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Evaluation of Pulmonary Nodules


Pulmonary nodules are not uncommon in chest x-rays.  They are often scar tissue from a previous lung infection, and are usually benign.  However, they can be cancerous and it is crucial to be able to determine if they are malignant.

Learning Objectives:

  • Formulate a differential diagnosis for pulmonary nodules
  • Describe characteristics of pulmonary nodules
    • size, location, appearance, sub-solid, ground glass, calcification, density
  • Calculate probability of malignancy
  • Outline management of pulmonary nodules solid, sub-solid and ground glass according to:
    • Size
    • Probability of malignancy

Frederic Rawlins, III, DO

Dr. Rawlins attended medical school at the Edward Via College of Osteopathic Medicine in Blacksburg, VA. After graduating, he completed his Internal Medicine Residency at the San Antonio Uniformed Services Health Education Consortium (SAUSHEC) where he was awarded Outstanding USAF Internal Medicine Resident and went on to complete a fellowship in Pulmonary and Critical Care Medicine at SAUSHEC. He served in the United States Air Force for 11 years and was awarded a Meritorious Service Medal. Dr. Rawlins served as the Medical Director for the Critical Care Transport Team at Keesler AFB prior to relocating to Virginia where he is employed as a Pulmonologist by Lewis Gale, and serves as the Chair of Internal Medicine at VCOM-Virginia. Dr. Rawlins is boarded in Internal Medicine, Pulmonary Disease and Critical Care Medicine.

Disclosures: None


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