Respiratory[autotexts]

Pulmonary nodules / Consultation template

Pulmonary nodule surveillance plan

The record of what was found, what the risk score said, and exactly when the next scan is due and who is arranging it.

Fills in order
  1. 1Nodule found on
  2. 2Site
  3. 3Size
  4. 4mm maximum diameter, volume
  5. 5Margins
  6. 6Number
  7. 7Other findings
  8. 8Age
  9. 9smoking
  10. 10pack-years
  11. 11Asbestos or other occupational exposure
  12. 12Previous malignancy
  13. 13Family history of lung cancer
  14. 14Brock model risk of malignancy
  15. 15Herder model risk after PET-CT
  16. 162. Next scan due

and 3 more, in the block below.

Paste block 19 fields
Pulmonary nodule assessment.

Nodule found on: [scan type and date, and why it was done]
Comparison with previous imaging: [date of earliest available prior imaging,
and whether the nodule was present]

Nodule characteristics:
Site: [lobe and segment]
Size: [] mm maximum diameter, volume [] mm3
Character: [solid, part-solid with solid component of, or pure ground glass]
Margins: [smooth, lobulated, spiculated]
Number: [solitary, or number and distribution]
Other findings: [emphysema, fibrosis, lymphadenopathy]

Risk:
Age [], smoking [current, ex with quit date, or never], pack-years []
Asbestos or other occupational exposure: []
Previous malignancy: []
Family history of lung cancer: []
Brock model risk of malignancy: []%
Herder model risk after PET-CT: []%

Assessment:
[below the size threshold for follow-up, or under surveillance, or being
worked up for possible malignancy]

Plan:
1. [discharge with no further imaging, interval CT, PET-CT, biopsy, or
referral for treatment]
2. Next scan due: [month and year], to be requested by [chest clinic, GP, or
radiology recall]
3. Surveillance ends: [month and year] if stable
4. Patient informed of the plan and the reason for it: [yes]
5. Smoking cessation offered: []

If the nodule grows on any interval scan, the patient should be referred back
to the chest clinic rather than continuing surveillance.

How to use it

The failure mode with nodules is not misjudging one scan; it is losing the person between scans. So the block records the month the next scan is due, who is responsible for requesting it, and the date surveillance ends — three facts that are usually implied and therefore lost when the letter is read by someone else two years later. Record the earliest prior imaging you could find: a nodule unchanged for two years is a different object from the same nodule seen once. Write the Brock score as a number rather than describing the risk as low, so the next reader can see what it was based on.

Why it says that

None of this is in the copied text. It is here so you can check the block against its source, and change it when the source changes.

Trials behind it

  • NELSON 2020 Volume CT screening reduced lung cancer mortality with a 2.1% referral rate
  • NLST 2011 Low-dose CT screening reduced lung cancer mortality — at the cost of a 96% false-positive rate

Records on respiratorytrials.org.