haven't found the cause, however they noted 'inflammatory-infectious substrate/histiocytosis' in my papers after the CT scan and I am currently waiting for the bronchoscopy results. Would an infection typically be found through the bronchoscopy, as I was exposed to mold and I believe it is most likely infection? I'm really anxious about a biopsy, the bronchoscopy was bad enough!
@ThoracicRadiology2 жыл бұрын
Some do go away, but it depends on the cause. We can't always tell the cause of the nodule on a CT scan and that's why bronchoscopy is sometimes necessary.
@carlosgaztelucabral80612 жыл бұрын
I have bilateral pulmonary nodules some of which are calcified. On a noncontrast low dose ct. Radiologist impressions were likely benign granulomas all between 2 to 4 mm in the middle and lower lobes. Recommended follow up which is scheduled for November. I was a social smoker in my 20s to mid 30s. Quit for good 34 and am now 48. How do I know if this is likely metastatic disease
@amcone8268 Жыл бұрын
My grandmother had bronchitis never smoked
@mercedesallison59512 жыл бұрын
I have a question, can a doctor see if someone have cancer with the blood test?
@amcone8268 Жыл бұрын
My doctor doesn’t give tests for cancer you have to ask
@AliHamza-bz2oo8 ай бұрын
How to differentiate between nodules and vessels on hrct chest
@ThoracicRadiology8 ай бұрын
I think you have to just scroll up and down. The nodules will be isolated but the vessels will be connected. Oh and I should mention that you should not look for nodules if there are skip regions in your HRCT.
@audreysimon696 Жыл бұрын
I had Sarcord and it jump from me arm to my lung now I have nodules had radiotherapy’s only one was growing they said it’s gone smaller and got more nodules on me lungs they said they scan every 3 months a now I have a shadow on me lungs I don’t now what going to happen there not telling me nothing also I have bowl cancer and they said can.not do anything for me I asked how long I have got left they said 5 years am 67 years old fragile and I have COPD this is the Reason. They want operate any advice please thank you 🙏
@abdelkrimzaouidi30725 ай бұрын
a legend
@ikramellah3 жыл бұрын
thank you my freind you are amazing
@jessicacabigquiz720911 ай бұрын
It should be a good Idea I've got thank you so muchhhhhh😊
@ibrahimhassani15 жыл бұрын
Informative
@katstarbuck26262 жыл бұрын
I have a cluster on lingula all under 5mm. Also a 12mm Paratracheal nodule. Could this be Valley Fever? Or worse....cancer
@ThoracicRadiology2 жыл бұрын
Can't say for sure. Better to ask your doc about it
@katstarbuck26262 жыл бұрын
@@ThoracicRadiology I found out it is Valley Fever and it caused a Paratracheal lymph node to grow to 12mm. I'll have to monitor this in coming months. I live in the desert. Outdoors a LOT. Caught it in the desert dust. Taking long to go away.
@rishi9892 жыл бұрын
@@katstarbuck2626 Hope it clears up. That's caused by a fungus called Coccidiodes. Yup, you're right, super common in the desert where you live. Good luck to you.
@ThoracicRadiology2 жыл бұрын
@@katstarbuck2626 Glad you got an answer. Yup, you're right it comes from a fungus that is found out in the desert, and it can take a while to go away. Good luck to you. 🤞✌
@amcone8268 Жыл бұрын
What is valley fever. Never heard of it
@bvrk4u4 жыл бұрын
Hello Rishi, I have a question regarding the fleishner criteria. If you see a lung nodule that is 5.2 mm, would that be less than 6 mm? because in the recommendations it says - 6 mm is 5 mm and less. Please clarify. Also, can you make a video on differentiating solid and GG nodules? Thanks in advance
@ThoracicRadiology4 жыл бұрын
Hi Venkata, I don't think I understand your question. Can you link me to where the recommendations say 6 mm is 5 mm and less? Typically, if I have a solid 5.2 mm nodule, I don't follow it up unless there are risk factors. A 5.2 mm nodule would fall in the
@bvrk4u4 жыл бұрын
@@ThoracicRadiology pubs.rsna.org/doi/10.1148/radiol.2017161659 Thus, the size threshold (
@ThoracicRadiology4 жыл бұрын
Ohok I see. Yes it depends on rounding. If you measure at 5.4 or less it is 5 and 5.5 and more, it falls into 6+ category.
@bvrk4u4 жыл бұрын
Thoracic Radiology thank you very much for your reply. Can you please make a video on ground glass nodules, showing cases? Thank you in advance
@NANDLAL-fi6sk18 сағат бұрын
👍
@raghavarora153 Жыл бұрын
Sir please make more videos
@user-yl7vl7kg7x2 жыл бұрын
NICE
@rohandeshmukh88203 жыл бұрын
Excellent video sir..👍🙏 P.s. who are the 3 idiots that disliked the video?
@mikewilson9266 Жыл бұрын
Are nodules the same as granulomas?
@ThoracicRadiology Жыл бұрын
There are multiple causes of lung nodules. Granuloma is just one cause.
@mikewilson9266 Жыл бұрын
@@ThoracicRadiology thank you.
@worldinformation5108 Жыл бұрын
Thank u sir i have question i have cough for last three months i consult with doc he performed chest degital xray and hrct chest and in chest ct "few small ground glass attenuating centrilobular nodules are seen in the apical segment of right upper lobe" is this normal are any serious please answer sir thankss
@ThoracicRadiology Жыл бұрын
I can't say what it is without knowing more about history. Best to ask your doc who knows more about you.
@michealmcbrien89310 ай бұрын
I have same cough and nodules on lung going for ct scan soon. How was your tests ?? Did you find out what it is ?
@divyaahuja13279 ай бұрын
Hiii how r u feeling now and what ur said plz tell me
@divyaahuja13276 ай бұрын
How r u feeling plz tell me I m also facing this
@normariccobene69329 ай бұрын
What does one do when nodules that kept changing. Watching. Then a hurried through bronscopy then opps get your affairs in order opps you have end stage small cell lung cancer. Opps. That's what happened to my late mother
@ThoracicRadiology9 ай бұрын
I'm sorry to hear that.
@crob39582 жыл бұрын
I got 7 4mm nodules from COVID
@crystylev45712 жыл бұрын
I had 4 back in 2018 I have 6 now ranging up to 4mm. I wonder if catching covid added more? I have a pet scan coming up. Hope it's nothing.
@amcone8268 Жыл бұрын
COVID is not real. It’s a virus 🦠 or a bad cold. They said I had it I never felt any different
@amcone8268 Жыл бұрын
COVID isn’t real silly 🙃 it’s just a cold or bad flu they said I had it. I didn’t feel any different my boyfriend he just had the flu.
@mercedesallison59512 жыл бұрын
I have a question, can a doctor see if someone have cancer with the blood test?
@amcone8268 Жыл бұрын
I would think 🤔 they could my doctor never gives tests for cancer