This case was submitted by one of our readers:
"My husband had a CT-scan and an enlarged mediastinal node (1.5 cm.) was noted in the short axis adjacent to the descending thoracic aorta. At the time, he had suffered an episode of pain and shortness of breath, and was diagnosed with pleurisy. One month later, a repeat CT scan showed that the mediastinal node was still enlarged, though had not increased in size. What is the normal protocal for monitoring this condition?"
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A couple things would make a diference: smoking history, presence/absence of calcifications, peripheral granulomata. If this is an isolated asymmetrical non-calcified node in a smoker for instance I might repeat the study to assure stability.
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