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    Fleischner Society Guidelines for Incidental Pulmonary Nodules

    Provides guidelines for management of solid and subsolid pulmonary nodules.
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    INSTRUCTIONS

    Use in patients ≥35 years old with incidental pulmonary nodules on CT imaging. Do not use for lung cancer screening or in patients with known primary cancer or immunosuppression. Use most suspicious nodule as guide to management. 

    When to Use
    Why Use

    • Patients ≥35 years old with incidental pulmonary nodules on CT scan.

    • Do not use for lung cancer screening or in patients with known primary cancer or immunosuppression.

    Incidental pulmonary nodules on imaging can be challenging to evaluate. These guidelines provide an accepted framework for management.

    Solid
    Subsolid
    Single
    Multiple

    Result:

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    Next Steps
    Evidence
    Creator Insights

    Advice

    The Fleischner Society recommends that incidental nodules in patients <35 years old be managed on a case-by-case basis, as infectious causes are more likely than cancer (and therefore serial CT to monitor should be limited).

    About the Creator
    Dr. Heber MacMahon
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