0 No evidence of malignancy |
1 Normal lungs |
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2 Stable pulmonary nodules for 2 years |
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3 Homogeneous calcified nodules |
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4 Opacities not related to malignancy (i.e. atelectasis, congestive heart failure, pulmonary scarring/fibrosis, emphysema) |
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1 Indeterminate |
1 Solitary pulmonary nodules <5 mm |
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2 Pulmonary nodules <5 mm with short-interval stability (<2 years) |
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3 Pleural effusion, pleural plaques, and infectious/inflammatory ground glass and tree-in-bud opacities |
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2 Suspicious |
1 Solitary pulmonary nodule of >5 mm |
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2 Multiple pulmonary nodules |
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3 Definite metastasis(es) |
1 Multiple, bilateral, peripheral, lower lobe pulmonary nodules of varying size (haematogenous spread) |
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2 Diffuse nodular interstitial thickening (lymphangitic spread) |
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3 New and/or enlarged pulmonary nodule(s) over time |
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4 Biopsy-proven metastasis |
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5 Malignant lymphadenopathy |