Lung Nodule Structured Report (with Fleischner / Lung-RADS follow-up) — free guideline decision tool
Point-and-click features generate standardized lung nodule findings, impression and follow-up (Fleischner 2017 incidental, Lung-RADS v2022 screening) ready to paste. Instant, browser-side.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Setting | Incidental (Fleischner, age ≥35) |
|---|---|
| Location | right upper lobe |
| Image number (optional) | 128 |
| Density | Solid |
| Long axis | 9 mm |
| Short axis (perpendicular, same slice) | 7 mm |
| Margin | Smooth |
| Calcification | None |
| Pleural retraction | No |
| Bubble lucency / air bronchogram | No |
| Comparison | First seen / no prior |
| Number | Single |
| Lung cancer risk (incidental) | Low |
→Fleischner 2017 · mean diameter8mm
- Findings：A solid nodule in the right upper lobe (image 128), measuring 9 × 7 mm (mean 8 mm), with smooth margin, no calcification. First seen.
- Impression：solid nodule, right upper lobe, mean 8 mm
- Recommendation：CT at 6–12 months, then consider CT at 18–24 months
| Setting | LDCT screening baseline (Lung-RADS) |
|---|---|
| Location | left lower lobe |
| Image number (optional) | 128 |
| Density | Pure ground-glass |
| Long axis | 9 mm |
| Short axis (perpendicular, same slice) | 7 mm |
| Margin | Spiculated |
| Calcification | Eccentric / stippled (non-benign) |
| Pleural retraction | Yes |
| Bubble lucency / air bronchogram | Yes |
| Comparison | New |
| Number | Multiple (describe most suspicious) |
| Lung cancer risk (incidental) | High (smoking, family history, upper lobe, spiculation…) |
→Lung-RADS v20222
- Findings：Multiple nodules; the largest/most suspicious is a pure ground-glass nodule in the left lower lobe (image 128), measuring 9 × 7 mm (mean 8 mm), with spiculated margin, non-benign calcification, adjacent pleural retraction, bubble lucency / air bronchogram. New since prior.
- Impression：pure ground-glass nodule, Lung-RADS 2
- Recommendation：LDCT in 12 months. Note: baseline rules used; reassess new/growing nodules with the Lung-RADS tool.
Common questions
What is Lung Nodule Structured Report (with Fleischner / Lung-RADS follow-up)?
Point-and-click features generate standardized lung nodule findings, impression and follow-up (Fleischner 2017 incidental, Lung-RADS v2022 screening) ready to paste. Instant, browser-side.
How is Lung Nodule Structured Report (with Fleischner / Lung-RADS follow-up) calculated? What is the core formula?
Mean = (long + short)/2; Fleischner rounds to mm (solid <6, 6–8, >8; subsolid <6, ≥6); Lung-RADS keeps one decimal (solid <6/6–8/8–15/≥15).
When is Lung Nodule Structured Report (with Fleischner / Lung-RADS follow-up) used?
Chest CT reporting, resident training and terminology QA.
What are the key clinical points for Lung Nodule Structured Report (with Fleischner / Lung-RADS follow-up)?
Mean of long and short axis. Incidental → Fleischner. Screening → Lung-RADS. Growing nodules assessed separately.
What are the limits and cautions when using Lung Nodule Structured Report (with Fleischner / Lung-RADS follow-up)?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
Does Lung Nodule Structured Report (with Fleischner / Lung-RADS follow-up) upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is Lung Nodule Structured Report (with Fleischner / Lung-RADS follow-up) calculated in practice? Can you show a worked example?
Inputs: Setting Incidental (Fleischner, age ≥35), Location right upper lobe, Image number (optional) 128, Density Solid, Long axis 9 mm, Short axis (perpendicular, same slice) 7 mm, Margin Smooth, Calcification None… → Result: Fleischner 2017 · mean diameter 8 mm（Findings: A solid nodule in the right upper lobe (image 128), measuring 9 × 7 mm (mean 8 mm), with smooth margin, no calcification. First seen., Impression: solid nodule, right upper lobe, mean 8 mm, Recommendation: CT at 6–12 months, then consider CT at 18–24 months） Inputs: Setting LDCT screening baseline (Lung-RADS), Location left lower lobe, Image number (optional) 128, Density Pure ground-glass, Long axis 9 mm, Short axis (perpendicular, same slice) 7 mm, Margin Spiculated, Calcification Eccentric / stippled (non-benign)… → Result: Lung-RADS v2022 2（Findings: Multiple nodules; the largest/most suspicious is a pure ground-glass nodule in the left lower lobe (image 128), measuring 9 × 7 mm (mean 8 mm), with spiculated margin, non-benign calcification, adjacent pleural retraction, bubble lucency / air bronchogram. New since prior., Impression: pure ground-glass nodule, Lung-RADS 2, Recommendation: LDCT in 12 months. Note: baseline rules used; reassess new/growing nodules with the Lung-RADS tool.）
Run Lung Nodule Structured Report (with Fleischner / Lung-RADS follow-up) now
Point-and-click features generate standardized lung nodule findings, impression and follow-up (Fleischner 2017 incidental, Lung-RADS v2022 screening) ready to paste. Instant, browser-side.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.
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