What to Watch: A Guide to Abnormal Findings on a Chest Scan

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by Dr. Javier Dieguez, MD

Women get mammograms to prevent colon cancer. Men and women get colonoscopies to prevent colon cancer. Why, then, is it that lung and chest scans aren’t common practice?

Early detection of cancer in a patient between the ages of 55 and 74 increases chances of curing malignant findings, especially if the patient has a history of smoking.

Getting a film is the key to broadening treatment options. Early detection opens up more opportunities to control cancer, but pulmonologists aren’t the only doctors administering these tests. Primary Care Physicians are now suggesting them as preventative screenings too.


  • Check-in regularly with your doctor
  • Don’t let symptoms go unchecked
  • Be tested with image scanning and look over them closely with your doctor

Once you have results and a nodule is found, we will either become your team or recommend that you find a pulmonologist to work with you.

What to do with a finding

A nodule is a finding that is under 3cm. A lung mass is a finding that is over 3cm. A nodule is easier to treat and has a better prognosis than a lung mass. Finding problem areas as nodules allows your team to keep an eye on it and find out if it is benign or malignant.

Many people’s results will reveal nodules. The only way to know if a nodule is a cause for concern is to watch it for growth over time. If a nodule is normal for 2 years, it is considered benign. If the nodule shows sign of growth, additional diagnostic procedures will be required.

The Fleischner Pulmonary Nodule Guidelines are usually for follow-up and management of pulmonary nodules. They help you to follow nodules with specified information that is dependent on medical and exposure history.

When considering new findings, it is always important to compare the most recent film to a prior film to see what is new and what was preexisting. A benign nodule that was caused by outside exposure is known as a granuloma. Granulomas appear very calcified on CT results. This means they appear much more white than other types of findings. Granulomas are formed by the body encasing outside particles that have been inhaled.

Circular nodules have the best chance of being benign. Spiculated nodules will be watched closely, no matter of size.

Some cancers are hereditary. But family history of cancer doesn’t automatically mean that irregular findings will be cancerous.

In early stage cancer, surgery can be a solution in place of chemotherapy and/or radiation treatment. This is one reason why finding abnormalities early is crucial to fighting cancer.

Learn more from ADC. Contact us with any questions.

Hear more from Dr. Javier Dieguez, MD:


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News Feature: “Glycemic Index” w/ Dr. Joanna Wilson, HerCare

Dr. Joanna Wilson, D.O. is a doctor for HerCare at Amarillo Diagnostic Clinic. HerCare is primary care for women with an emphasis on the biological differences of men and women in health and medical care. It’s clinical emphasis is mainly on contraception, menopause, osteoporosis, sexual health, pelvic floor issues and nonsurgical gynecologic issues. Learn more at www.HerCareatADC.com

On Glycemic Index

Video Lecture: “Gut Instinct” Feat. Dr. Joanna Wilson, HerCare

Our stomachs and the importance of the bacteria that lives there

Joanna Wilson, D. O. Internal Medicine specializing in Women's Health

Joanna Wilson, D. O.
Internal Medicine specializing in Women’s Health

As humans, we are 99% bacterial. Learn more about the following:

– Colonization of bacteria at birth

– The connection between digestion and bacterial health

– The latest breakthroughs in bacteria science

– And much more…

Video: Women are 4x More Likely To Develop Osteoporosis

Did you know that women are four times more likely to develop Osteoporosis than men? If you have noticed a loss in height, or have a history of Osteoporosis, schedule an appointment with a Rheumatologist at Amarillo Diagnostic Clinic, the simple solution to your healthcare needs.

Click on the images to learn more about ADC’s Rheumatology Specialists

Dr. Ming Chen, Amarillo Diagnostic Clinic, P.A. Specialist, Rheumatology

Ming Chen, M.D., Ph.D

What is Rheumatology?

Rheumatology is a sub-specialty in internal medicine, devoted to diagnosis and therapy of rheumatic diseases.

Learn more about this one of a kind specialty at Amarillo Diagnostic Clinic.

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Featuring Tiffany Ferrell RN, MSN, FNPC

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by Cindy Anderson, RN, MSCN

National Bullying Prevention Month

Multimedia PSA campaign developed by Ad Council and DDB New York in partnership with AOL, Facebook, Johnson & Johnson, Free To Be Foundation, Waitt Institute for Violence Prevention, filmmaker Lee Hirsch (BULLY) and The BULLY Project, and U.S. Departments of Education and Health and Human Services
Campaign partners also include Carat, Communispace, MLBNetwork, National PTA, Univision and Turner Broadcasting’s CNNand Cartoon Network

Bullying Prevention Campaign

NEW YORK, NY, October 18, 2012 /PRNewswire/ — More than 80% of high school students in the U.S. report that they witness bullying at least once a week, according to a national survey released today by DoSomething.org. A national multimedia public service advertising (PSA) campaign is launching today to educate and empower parents to talk to their children about ways they can be more than a bystander. The PSAs are being distributed nationwide to coincide with National Bullying Prevention Month.

The campaign was developed by the Ad Council in partnership with AOL, Facebook, Johnson & Johnson, the Free to Be Foundation, the Waitt Institute for Violence Prevention, and the Departments of Education and Health and Human Services. The PSAs were developed and created pro bono by New York advertising agency DDB New York and filmmaker Lee Hirsch (BULLY) and The BULLY Project.


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Daniel Beggs, M.D. – On Colonoscopy | From Amarillo Diagnostic Clinic

Here at Amarillo Diagnostic Clinic, we strive to not only bring healing and restoration to our patients, but to also educate them concerning health issues that may affect them in the future.No example is better than the latest video from the clinic: In it, Dr. Beggs, of the Gastroenterology department, discusses little-known facts concerning a Colonoscopy. Taking time to learn from the video will help you know the most important aspects of what can be done to help decrease your chances of potentially harmful instances.