Next step

What would recommend now?

Hamartoma

• Single pulmonary nodule
• Intranodular fat characteristics in hamartoma
• Nodule=2-30mm
• *Mass >30mm, increased risk for malignancy

Single pulmonary nodule
CT demonstrates fat density within the mass

2 years later
Interval growth of mass, but still c/w with hamartoma

• Absencs of growth over 2 years suggest benign mass
• Hamartoma can increase in size, as well as granulomas, low grade adenocarcinoma, mets
• Decrease in size is benign
• <30 year="" old="" span="">

Work-up includes

• CT: Enhancement>20, means high vascularity suggest malignancy. < 15more likely benign
• Oservation, depending on age of patient, size of lesions, and risk factors (smoking, environmental)
• BX
• FDG- PET